Identities/MBR-004510

Gold, golden identity

Billy N Valdez

5 source records from 3 feeds.

MBR-004510Verified5 records

Golden record

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

First namePRV: Billy
Middle nameCLM: N
Last namePRV: Valdez
Date of birthPRV: 1968-12-02
GenderPRV: F
Member IDPRV: UHC-52318-42
SSNCLM: •••-••-2799
PhonePRV: 4548323745
EmailPRV: billy.valdez83@outlook.com
AddressPRV: 1459 Hillcrest Rd
CityPRV: Glendale
StatePRV: AZ
ZIP—: —
GroupCLM: GRP-9205
PlanTPA: MEDICARE-ADV-A

Min confidence

0.99

Sources

PRV ×2TPA ×1CLM ×2

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
PRV-26009	PRV	2026-01-15	Billy Valdezflagged	1968-12-02	—	4548323745	1459 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
TPA-58912	TPA	2026-02-20	Billy Valdezflagged	1968-12-02	—	4548323745	1459 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
PRV-26008	PRV	2026-02-24	Billy Valdezflagged	1968-12-02	UHC-52318-42	—	1459 Hillcrest Rd Apt 13, Glendale, AZ	Scored	1.00	—
CLM-420268	CLM	2026-03-27	Billy Valdezflagged	1968-12-02	UHC-52318-42	—	1459 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
CLM-420267	CLM	2026-04-18	Billy Valdezflagged	1968-12-02	UHC-52318-42	—	1459 Hillcrest Rd, Glendale, AZ	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-26009PRVCLM-420268CLM1.00Scoredweighted 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-58912TPACLM-420268CLM1.00Scoredweighted 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

▶PRV-26009PRVPRV-26008PRV1.00Scoredweighted 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-58912TPAPRV-26008PRV1.00Scoredweighted 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

▶PRV-26009PRVTPA-58912TPA1.00Scoredweighted 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

▶PRV-26008PRVCLM-420267CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420268CLMCLM-420267CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26008PRVCLM-420268CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26009PRVCLM-420267CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58912TPACLM-420267CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye61ed220e7
matching_agent, CLM-420267, identity id MBR-004510, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26008
2026-10-19 19:54:38Record linked automaticallyca5edec6a9
scoring_agent, CLM-420268, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:54:38Record linked automatically9727ae92fb
scoring_agent, PRV-26008, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:54:38Record linked automatically7429ac4ac9
scoring_agent, TPA-58912, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:54:38Record linked automaticallyb082e1d628
scoring_agent, PRV-26009, identity id MBR-004510, confidence 1, method probabilistic, matched record TPA-58912, policy version 1
2026-10-19 19:52:08Record linked automatically495225f421
matching_agent, CLM-420267, identity id MBR-004510, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26008
2026-10-19 19:52:08Record linked automatically9ea7a1cd57
scoring_agent, CLM-420268, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:52:08Record linked automatically9da0d4344a
scoring_agent, PRV-26008, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:52:08Record linked automaticallyf19bf100f6
scoring_agent, TPA-58912, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:52:08Record linked automatically22e14cd77e
scoring_agent, PRV-26009, identity id MBR-004510, confidence 1, method probabilistic, matched record TPA-58912, policy version 1
2026-10-19 19:45:42Record linked automaticallyf54419702b
matching_agent, CLM-420267, identity id MBR-004510, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26008
2026-10-19 19:45:42Record linked automatically8ea3b8c132
scoring_agent, CLM-420268, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:45:42Record linked automaticallyf68057129f
scoring_agent, PRV-26008, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:45:42Record linked automatically778e52fe1e
scoring_agent, TPA-58912, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:45:42Record linked automatically1aed3b4368
scoring_agent, PRV-26009, identity id MBR-004510, confidence 1, method probabilistic, matched record TPA-58912, policy version 1
2026-10-19 19:32:31Record linked automaticallyec63bf1119
matching_agent, CLM-420267, identity id MBR-004510, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26008
2026-10-19 19:32:31Record linked automaticallyc5f1dc155a
scoring_agent, CLM-420268, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:32:31Record linked automatically5dc1ce52d8
scoring_agent, PRV-26008, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:32:31Record linked automatically971048bd75
scoring_agent, TPA-58912, identity id MBR-004510, confidence 1, method probabilistic, matched record PRV-26009, policy version 1
2026-10-19 19:32:31Record linked automatically314d20680d
scoring_agent, PRV-26009, identity id MBR-004510, confidence 1, method probabilistic, matched record TPA-58912, policy version 1
2026-10-19 19:31:28Record linked automaticallyd36eee8410
matching_agent, PRV-26008, identity id MBR-019335, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126943
2026-10-19 19:31:28Record linked automatically6786533d2d
scoring_agent, CLM-420267, identity id MBR-009423, confidence 1, method probabilistic, matched record TPA-58828, policy version 1
2026-10-19 19:31:28Record linked automatically57d2baef98
matching_agent, PRV-26009, identity id MBR-009169, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58954
2026-10-19 19:31:28Record linked automaticallya6df8a76a2
scoring_agent, TPA-58912, identity id MBR-001804, confidence 1, method probabilistic, matched record CLM-420429, 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-2026-011601	2026-04-08	Valley Community Hospital out of network	71046	$169.00	$0.00	Approved	Approved
CLM-2026-007632	2025-10-28	Riverside Medical Group in network	99214, 99395	$482.00	—	Denied	Denied