Identities/MBR-004470

Gold, golden identity

Melissa Q Medina

6 source records from 3 feeds.

MBR-004470Verified6 records

Golden record

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

First nameENR: Melissa
Middle nameCLM: Q
Last nameENR: Medina
Date of birthENR: 1972-12-23
GenderENR: F
Member IDENR: UHC-00300-86
SSNENR: •••-••-8073
PhoneENR: 8022631478
Email—: —
AddressENR: 670 Sage Ct
CityENR: Glendale
StateENR: AZ
ZIPENR: 85359
GroupENR: GRP-9478
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

TPA ×2CLM ×3ENR ×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
TPA-64076	TPA	2026-01-15	Melissa Medinaflagged	1972-12-23	—	—	670 Sage Ct, Glendale, AZ	Scored	1.00	—
CLM-431896	CLM	2026-02-24	Melissa Medinaflagged	1972-12-23	—	—	670 Sage Ct # 324, Glendale, AZ	Scored	1.00	—
TPA-64077	TPA	2026-03-30	Melissa Medinaflagged	1972-12-23	—	—	670 Sage Ct, Glendale, AZ	Scored	1.00	—
CLM-431897	CLM	2026-07-17	Melissa Medinaflagged	1972-12-23	—	8022631478	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-431895	CLM	2026-07-19	Melissa Medinaflagged	1972-12-23	UHC-00300-86	—	670 Sage Ct, Glendale, AZ	Scored	1.00	—
ENR-141873	ENR	2026-07-20	Melissa Medinaflagged	1972-12-23	UHC-00300-86	8022631478	670 Sage Ct, Glendale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-64076TPACLM-431895CLM1.00Scoredweighted 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

▶CLM-431896CLMCLM-431895CLM1.00Scoredweighted 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

▶TPA-64076TPACLM-431896CLM1.00Scoredweighted 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

▶TPA-64076TPAENR-141873ENR1.00Scoredweighted 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

▶CLM-431896CLMENR-141873ENR1.00Scoredweighted 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

▶TPA-64076TPATPA-64077TPA1.00Scoredweighted 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

▶CLM-431896CLMTPA-64077TPA1.00Scoredweighted 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

▶CLM-431895CLMENR-141873ENR0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-64077TPACLM-431895CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431897CLMCLM-431895CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64077TPACLM-431897CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64077TPAENR-141873ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431897CLMENR-141873ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-64076TPACLM-431897CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-431896CLMCLM-431897CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431897 → UHC-00300-86 (Melissa Medina)
ACT-008866, Claims processor
Orphan claim re-pointedExecuted
CLM-431896 → UHC-00300-86 (Melissa Medina)
ACT-009159, Claims processor
Care coordination outreachProposed
Melissa Medina: 3 claims, no attributed provider
ACT-018126, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybe6b8a1233
scoring_agent, ENR-141873, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:54:38Record linked automatically4d9905ffb8
scoring_agent, CLM-431895, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:54:38Record linked automaticallybac916c42c
matching_agent, CLM-431897, identity id MBR-004470, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-64077
2026-10-19 19:54:38Record linked automaticallya782fc90bd
scoring_agent, TPA-64077, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:54:38Record linked automatically70984d7231
scoring_agent, CLM-431896, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:54:38Record linked automaticallyde461ecaad
scoring_agent, TPA-64076, identity id MBR-004470, confidence 1, method probabilistic, matched record CLM-431896, policy version 1
2026-10-19 19:52:08Record linked automaticallye0d0c08654
scoring_agent, ENR-141873, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:52:08Record linked automatically8129d948aa
scoring_agent, CLM-431895, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:52:08Record linked automatically9319f1831d
matching_agent, CLM-431897, identity id MBR-004470, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-64077
2026-10-19 19:52:08Record linked automatically33799b22e5
scoring_agent, TPA-64077, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:52:08Record linked automaticallya1c723017b
scoring_agent, CLM-431896, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:52:08Record linked automatically0d519762cb
scoring_agent, TPA-64076, identity id MBR-004470, confidence 1, method probabilistic, matched record CLM-431896, policy version 1
2026-10-19 19:45:42Record linked automaticallya5f5f5df78
scoring_agent, ENR-141873, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:45:42Record linked automaticallye0d7501b85
scoring_agent, CLM-431895, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:45:42Record linked automatically0a9cba08ae
matching_agent, CLM-431897, identity id MBR-004470, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-64077
2026-10-19 19:45:42Record linked automaticallyae3110e23e
scoring_agent, TPA-64077, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:45:42Record linked automaticallyd17c656a98
scoring_agent, CLM-431896, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:45:42Record linked automatically9b7d60f70f
scoring_agent, TPA-64076, identity id MBR-004470, confidence 1, method probabilistic, matched record CLM-431896, policy version 1
2026-10-19 19:32:31Record linked automatically2543f42e75
scoring_agent, ENR-141873, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1561d3f87
scoring_agent, CLM-431895, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:32:31Record linked automaticallyd250b75368
matching_agent, CLM-431897, identity id MBR-004470, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-64077
2026-10-19 19:32:31Record linked automatically48330b077b
scoring_agent, TPA-64077, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:32:31Record linked automatically914420766b
scoring_agent, CLM-431896, identity id MBR-004470, confidence 1, method probabilistic, matched record TPA-64076, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1a5425134
scoring_agent, TPA-64076, identity id MBR-004470, confidence 1, method probabilistic, matched record CLM-431896, policy version 1
2026-10-19 19:31:28Record linked automatically03e5f3f105
matching_agent, CLM-431895, identity id MBR-033091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142100
2026-10-19 19:31:28Record linked automatically6809075ba7
matching_agent, CLM-431897, identity id MBR-025893, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142105
2026-10-19 19:31:28Record linked automaticallyfb7aa8e7bb
matching_agent, ENR-141873, identity id MBR-016679, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431720
2026-10-19 19:31:28Record linked automatically938d8cb0bd
matching_agent, TPA-64077, identity id MBR-007270, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-64078
2026-10-19 19:31:28Record linked automaticallyae01e23ff6
scoring_agent, CLM-431896, identity id MBR-007171, confidence 1, method probabilistic, matched record PRV-29295, policy version 1
2026-10-19 19:31:28Record linked automaticallyd30609810a
scoring_agent, TPA-64076, identity id MBR-004967, confidence 1, method probabilistic, matched record ENR-142431, 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-2026-032602	2026-07-13	Unity Medical Group in network	90471, 99213, 36415	$231.00	$118.42	Approved	Approved
CLM-2026-028494	2026-06-14	Evergreen Digestive Health Center in network	43239	$2,052.00	$0.00	Approved	Approved
CLM-2026-029703	2026-02-07	Unity Digestive Health Center in network	99214	$238.00	$72.56	Approved	Approved