Identities/MBR-005609
Gold, golden identity

Pamela Gonzalez

5 source records from 3 feeds.

MBR-005609Verified5 records

Golden record

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

First nameENR
Pamela
Middle name—
—
Last nameENR
Gonzalez
Date of birthENR
1996-12-18
GenderENR
F
Member IDENR
UHC-32865-94
SSNENR
•••-••-2709
PhoneCLM
8298741320
Email—
—
AddressENR
2138 Highland Ave
CityENR
San Diego
StateENR
CA
ZIPENR
92148
GroupENR
GRP-6898
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.961.000.99CLMCLM-400243TPATPA-50103CLMCLM-400245CLMCLM-400244ENRENR-100338IDMBR-005609
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-400243CLM2026-01-18Pamela Gonzalezflagged1996-12-18UHC-32865-9482987413202138 Highland Ave, San Diego, CAScored1.00—
TPA-50103TPA2026-02-13Pamela Gonzalezflagged1996-12-18—8298741320—Scored1.00—
CLM-400245CLM2026-03-20Pamlea Gonzalezflagged—UHC-32865-9482987413202138 Highland Ave, San Diego, CARule0.96D3 member id + name
CLM-400244CLM2026-04-02Pamela Gonzalezflagged1996-12-18UHC-32865-9482987413202138 Highland Ave, San Diego, CAScored1.00—
ENR-100338ENR2026-05-20Pamela Gonzalezflagged1996-12-18UHC-32865-94—2138 Highland Ave, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50103TPACLM-400244CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400243CLMTPA-50103TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400243CLMCLM-400244CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400243CLMENR-100338ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400244CLMENR-100338ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400245CLMCLM-400244CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400243CLMCLM-400245CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400245CLMENR-100338ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-50103TPACLM-400245CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶TPA-50103TPAENR-100338ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Pamela Gonzalez: 3 claims, no attributed provider
    ACT-018217, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically22d6a814be
    matching_agent, ENR-100338, identity id MBR-005609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400243
  • 2026-10-19 19:54:38Record linked automaticallyd2f811ab4a
    scoring_agent, CLM-400244, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:54:38Record linked automatically81eccb7237
    matching_agent, CLM-400245, identity id MBR-005609, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400243
  • 2026-10-19 19:54:38Record linked automatically83ecb28bea
    scoring_agent, TPA-50103, identity id MBR-005609, confidence 1, method probabilistic, matched record CLM-400243, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd7c8a9088a
    scoring_agent, CLM-400243, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:52:08Record linked automatically964ddbf9e1
    matching_agent, ENR-100338, identity id MBR-005609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400243
  • 2026-10-19 19:52:08Record linked automatically49061c5551
    scoring_agent, CLM-400244, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:52:08Record linked automatically96310f9cad
    matching_agent, CLM-400245, identity id MBR-005609, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400243
  • 2026-10-19 19:52:08Record linked automaticallycb644527fe
    scoring_agent, TPA-50103, identity id MBR-005609, confidence 1, method probabilistic, matched record CLM-400243, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2f94ffe356
    scoring_agent, CLM-400243, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0bc6b27362
    matching_agent, ENR-100338, identity id MBR-005609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400243
  • 2026-10-19 19:45:42Record linked automatically0b6dcdeb3d
    scoring_agent, CLM-400244, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:45:42Record linked automatically604071d1ef
    matching_agent, CLM-400245, identity id MBR-005609, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400243
  • 2026-10-19 19:45:42Record linked automatically5bdddbc910
    scoring_agent, TPA-50103, identity id MBR-005609, confidence 1, method probabilistic, matched record CLM-400243, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3c7ff76745
    scoring_agent, CLM-400243, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7af5900106
    matching_agent, ENR-100338, identity id MBR-005609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400243
  • 2026-10-19 19:32:31Record linked automaticallyb2bcbad169
    scoring_agent, CLM-400244, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:32:31Record linked automatically106f3e494d
    matching_agent, CLM-400245, identity id MBR-005609, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400243
  • 2026-10-19 19:32:31Record linked automatically27d5ddecb7
    scoring_agent, TPA-50103, identity id MBR-005609, confidence 1, method probabilistic, matched record CLM-400243, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb14b8b7fe4
    scoring_agent, CLM-400243, identity id MBR-005609, confidence 1, method probabilistic, matched record TPA-50103, policy version 1
  • 2026-10-19 19:31:28Record linked automatically47c128f3f3
    matching_agent, CLM-400245, identity id MBR-021538, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100350
  • 2026-10-19 19:31:28Record linked automatically2eb66cd7d4
    scoring_agent, CLM-400244, identity id MBR-019309, confidence 0.99, method probabilistic, matched record TPA-50098, policy version 1
  • 2026-10-19 19:31:28Record linked automatically438e9525f7
    scoring_agent, ENR-100338, identity id MBR-012785, confidence 1, method probabilistic, matched record PRV-20065, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4f9d0835cd
    matching_agent, CLM-400243, identity id MBR-007165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100346
  • 2026-10-19 19:31:28Record linked automaticallya605f27acb
    scoring_agent, TPA-50103, identity id MBR-006532, confidence 1, method probabilistic, matched record CLM-400255, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0167082026-03-01Valley Imaging Center
in network
76700, 77067$847.00$96.22ApprovedApproved
CLM-2026-0212282026-02-21Summit Regional Medical Center
in network
99284, 99285$4,787.00$2,382.85ApprovedApproved
CLM-2026-0016012025-12-27Canyon Primary Care Associates
in network
70553$2,648.00—Needs reviewNeeds review