Identities/MBR-004597
Gold, golden identity

Grace F Mdeina

3 source records from 2 feeds.

MBR-004597Verified3 records

Golden record

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

First nameENR
Grace
Middle nameENR
F
Last nameENR
Mdeina
Date of birthENR
2001-09-27
GenderENR
F
Member IDENR
UHC-02912-01
SSNENR
•••-••-2122
PhoneENR
6919863663
EmailENR
grace.medina@yahoo.com
AddressENR
6594 Canyon Rd
CityENR
Minneapolis
StateENR
MN
ZIPENR
55417
GroupENR
GRP-6238
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99CLMCLM-406454ENRENR-108474CLMCLM-406455IDMBR-004597
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-406454CLM2026-01-15Grace Medinaflagged2001-09-27—6919863663—Scored0.99—
ENR-108474ENR2026-03-28Grace Mdeinaflagged2001-09-27UHC-02912-0169198636636594 Canyon Rd, Minneapolis, MNRule0.99D1 member id + dob exact
CLM-406455CLM2026-08-29Grake Mdinaflagged2001-09-27UHC-02912-01—6594 Canyon Rd, Minneapolis, MNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-108474ENRCLM-406455CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-406454CLMENR-108474ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406454CLMCLM-406455CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-406454 → UHC-02912-01 (Grace Mdeina)
    ACT-001900, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically076a054d94
    matching_agent, CLM-406455, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108474
  • 2026-10-19 19:54:38Record linked automaticallya6b39559ee
    matching_agent, ENR-108474, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406455
  • 2026-10-19 19:54:38Record linked automatically5844a5c0ff
    scoring_agent, CLM-406454, identity id MBR-004597, confidence 0.99, method probabilistic, matched record ENR-108474, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybac4addced
    matching_agent, CLM-406455, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108474
  • 2026-10-19 19:52:08Record linked automatically8cee63d85d
    matching_agent, ENR-108474, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406455
  • 2026-10-19 19:52:08Record linked automatically05802d7ab8
    scoring_agent, CLM-406454, identity id MBR-004597, confidence 0.99, method probabilistic, matched record ENR-108474, policy version 1
  • 2026-10-19 19:45:42Record linked automatically42e119c1b7
    matching_agent, CLM-406455, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108474
  • 2026-10-19 19:45:42Record linked automaticallyb535a324c6
    matching_agent, ENR-108474, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406455
  • 2026-10-19 19:45:42Record linked automaticallyb1d48f3006
    scoring_agent, CLM-406454, identity id MBR-004597, confidence 0.99, method probabilistic, matched record ENR-108474, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycf9f2bb4cc
    matching_agent, CLM-406455, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108474
  • 2026-10-19 19:32:31Record linked automatically3aaa0de8e0
    matching_agent, ENR-108474, identity id MBR-004597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406455
  • 2026-10-19 19:32:31Record linked automatically4ffd810e7c
    scoring_agent, CLM-406454, identity id MBR-004597, confidence 0.99, method probabilistic, matched record ENR-108474, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye7eaabfb09
    scoring_agent, CLM-406454, identity id MBR-016237, confidence 1, method probabilistic, matched record CLM-406452, policy version 1
  • 2026-10-19 19:31:28Record linked automatically647d06fdee
    matching_agent, ENR-108474, identity id MBR-015531, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52854

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0104722026-03-29Northgate Bone and Joint Center
out of network
29881$8,795.00—DeniedDenied
CLM-2026-0022442026-01-13Pinecrest Medical Group
in network
90471, 36415$70.00$23.40ApprovedApproved