Identities/MBR-006530
Gold, golden identity

Mateo G Estrada

4 source records from 2 feeds.

MBR-006530Verified4 recordsOpen steward case

Golden record

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

First nameENR
Mateo
Middle nameENR
G
Last nameENR
Estrada
Date of birthENR
1981-01-25
GenderENR
F
Member IDENR
UHC-56622-34
SSNENR
•••-••-1751
PhoneCLM
9019565774
EmailCLM
mateo.estrada58@proton.me
AddressENR
3838 Mountain View Dr
CityENR
Glendale
StateENR
AZ
ZIPENR
85344
GroupENR
GRP-4872
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.971.001.000.99CLMCLM-412636CLMCLM-412634ENRENR-116596CLMCLM-412635IDMBR-006530
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-412636CLM2026-01-22Mateo Estradaflagged1981-01-25———Rule0.97D2 ssn4 + dob + last name
CLM-412634CLM2026-03-31Mateo Estradaflagged1981-01-25—90195657743838 Mountain View Dr, Glendale, AZScored1.00—
ENR-116596ENR2026-07-31Mateo Estradaflagged1981-01-25UHC-56622-34—3838 Mountain View Dr, Glendale, AZScored1.00—
CLM-412635CLM2026-09-07Mateo Estraadaflagged1981-01-25UHC-56622-3490195657743838 Mountain View Dr, Glendale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-412634CLMENR-116596ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-116596ENRCLM-412635CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-412634CLMCLM-412635CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412636CLMCLM-412635CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412636CLMENR-116596ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-412636CLMCLM-412634CLM0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-412636 → UHC-56622-34 (Mateo Estrada)
    ACT-006597, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-412634 → UHC-56622-34 (Mateo Estrada)
    ACT-007097, Claims processor
  • Care coordination outreachProposed
    Mateo Estrada: 3 claims, no attributed provider
    ACT-018290, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallycfda88e12c
    matching_agent, CLM-412635, identity id MBR-006530, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116596
  • 2026-10-19 19:54:38Record linked automatically1c6279c14c
    scoring_agent, ENR-116596, identity id MBR-006530, confidence 1, method probabilistic, matched record CLM-412634, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6fc03f0412
    scoring_agent, CLM-412634, identity id MBR-006530, confidence 1, method probabilistic, matched record ENR-116596, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1d02b886df
    matching_agent, CLM-412636, identity id MBR-006530, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116596
  • 2026-10-19 19:52:09Record linked automatically5c9b4706c0
    matching_agent, CLM-412635, identity id MBR-006530, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116596
  • 2026-10-19 19:52:09Record linked automaticallyb26cb057cd
    scoring_agent, ENR-116596, identity id MBR-006530, confidence 1, method probabilistic, matched record CLM-412634, policy version 1
  • 2026-10-19 19:52:09Record linked automatically042b2f9c8d
    scoring_agent, CLM-412634, identity id MBR-006530, confidence 1, method probabilistic, matched record ENR-116596, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4a55f7514d
    matching_agent, CLM-412636, identity id MBR-006530, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116596
  • 2026-10-19 19:45:42Record linked automatically240f0317e5
    matching_agent, CLM-412635, identity id MBR-006530, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116596
  • 2026-10-19 19:45:42Record linked automatically1c668fd6a6
    scoring_agent, ENR-116596, identity id MBR-006530, confidence 1, method probabilistic, matched record CLM-412634, policy version 1
  • 2026-10-19 19:45:42Record linked automatically29aa53e7c9
    scoring_agent, CLM-412634, identity id MBR-006530, confidence 1, method probabilistic, matched record ENR-116596, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9e1157b7e7
    matching_agent, CLM-412636, identity id MBR-006530, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116596
  • 2026-10-19 19:32:31Record linked automatically18285aee2c
    matching_agent, CLM-412635, identity id MBR-006530, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116596
  • 2026-10-19 19:32:31Record linked automaticallyb01ac31d0d
    scoring_agent, ENR-116596, identity id MBR-006530, confidence 1, method probabilistic, matched record CLM-412634, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc6c6a80899
    scoring_agent, CLM-412634, identity id MBR-006530, confidence 1, method probabilistic, matched record ENR-116596, policy version 1
  • 2026-10-19 19:32:31Record linked automatically555b502629
    matching_agent, CLM-412636, identity id MBR-006530, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116596
  • 2026-10-19 19:31:28Record linked automatically00e25d0488
    matching_agent, CLM-412634, identity id MBR-032732, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412632
  • 2026-10-19 19:31:28Record linked automatically5328990023
    matching_agent, CLM-412636, identity id MBR-020645, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116728
  • 2026-10-19 19:31:28Record linked automatically1ee640f0ee
    matching_agent, CLM-412635, identity id MBR-020348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116727

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0328842026-08-15Sunrise Digestive Health Center
in network
70553$2,078.00—Needs reviewNeeds review
CLM-2026-0217092026-03-05Riverside Regional Medical Center
out of network
99283$1,021.00$109.45ApprovedApproved
CLM-2026-0198042026-01-10Riverside Regional Medical Center
out of network
99284, 99285$4,347.00$1,606.15ApprovedApproved