Identities/MBR-004379

Gold, golden identity

Theresa Munoz

6 source records from 4 feeds.

MBR-004379Verified6 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR: Theresa
Middle name—: —
Last nameENR: Munoz
Date of birthPRV: 1941-06-25
GenderENR: M
Member IDENR: UHC-11208-80
SSNENR: •••-••-5212
PhoneENR: 8789573749
EmailENR: theresa.munoz38@hotmail.com
AddressENR: 5154 Harbor Blvd
CityENR: Tampa
StateENR: FL
ZIPENR: 33671
GroupENR: GRP-4811
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×3TPA ×1ENR ×1PRV ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-408628	CLM	2026-01-14	Theresa Munozflagged	1941-06-25	UHC-11208-80	8789573749	—	Scored	1.00	—
CLM-408630	CLM	2026-03-07	Theresa Munozflagged	1941-06-25	UHC-11208-80	—	5154 Harbor Blvd, Tampa, FL	Scored	1.00	—
TPA-53788	TPA	2026-03-07	Theresa Munozflagged	1941-06-25	—	8789573749	5411 Mountain View Dr, Minneapolis, MN	Scored	1.00	—
ENR-111375	ENR	2026-06-07	Theresa Munozflagged	—	UHC-11208-80	8789573749	5154 Harbor Blvd, Tampa, FL	Scored	1.00	—
PRV-22557	PRV	2026-08-07	Theresa Munozflagged	1941-06-25	UHC-11208-80	8789573749	5411 Mountain View Dr, Minneapolis, MN	Scored	1.00	—
CLM-408629	CLM	2026-10-09	Theresa Munozflagged	1941-06-25	—	8789573749	5154 Harbor Blvd, Tampa, FL	Scored	1.00	—

Evidence

15 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-408628CLMCLM-408629CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408630CLMCLM-408629CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-111375 ENRCLM-408629CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53788TPAPRV-22557PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408628CLMTPA-53788TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408628CLMCLM-408630CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408628CLMPRV-22557PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408630CLMPRV-22557PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408628CLMENR-111375 ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408630CLMENR-111375 ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-111375 ENRPRV-22557PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-53788TPACLM-408629CLM0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22557PRVCLM-408629CLM0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408630CLMTPA-53788TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-53788TPAENR-111375 ENR0.69Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408629 → UHC-11208-80 (Theresa Munoz)
ACT-007079, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0de91f075a
scoring_agent, CLM-408629, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:54:38Record linked automatically8710f0f026
scoring_agent, PRV-22557, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:54:38Record linked automatically686687f890
scoring_agent, ENR-111375, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:54:38Record linked automatically882200042a
scoring_agent, TPA-53788, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:54:38Record linked automatically18a116e7c7
scoring_agent, CLM-408630, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:54:38Record linked automatically99dea12ae7
scoring_agent, CLM-408628, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:52:08Record linked automaticallybfcfd74c0b
scoring_agent, CLM-408629, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:52:08Record linked automatically989d2472a8
scoring_agent, PRV-22557, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:52:08Record linked automaticallyfd4661af33
scoring_agent, ENR-111375, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:52:08Record linked automaticallyc4bf267aee
scoring_agent, TPA-53788, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:52:08Record linked automatically4ffe34e902
scoring_agent, CLM-408630, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:52:08Record linked automatically8bfd9258cf
scoring_agent, CLM-408628, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:45:42Record linked automaticallya5213f82d9
scoring_agent, CLM-408629, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:45:42Record linked automatically84fc71540b
scoring_agent, PRV-22557, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:45:42Record linked automatically2093e89ee8
scoring_agent, ENR-111375, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:45:42Record linked automaticallyc102bcd39b
scoring_agent, TPA-53788, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:45:42Record linked automatically835a7cd517
scoring_agent, CLM-408630, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:45:42Record linked automaticallyc771d348c2
scoring_agent, CLM-408628, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:32:31Record linked automatically4b69948511
scoring_agent, CLM-408629, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:32:31Record linked automaticallyccf5c96ed0
scoring_agent, PRV-22557, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:32:31Record linked automaticallyebe6158c43
scoring_agent, ENR-111375, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:32:31Record linked automatically497cf8835a
scoring_agent, TPA-53788, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408628, policy version 1
2026-10-19 19:32:31Record linked automatically1ff925753e
scoring_agent, CLM-408630, identity id MBR-004379, confidence 1, method probabilistic, matched record CLM-408629, policy version 1
2026-10-19 19:32:31Record linked automaticallyf99d67920e
scoring_agent, CLM-408628, identity id MBR-004379, confidence 1, method probabilistic, matched record TPA-53788, policy version 1
2026-10-19 19:31:28Record linked automatically20ce0cdaf7
scoring_agent, TPA-53788, identity id MBR-011008, confidence 1, method probabilistic, matched record TPA-53787, policy version 1
2026-10-19 19:31:28Record linked automatically45827fb9d3
scoring_agent, PRV-22557, identity id MBR-005025, confidence 0.94, method probabilistic, matched record ENR-111413, policy version 1
2026-10-19 19:31:28Record linked automatically64afd6abee
matching_agent, CLM-408630, identity id MBR-001473, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-22545
2026-10-19 19:31:28Record linked automaticallyd2d25cd11b
scoring_agent, CLM-408629, identity id MBR-001473, confidence 0.99, method probabilistic, matched record PRV-22546, policy version 1
2026-10-19 19:31:28Record linked automatically3fffaa9c98
scoring_agent, CLM-408628, identity id MBR-001010, confidence 1, method probabilistic, matched record PRV-22543, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-021631	2026-09-07	Pinecrest Family Practice in network	99203	$192.00	$94.04	Approved	Approved
CLM-2026-006953	2026-02-05	Mesa Clinical Laboratories in network	85025, 80061, 87086, 80053	$215.00	$0.00	Approved	Approved
CLM-2026-012456	2025-12-02	Lakeside Medical Group in network	90471, 36415	$57.00	$13.02	Approved	Approved