Identities/MBR-009130
Gold, golden identity

Harold K Mejia

6 source records from 4 feeds.

MBR-009130Verified6 records

Golden record

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

First nameENR
Harold
Middle namePRV
K
Last nameENR
Mejia
Date of birthENR
1969-10-17
GenderPRV
M
Member IDENR
UHC-63645-91
SSNENR
•••-••-5394
PhoneENR
5163320294
EmailENR
harold.mejia25@hotmail.com
AddressPRV
1262 Willow Ct
CityPRV
Nashville
StatePRV
TN
ZIPPRV
37270
GroupENR
GRP-9554
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
ENR ×1CLM ×3TPA ×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

0.991.000.970.990.991.00ENRENR-123862CLMCLM-418154TPATPA-58019CLMCLM-418152CLMCLM-418153PRVPRV-25381IDMBR-009130
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-123862ENR2026-01-31Harold Mejiaflagged1969-10-17UHC-63645-9151633202942037 Desert Sky Blvd, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-418154CLM2026-03-01Harold Mejiaflagged1969-10-17—51633202941262 Willow Ct, Nashville, TNScored1.00—
TPA-58019TPA2026-04-09Harold Mejiaflagged1969-10-17—51633202942037 Desert Sky Blvd, Las Vegas, NVRule0.97D2 ssn4 + dob + last name
CLM-418152CLM2026-06-16Harrold Mejiaflagged1969-10-17UHC-63645-9151633202942037 Desert Sky Blvd, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-418153CLM2026-08-04Hrold Mejiaflagged1969-10-17——1262 Willow Ct, Nashville, TNScored0.99—
PRV-25381PRV2026-10-12Harold Mejiaflagged1969-10-17UHC-63645-9151633202941262 Willow Ct, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-418154CLMPRV-25381PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-418154CLMCLM-418153 CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418153 CLMPRV-25381PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123862ENRCLM-418152CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-123862ENRPRV-25381PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-418152CLMPRV-25381PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58019TPACLM-418152CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-123862ENRTPA-58019TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-123862ENRCLM-418154CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-58019TPAPRV-25381PRV0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418154CLMTPA-58019TPA0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418154CLMCLM-418152CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123862ENRCLM-418153 CLM0.78Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Email1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-58019TPACLM-418153 CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-418152CLMCLM-418153 CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Harold Mejia: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000418, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-418154 → UHC-63645-91 (Harold Mejia)
    ACT-007065, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-418153 → UHC-63645-91 (Harold Mejia)
    ACT-009795, Claims processor
  • Outreach address correctedProposed
    Harold Mejia: 2037 Desert Sky Blvd, Las Vegas → 1262 Willow Ct, Nashville
    ACT-011317, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1acfc50503
    scoring_agent, PRV-25381, identity id MBR-009130, confidence 1, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:54:38Record linked automatically51b39f3d28
    scoring_agent, CLM-418153, identity id MBR-009130, confidence 0.99, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb2852ecf9d
    matching_agent, CLM-418152, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123862
  • 2026-10-19 19:54:38Record linked automaticallyb678edd2d8
    matching_agent, TPA-58019, identity id MBR-009130, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123862
  • 2026-10-19 19:54:38Record linked automatically4fe8b38410
    scoring_agent, CLM-418154, identity id MBR-009130, confidence 1, method probabilistic, matched record PRV-25381, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya561e67efe
    matching_agent, ENR-123862, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418152
  • 2026-10-19 19:52:09Record linked automatically790e874b2b
    scoring_agent, PRV-25381, identity id MBR-009130, confidence 1, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7bb6e154ba
    scoring_agent, CLM-418153, identity id MBR-009130, confidence 0.99, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0ab40d2c1e
    matching_agent, CLM-418152, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123862
  • 2026-10-19 19:52:09Record linked automatically8281b20ecd
    matching_agent, TPA-58019, identity id MBR-009130, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123862
  • 2026-10-19 19:52:09Record linked automatically01a5464f9b
    scoring_agent, CLM-418154, identity id MBR-009130, confidence 1, method probabilistic, matched record PRV-25381, policy version 1
  • 2026-10-19 19:52:09Record linked automatically184d9de201
    matching_agent, ENR-123862, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418152
  • 2026-10-19 19:45:42Record linked automatically624e1d9be8
    scoring_agent, PRV-25381, identity id MBR-009130, confidence 1, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:45:42Record linked automatically134305a7eb
    scoring_agent, CLM-418153, identity id MBR-009130, confidence 0.99, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya0fd5e4138
    matching_agent, CLM-418152, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123862
  • 2026-10-19 19:45:42Record linked automaticallybcf50a490c
    matching_agent, TPA-58019, identity id MBR-009130, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123862
  • 2026-10-19 19:45:42Record linked automatically244fa46d64
    scoring_agent, CLM-418154, identity id MBR-009130, confidence 1, method probabilistic, matched record PRV-25381, policy version 1
  • 2026-10-19 19:45:42Record linked automatically49cd38204a
    matching_agent, ENR-123862, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418152
  • 2026-10-19 19:32:31Record linked automatically7abed75241
    scoring_agent, PRV-25381, identity id MBR-009130, confidence 1, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:32:31Record linked automatically83b49ab73b
    scoring_agent, CLM-418153, identity id MBR-009130, confidence 0.99, method probabilistic, matched record CLM-418154, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb21558011f
    matching_agent, CLM-418152, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123862
  • 2026-10-19 19:32:31Record linked automaticallyadfa085076
    matching_agent, TPA-58019, identity id MBR-009130, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123862
  • 2026-10-19 19:32:31Record linked automatically2330a44ccc
    scoring_agent, CLM-418154, identity id MBR-009130, confidence 1, method probabilistic, matched record PRV-25381, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7f0b17c80c
    matching_agent, ENR-123862, identity id MBR-009130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418152
  • 2026-10-19 19:31:28Record linked automatically781a3837cd
    scoring_agent, ENR-123862, identity id MBR-039120, confidence 1, method probabilistic, matched record TPA-57957, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyab9a909a13
    scoring_agent, CLM-418152, identity id MBR-016384, confidence 1, method probabilistic, matched record CLM-418150, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc4e72a7474
    matching_agent, CLM-418154, identity id MBR-011799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123754
  • 2026-10-19 19:31:28Record linked automatically7b2dd8dd5a
    scoring_agent, PRV-25381, identity id MBR-011139, confidence 1, method probabilistic, matched record ENR-124131, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya80fb452de
    scoring_agent, TPA-58019, identity id MBR-009512, confidence 1, method probabilistic, matched record ENR-124018, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyccc01158f5
    matching_agent, CLM-418153, identity id MBR-003590, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123753

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0321742026-07-19Northgate Medical Group
in network
90471$39.00—Needs reviewNeeds review
CLM-2026-0163012026-06-13Desert Family Practice
in network
99213$191.00$78.42ApprovedApproved
CLM-2026-0215472026-02-08Lakeside Imaging Center
in network
70553, 74177$5,136.00—Needs reviewNeeds review