Identities/MBR-006817

Gold, golden identity

Joan I Torres

5 source records from 3 feeds.

MBR-006817Verified5 records

Golden record

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

First nameENR: Joan
Middle nameENR: I
Last nameENR: Torres
Date of birthENR: 1963-04-07
GenderENR: F
Member IDENR: UHC-36583-04
SSNENR: •••-••-2325
PhoneENR: 5434484675
EmailENR: joan.torres20@aol.com
AddressENR: 7239 Ridge Rd
CityENR: Orlando
StateENR: FL
ZIPENR: 32894
GroupENR: GRP-5664
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

ENR ×2TPA ×1CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
ENR-119064	ENR	2026-01-22	Joan Torresflagged	—	UHC-36583-04	5434484675	7239 Ridge Rd, Orlando, FL	Scored	1.00	—
TPA-56388	TPA	2026-04-24	Joan Torresflagged	1963-04-07	—	—	7239 Ridge Rd, Orlando, FL	Scored	1.00	—
CLM-414483	CLM	2026-05-21	Joan Torersflagged	1963-04-07	—	—	7239 Ridge Rd, Orlando, FL	Scored	0.99	—
ENR-119065	ENR	2026-07-15	Joan Torresflagged	1963-04-07	UHC-36583-04	5434484675	7239 Ridge Rd, Orlando, FL	Scored	1.00	—
CLM-414482	CLM	2026-10-16	Joan Torresflagged	1963-04-07	—	—	7239 Ridge Rd, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-56388TPACLM-414482CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-119065ENRCLM-414482CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-119064ENRTPA-56388TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414483CLMENR-119065ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-119064ENRCLM-414483CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-56388TPAENR-119065ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-119064ENRENR-119065ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶ENR-119064ENRCLM-414482CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414483 → UHC-36583-04 (Joan Torres)
ACT-003652, Claims processor
Orphan claim re-pointedExecuted
CLM-414482 → UHC-36583-04 (Joan Torres)
ACT-005139, Claims processor
Duplicate member record retiredExecuted
Joan Torres: 2 enrollment records collapsed into UHC-36583-04
ACT-022742, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3e226ac5a2
scoring_agent, CLM-414482, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:54:38Record linked automatically65edfdf825
scoring_agent, ENR-119065, identity id MBR-006817, confidence 1, method probabilistic, matched record CLM-414482, policy version 1
2026-10-19 19:54:38Record linked automatically13628362d9
scoring_agent, CLM-414483, identity id MBR-006817, confidence 0.99, method probabilistic, matched record ENR-119065, policy version 1
2026-10-19 19:54:38Record linked automaticallyc85e827002
scoring_agent, TPA-56388, identity id MBR-006817, confidence 1, method probabilistic, matched record ENR-119064, policy version 1
2026-10-19 19:54:38Record linked automatically813aaae5cd
scoring_agent, ENR-119064, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:52:09Record linked automatically0e6602a3b9
scoring_agent, CLM-414482, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:52:09Record linked automatically9777c2f47e
scoring_agent, ENR-119065, identity id MBR-006817, confidence 1, method probabilistic, matched record CLM-414482, policy version 1
2026-10-19 19:52:09Record linked automatically070365cac7
scoring_agent, CLM-414483, identity id MBR-006817, confidence 0.99, method probabilistic, matched record ENR-119065, policy version 1
2026-10-19 19:52:09Record linked automatically6a6fbe98e7
scoring_agent, TPA-56388, identity id MBR-006817, confidence 1, method probabilistic, matched record ENR-119064, policy version 1
2026-10-19 19:52:09Record linked automatically886e04de35
scoring_agent, ENR-119064, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:45:42Record linked automatically8325091ce3
scoring_agent, CLM-414482, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:45:42Record linked automaticallydba93586bf
scoring_agent, ENR-119065, identity id MBR-006817, confidence 1, method probabilistic, matched record CLM-414482, policy version 1
2026-10-19 19:45:42Record linked automaticallyb185adca9d
scoring_agent, CLM-414483, identity id MBR-006817, confidence 0.99, method probabilistic, matched record ENR-119065, policy version 1
2026-10-19 19:45:42Record linked automatically8fde5f36ba
scoring_agent, TPA-56388, identity id MBR-006817, confidence 1, method probabilistic, matched record ENR-119064, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd8343e772
scoring_agent, ENR-119064, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:32:31Record linked automatically73656a7780
scoring_agent, CLM-414482, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5c2ca7f4c
scoring_agent, ENR-119065, identity id MBR-006817, confidence 1, method probabilistic, matched record CLM-414482, policy version 1
2026-10-19 19:32:31Record linked automatically0a23f6ff8a
scoring_agent, CLM-414483, identity id MBR-006817, confidence 0.99, method probabilistic, matched record ENR-119065, policy version 1
2026-10-19 19:32:31Record linked automatically25bd5d3575
scoring_agent, TPA-56388, identity id MBR-006817, confidence 1, method probabilistic, matched record ENR-119064, policy version 1
2026-10-19 19:32:31Record linked automatically90ec83db20
scoring_agent, ENR-119064, identity id MBR-006817, confidence 1, method probabilistic, matched record TPA-56388, policy version 1
2026-10-19 19:31:28Record linked automatically1d659a1a9a
matching_agent, CLM-414482, identity id MBR-039078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118989
2026-10-19 19:31:28Record linked automatically51137f26e3
matching_agent, TPA-56388, identity id MBR-036145, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56387
2026-10-19 19:31:28Record linked automaticallyea139d6fb1
matching_agent, CLM-414483, identity id MBR-020720, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118990
2026-10-19 19:31:28Record linked automatically677c49cf1f
scoring_agent, ENR-119065, identity id MBR-019178, confidence 1, method probabilistic, matched record CLM-414539, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-014376	2026-09-18	Evergreen Primary Care Associates in network	99213	$196.00	$96.52	Approved	Approved
CLM-2026-008713	2026-05-16	Pinecrest Cardiovascular Associates in network	99214, 93224	$663.00	$361.06	Approved	Approved