Identities/MBR-005490
Gold, golden identity

Paul D Estrada

4 source records from 2 feeds.

MBR-005490Verified4 records

Golden record

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

First nameENR
Paul
Middle nameENR
D
Last nameENR
Estrada
Date of birthENR
1983-07-26
GenderENR
F
Member IDENR
UHC-63153-81
SSNENR
•••-••-1842
PhoneENR
9586879366
EmailENR
paul.estrada@hotmail.com
AddressENR
5930 Ridge Rd
CityENR
Seattle
StateENR
WA
ZIPENR
98113
GroupENR
GRP-1828
PlanENR
OPTIONS-PPO
Min confidence
0.96
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

1.001.000.961.00CLMCLM-424592ENRENR-132136CLMCLM-424593CLMCLM-424591IDMBR-005490
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-424592CLM2026-01-18Paul Estradaflagged1983-07-26UHC-63153-81—5930 Ridge Rd Apt 23, Seattle, WAScored1.00—
ENR-132136ENR2026-03-04Paul Estradaflagged1983-07-26UHC-63153-8195868793665930 Ridge Rd, Seattle, WAScored1.00—
CLM-424593CLM2026-06-27Paul Estradaflagged—UHC-63153-8195868793665930 Ridge Rd, Seattle, WARule0.96D3 member id + name
CLM-424591CLM2026-08-05Paul Estradaflagged1983-07-26——5930 Ridge Rd, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424592CLMCLM-424591CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132136ENRCLM-424591CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424592CLMENR-132136ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424592CLMCLM-424593CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132136ENRCLM-424593CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424591 → UHC-63153-81 (Paul Estrada)
    ACT-003264, Claims processor
  • Care coordination outreachProposed
    Paul Estrada: 3 claims, no attributed provider
    ACT-018209, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyc902abd063
    scoring_agent, CLM-424591, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyb46e6d20fa
    matching_agent, CLM-424593, identity id MBR-005490, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424592
  • 2026-10-22 12:43:53Record linked automatically4c69d649e9
    scoring_agent, ENR-132136, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-22 12:43:53Record linked automatically84d72d13b2
    scoring_agent, CLM-424592, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:54:38Record linked automatically05dd5c2f35
    scoring_agent, CLM-424591, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-19 19:54:38Record linked automatically559bd72708
    matching_agent, CLM-424593, identity id MBR-005490, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424592
  • 2026-10-19 19:54:38Record linked automaticallye1c1cc028d
    scoring_agent, ENR-132136, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3039f59ba0
    scoring_agent, CLM-424592, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2074a4f15b
    scoring_agent, CLM-424591, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd8fdc6dbe0
    matching_agent, CLM-424593, identity id MBR-005490, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424592
  • 2026-10-19 19:52:08Record linked automatically1bfc97f114
    scoring_agent, ENR-132136, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyded778b32c
    scoring_agent, CLM-424592, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc6a0d21e38
    scoring_agent, CLM-424591, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb79e38f462
    matching_agent, CLM-424593, identity id MBR-005490, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424592
  • 2026-10-19 19:45:42Record linked automaticallyb74248a271
    scoring_agent, ENR-132136, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf35c912845
    scoring_agent, CLM-424592, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9e1a292a27
    scoring_agent, CLM-424591, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb00a51581b
    matching_agent, CLM-424593, identity id MBR-005490, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424592
  • 2026-10-19 19:32:31Record linked automatically34c968d8ee
    scoring_agent, ENR-132136, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02b03652cd
    scoring_agent, CLM-424592, identity id MBR-005490, confidence 1, method probabilistic, matched record CLM-424591, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7d96d082e8
    scoring_agent, CLM-424592, identity id MBR-004381, confidence 1, method probabilistic, matched record CLM-424593, policy version 1
  • 2026-10-19 19:31:28Record linked automatically49cfacec43
    scoring_agent, CLM-424593, identity id MBR-004381, confidence 1, method probabilistic, matched record CLM-424592, policy version 1
  • 2026-10-19 19:31:28Record linked automatically54df16c9a6
    matching_agent, CLM-424591, identity id MBR-000122, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132371

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0073012026-06-25Northgate Medical Group
in network
93000, 80053, 99215$584.00$322.08ApprovedApproved
CLM-2026-0247482026-06-23Riverside Regional Medical Center
out of network
99285$1,800.00$660.00ApprovedApproved
CLM-2026-0113032025-12-31Lakeside Physical Therapy
in network
97110, 97161$508.00$274.96ApprovedApproved