Identities/MBR-004871
Gold, golden identity

Teresa Gonzales

4 source records from 2 feeds.

MBR-004871Verified4 records

Golden record

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

First nameCLM
Teresa
Middle name—
—
Last nameCLM
Gonzales
Date of birthENR
1942-04-21
GenderCLM
F
Member IDENR
UHC-97031-33
SSNENR
•••-••-3706
PhoneENR
2152347945
Email—
—
AddressENR
7497 Park Pl
CityENR
Austin
StateENR
TX
ZIPENR
78716
GroupENR
GRP-2000
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.990.99CLMCLM-422384CLMCLM-422385CLMCLM-422383ENRENR-129350IDMBR-004871
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-422384CLM2026-01-16Teresa Gonzalesflagged1942-04-21UHC-97031-3321523479457497 Park Pl, Austin, TXScored1.00—
CLM-422385CLM2026-01-17Teresa Gonzalesflagged1942-04-21——7497 Park Pl, Austin, TXScored1.00—
CLM-422383CLM2026-07-22Teresa Gonzalesflagged1942-04-21UHC-97031-33——Rule0.99D1 member id + dob exact
ENR-129350ENR2026-08-03Terresa Goznalesflagged1942-04-21UHC-97031-3321523479457497 Park Pl, Austin, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422384CLMCLM-422385CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422384CLMCLM-422383CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422384CLMENR-129350ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422383CLMENR-129350ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422385CLMCLM-422383CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422385CLMENR-129350ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422385 → UHC-97031-33 (Teresa Gonzales)
    ACT-005065, Claims processor
  • Care coordination outreachProposed
    Teresa Gonzales: 3 claims, no attributed provider
    ACT-018151, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically3a87bbad53
    matching_agent, ENR-129350, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-22 12:43:53Record linked automatically6a4258aa93
    matching_agent, CLM-422383, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-22 12:43:53Record linked automaticallyabb940362f
    scoring_agent, CLM-422385, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422384, policy version 1
  • 2026-10-22 12:43:53Record linked automatically3d54fed08f
    scoring_agent, CLM-422384, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422385, policy version 1
  • 2026-10-19 19:54:38Record linked automatically88cf12061c
    matching_agent, ENR-129350, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:54:38Record linked automatically523679119e
    matching_agent, CLM-422383, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:54:38Record linked automaticallyada2cf457a
    scoring_agent, CLM-422385, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422384, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1b32a72c0e
    scoring_agent, CLM-422384, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422385, policy version 1
  • 2026-10-19 19:52:08Record linked automatically180794414f
    matching_agent, ENR-129350, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:52:08Record linked automaticallyd28118aeca
    matching_agent, CLM-422383, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:52:08Record linked automatically5bab1ad855
    scoring_agent, CLM-422385, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422384, policy version 1
  • 2026-10-19 19:52:08Record linked automatically45692f52f2
    scoring_agent, CLM-422384, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422385, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya7b3a09ce9
    matching_agent, ENR-129350, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:45:42Record linked automaticallyc026904a6f
    matching_agent, CLM-422383, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:45:42Record linked automaticallyb3c8fa15e6
    scoring_agent, CLM-422385, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422384, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6cbda54303
    scoring_agent, CLM-422384, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422385, policy version 1
  • 2026-10-19 19:32:31Record linked automatically93ae3811ab
    matching_agent, ENR-129350, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:32:31Record linked automatically6aa9ba2a17
    matching_agent, CLM-422383, identity id MBR-004871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422384
  • 2026-10-19 19:32:31Record linked automaticallye260551574
    scoring_agent, CLM-422385, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422384, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye144cb00c5
    scoring_agent, CLM-422384, identity id MBR-004871, confidence 1, method probabilistic, matched record CLM-422385, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2ad39d231f
    matching_agent, ENR-129350, identity id MBR-026280, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-129349
  • 2026-10-19 19:31:28Record linked automaticallyd075610704
    scoring_agent, CLM-422384, identity id MBR-003391, confidence 0.99, method probabilistic, matched record TPA-59837, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd6615c5602
    matching_agent, CLM-422385, identity id MBR-003391, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129430

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0116732026-07-07Unity Clinical Laboratories
in network
80061, 87086$116.00$0.00ApprovedApproved
CLM-2026-0140992025-12-03Heritage GI Associates
in network
88305$310.00$0.00ApprovedApproved
CLM-2026-0108882026-01-07Northgate Imaging Center
out of network
74177, 70553$5,039.00—DeniedDenied