Identities/MBR-007320
Gold, golden identity

Dorothy Padilla

4 source records from 2 feeds.

MBR-007320Verified4 records

Golden record

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

First nameENR
Dorothy
Middle name—
—
Last nameENR
Padilla
Date of birthENR
1976-02-07
GenderENR
M
Member IDENR
UHC-53088-33
SSNENR
•••-••-5050
PhoneENR
5533887437
EmailENR
dorothy.padilla@icloud.com
AddressENR
3193 Lake View Rd
CityENR
Chandler
StateENR
AZ
ZIPENR
85297
GroupENR
GRP-5463
PlanENR
SELECT-EPO
Min confidence
0.98
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

1.000.991.000.98CLMCLM-416943CLMCLM-416942ENRENR-122271CLMCLM-416944IDMBR-007320
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-416943CLM2026-01-24Dorothy Padillaflagged1976-02-07——3193 Lake View Rd, Chandler, AZScored1.00—
CLM-416942CLM2026-06-20Padilla Dorothyflagged1976-02-07——3193 Lake View Rd, Chandler, AZScored0.99—
ENR-122271ENR2026-06-27Dorothy Padillaflagged1976-02-07UHC-53088-3355338874373193 Lake View Rd, Chandler, AZScored1.00—
CLM-416944CLM2026-09-16Dorothy Padillaflagged1976-02-07—5533887437—Scored0.98—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416943CLMENR-122271ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416942CLMENR-122271ENR 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416942CLMCLM-416944CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-122271ENR CLM-416944CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416943CLMCLM-416944CLM0.83Scoredweighted 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-416943 → UHC-53088-33 (Dorothy Padilla)
    ACT-002572, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416944 → UHC-53088-33 (Dorothy Padilla)
    ACT-004904, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416942 → UHC-53088-33 (Dorothy Padilla)
    ACT-006588, Claims processor
  • Care coordination outreachProposed
    Dorothy Padilla: 3 claims, no attributed provider
    ACT-018355, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically18225b2763
    scoring_agent, CLM-416944, identity id MBR-007320, confidence 0.98, method probabilistic, matched record CLM-416942, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9314cb65c8
    scoring_agent, ENR-122271, identity id MBR-007320, confidence 1, method probabilistic, matched record CLM-416943, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyaf833333d7
    scoring_agent, CLM-416942, identity id MBR-007320, confidence 0.99, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc69e85e61a
    scoring_agent, CLM-416943, identity id MBR-007320, confidence 1, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4c374a4476
    scoring_agent, CLM-416944, identity id MBR-007320, confidence 0.98, method probabilistic, matched record CLM-416942, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0fee52b2fc
    scoring_agent, ENR-122271, identity id MBR-007320, confidence 1, method probabilistic, matched record CLM-416943, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0e85342995
    scoring_agent, CLM-416942, identity id MBR-007320, confidence 0.99, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyca0991625f
    scoring_agent, CLM-416943, identity id MBR-007320, confidence 1, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0899b16360
    scoring_agent, CLM-416944, identity id MBR-007320, confidence 0.98, method probabilistic, matched record CLM-416942, policy version 1
  • 2026-10-19 19:45:42Record linked automatically781ddf966f
    scoring_agent, ENR-122271, identity id MBR-007320, confidence 1, method probabilistic, matched record CLM-416943, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye3ac60ba08
    scoring_agent, CLM-416942, identity id MBR-007320, confidence 0.99, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6869042158
    scoring_agent, CLM-416943, identity id MBR-007320, confidence 1, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46b2a3e4e7
    scoring_agent, CLM-416944, identity id MBR-007320, confidence 0.98, method probabilistic, matched record CLM-416942, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5b155539d3
    scoring_agent, ENR-122271, identity id MBR-007320, confidence 1, method probabilistic, matched record CLM-416943, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya4acbceb9f
    scoring_agent, CLM-416942, identity id MBR-007320, confidence 0.99, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:32:31Record linked automatically48fabac033
    scoring_agent, CLM-416943, identity id MBR-007320, confidence 1, method probabilistic, matched record ENR-122271, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8a3527206d
    scoring_agent, CLM-416944, identity id MBR-024879, confidence 0.99, method probabilistic, matched record TPA-57400, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4f716db35d
    matching_agent, CLM-416943, identity id MBR-010082, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122163

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0135052026-08-04Harbor Clinical Laboratories
out of network
87086$57.00—DeniedDenied
CLM-2026-0197742026-05-20Lakeside Internal Medicine Associates
in network
93000, 80053$169.00$64.78ApprovedApproved
CLM-2026-0046802025-12-25Desert Imaging Center
in network
77067, 71046, 76700$892.00$0.00ApprovedApproved