Identities/MBR-006108
Gold, golden identity

Ronald C Herrera

5 source records from 3 feeds.

MBR-006108Verified5 records

Golden record

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

First nameCLM
Ronald
Middle nameENR
C
Last nameCLM
Herrera
Date of birthENR
1980-09-14
GenderENR
F
Member IDENR
UHC-53971-30
SSNENR
•••-••-3192
PhoneENR
6398054413
Email—
—
AddressENR
2219 Canyon Rd
CityENR
Orlando
StateENR
FL
ZIPENR
32868
GroupENR
GRP-2985
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.991.001.00ENRENR-120706CLMCLM-415724CLMCLM-415725TPATPA-56881CLMCLM-415726IDMBR-006108
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
ENR-120706ENR2026-01-20Rnoald Herrearflagged1980-09-14UHC-53971-3063980544132219 Canyon Rd, Orlando, FLRule0.99D1 member id + dob exact
CLM-415724CLM2026-02-10Ronald Herreraflagged1980-09-14UHC-53971-306398054413—Rule0.99D1 member id + dob exact
CLM-415725CLM2026-02-10Ronald Herreraflagged1980-09-14UHC-53971-306398054413—Rule0.99D1 member id + dob exact
TPA-56881TPA2026-05-08Ronald Herreraflagged1980-09-14——2219 Canyon Rd, Orlando, FLScored1.00—
CLM-415726CLM2026-06-20Ronald Herreraflagged1980-09-14UHC-53971-3063980544132219 Canyon Rd, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56881TPACLM-415726CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-120706ENRCLM-415724CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-120706ENRCLM-415725CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415724CLMCLM-415725CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-120706ENRCLM-415726CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415724CLMCLM-415726CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415725CLMCLM-415726CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-120706ENRTPA-56881TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415724CLMTPA-56881TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-415725CLMTPA-56881TPA0.83Scoredweighted 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
    Ronald Herrera: 3 claims, no attributed provider
    ACT-018254, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyad8a52f849
    scoring_agent, CLM-415726, identity id MBR-006108, confidence 1, method probabilistic, matched record TPA-56881, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallybda93e62ac
    scoring_agent, TPA-56881, identity id MBR-006108, confidence 1, method probabilistic, matched record CLM-415726, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyb37a636617
    matching_agent, CLM-415725, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-22 12:43:53Record linked automatically9c12ceef49
    matching_agent, CLM-415724, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-22 12:43:53Record linked automatically0d173657e9
    matching_agent, ENR-120706, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415724
  • 2026-10-19 19:54:38Record linked automaticallydc0becb2c6
    scoring_agent, CLM-415726, identity id MBR-006108, confidence 1, method probabilistic, matched record TPA-56881, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6104dc9980
    scoring_agent, TPA-56881, identity id MBR-006108, confidence 1, method probabilistic, matched record CLM-415726, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyac5abe11ed
    matching_agent, CLM-415725, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:54:38Record linked automatically03345fbe20
    matching_agent, CLM-415724, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:54:38Record linked automatically1834ed3cc7
    matching_agent, ENR-120706, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415724
  • 2026-10-19 19:52:08Record linked automatically7581c4bc7f
    scoring_agent, CLM-415726, identity id MBR-006108, confidence 1, method probabilistic, matched record TPA-56881, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7f0f36352c
    scoring_agent, TPA-56881, identity id MBR-006108, confidence 1, method probabilistic, matched record CLM-415726, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd65cb9e130
    matching_agent, CLM-415725, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:52:08Record linked automatically6a217256a5
    matching_agent, CLM-415724, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:52:08Record linked automatically438c468150
    matching_agent, ENR-120706, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415724
  • 2026-10-19 19:45:42Record linked automatically6412a1b5c3
    scoring_agent, CLM-415726, identity id MBR-006108, confidence 1, method probabilistic, matched record TPA-56881, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeec93d725b
    scoring_agent, TPA-56881, identity id MBR-006108, confidence 1, method probabilistic, matched record CLM-415726, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye7f0cb66ab
    matching_agent, CLM-415725, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:45:42Record linked automatically971315f12a
    matching_agent, CLM-415724, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:45:42Record linked automaticallyab7ae87a67
    matching_agent, ENR-120706, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415724
  • 2026-10-19 19:32:31Record linked automatically0bd3350fd9
    scoring_agent, CLM-415726, identity id MBR-006108, confidence 1, method probabilistic, matched record TPA-56881, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyacb991d31d
    scoring_agent, TPA-56881, identity id MBR-006108, confidence 1, method probabilistic, matched record CLM-415726, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb2868a99e5
    matching_agent, CLM-415725, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:32:31Record linked automaticallyc86daf5c3e
    matching_agent, CLM-415724, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120706
  • 2026-10-19 19:32:31Record linked automaticallya4ce9cb860
    matching_agent, ENR-120706, identity id MBR-006108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415724
  • 2026-10-19 19:31:28Record linked automatically4cf91ca577
    matching_agent, CLM-415724, identity id MBR-040414, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120578
  • 2026-10-19 19:31:28Record linked automatically9690788460
    matching_agent, ENR-120706, identity id MBR-008952, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24640
  • 2026-10-19 19:31:28Record linked automaticallyde8f9a9209
    matching_agent, CLM-415725, identity id MBR-003964, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415726
  • 2026-10-19 19:31:28Record linked automaticallyee09893e6d
    matching_agent, CLM-415726, identity id MBR-003964, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120579

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0231002026-06-18Evergreen GI Associates
in network
45378$1,760.00$0.00ApprovedApproved
CLM-2026-0196422026-01-07Sunrise Dermatology Clinic
in network
11102$234.00$105.08ApprovedApproved
CLM-2026-0055062026-01-04Northgate Orthopedic Specialists
in network
29881, 73721$7,962.00$1,057.07ApprovedApproved