Identities/MBR-006921

Gold, golden identity

Julia D Luna

5 source records from 3 feeds.

MBR-006921Verified5 records

Golden record

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

First nameENR: Julia
Middle nameENR: D
Last nameENR: Luna
Date of birthENR: 1971-02-15
GenderENR: F
Member IDENR: UHC-80595-34
SSNENR: •••-••-0988
PhoneENR: 4034715948
EmailENR: julia.luna@icloud.com
AddressENR: 8584 Main St
CityENR: Tampa
StateENR: FL
ZIPPRV: 33678
GroupENR: GRP-9371
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

CLM ×3ENR ×1PRV ×1

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
CLM-429517	CLM	2026-01-23	Julia Lunaflagged	1971-02-15	—	—	8584 Main St # 607, Tampa, FL	Scored	1.00	—
ENR-138734	ENR	2026-02-05	Julia Lunaflagged	1971-02-15	UHC-80595-34	4034715948	8584 Main St, Tampa, FL	Rule	0.97	D2 ssn4 + dob + last name
PRV-28655	PRV	2026-02-28	Julia Lunaflagged	1971-02-15	—	4034715948	8584 Main St, Tampa, FL	Scored	1.00	—
CLM-429518	CLM	2026-03-06	Julia Lunaflagged	1971-02-15	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-429519	CLM	2026-08-09	Julia Lunaflagged	1971-02-15	—	—	8584 Main St, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-28655PRVCLM-429519CLM1.00Scoredweighted 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

▶CLM-429517CLMPRV-28655PRV1.00Scoredweighted 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

▶CLM-429517CLMCLM-429518CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-138734ENRCLM-429518CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429517CLMCLM-429519CLM0.97RuleD2 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-138734ENRCLM-429519CLM0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429518CLMCLM-429519CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429517CLMENR-138734ENR0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138734ENRPRV-28655PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28655PRVCLM-429518CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429518 → UHC-80595-34 (Julia Luna)
ACT-002661, Claims processor
Orphan claim re-pointedExecuted
CLM-429519 → UHC-80595-34 (Julia Luna)
ACT-003949, Claims processor
Orphan claim re-pointedExecuted
CLM-429517 → UHC-80595-34 (Julia Luna)
ACT-004108, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2569e38a6c
scoring_agent, CLM-429519, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:54:38Record linked automatically7c3f55da1f
matching_agent, CLM-429518, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:54:38Record linked automatically1768d7566f
scoring_agent, PRV-28655, identity id MBR-006921, confidence 1, method probabilistic, matched record CLM-429517, policy version 1
2026-10-19 19:54:38Record linked automaticallyd5375e6fbd
matching_agent, ENR-138734, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:54:38Record linked automatically8f60b0be4d
scoring_agent, CLM-429517, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:52:09Record linked automatically27c5acd213
scoring_agent, CLM-429519, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:52:09Record linked automaticallyf5008e29dc
matching_agent, CLM-429518, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:52:09Record linked automatically06f24a78b3
scoring_agent, PRV-28655, identity id MBR-006921, confidence 1, method probabilistic, matched record CLM-429517, policy version 1
2026-10-19 19:52:09Record linked automatically78451c840d
matching_agent, ENR-138734, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:52:09Record linked automaticallydb2af711be
scoring_agent, CLM-429517, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:45:42Record linked automatically5a6f00acf7
scoring_agent, CLM-429519, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:45:42Record linked automatically89bc4822ea
matching_agent, CLM-429518, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:45:42Record linked automaticallyd64e7afe78
scoring_agent, PRV-28655, identity id MBR-006921, confidence 1, method probabilistic, matched record CLM-429517, policy version 1
2026-10-19 19:45:42Record linked automatically70061623b7
matching_agent, ENR-138734, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:45:42Record linked automatically21da99c95d
scoring_agent, CLM-429517, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:32:31Record linked automatically0748a6b92d
scoring_agent, CLM-429519, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:32:31Record linked automaticallye58e7bfbef
matching_agent, CLM-429518, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:32:31Record linked automatically290896130f
scoring_agent, PRV-28655, identity id MBR-006921, confidence 1, method probabilistic, matched record CLM-429517, policy version 1
2026-10-19 19:32:31Record linked automaticallyb35d5b2e92
matching_agent, ENR-138734, identity id MBR-006921, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429517
2026-10-19 19:32:31Record linked automaticallyc3198f0364
scoring_agent, CLM-429517, identity id MBR-006921, confidence 1, method probabilistic, matched record PRV-28655, policy version 1
2026-10-19 19:31:28Record linked automatically327cdb2859
scoring_agent, CLM-429517, identity id MBR-037625, confidence 1, method probabilistic, matched record TPA-62949, policy version 1
2026-10-19 19:31:28Record linked automatically306d07bf96
matching_agent, CLM-429519, identity id MBR-030808, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138986
2026-10-19 19:31:28Record linked automaticallycc9e2d35b2
matching_agent, ENR-138734, identity id MBR-025526, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429327
2026-10-19 19:31:28Record linked automaticallyf53f3a1873
matching_agent, PRV-28655, identity id MBR-015180, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138892

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-2026-010014	2026-07-16	Meadow Reference Lab out of network	80053	$69.00	—	Denied	Denied
CLM-2026-004997	2026-02-14	Sunrise Dermatology Clinic out of network	99213, 17110	$424.00	—	Denied	Denied
CLM-2026-010585	2026-01-05	Lakeside Reference Lab in network	87086	$53.00	$0.00	Approved	Approved