Identities/MBR-009806

Gold, golden identity

Carlos Estrada

5 source records from 3 feeds.

MBR-009806Verified5 records

Golden record

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

First namePRV: Carlos
Middle name—: —
Last namePRV: Estrada
Date of birthPRV: 1968-05-07
GenderPRV: M
Member IDCLM: UHC-54030-96
SSNCLM: •••-••-4780
PhonePRV: 9023242819
EmailTPA: carlos.estrada@hotmail.com
AddressPRV: 2063 Hillcrest Rd
CityPRV: San Diego
StatePRV: CA
ZIPPRV: 92165
Group—: —
PlanTPA: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×2TPA ×2PRV ×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-415038	CLM	2026-02-02	Carlos Estradaflagged	1968-05-07	—	—	2063 Hillcrest Rd, San Diego, CA	Scored	1.00	—
TPA-56623	TPA	2026-04-12	Carlos Estradaflagged	1968-05-07	—	—	2063 Hillcrest Rd, San Diego, CA	Scored	1.00	—
PRV-24412	PRV	2026-06-19	Carlos Estradaflagged	1968-05-07	—	9023242819	2063 Hillcrest Rd, San Diego, CA	Scored	1.00	—
CLM-415037	CLM	2026-09-16	Carlos Estradaflagged	1968-05-07	UHC-54030-96	—	2714 Union St, Columbus, OH	Rule	0.99	D1 member id + dob exact
TPA-56624	TPA	2026-10-04	Carlos Estradaflagged	1968-05-07	UHC-54030-96	9023242819	2063 Hillcrest Rd, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-415038CLM PRV-24412PRV1.00Scoredweighted 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

▶TPA-56623TPAPRV-24412PRV1.00Scoredweighted 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-415038CLM TPA-56623TPA1.00Scoredweighted 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-415038CLM TPA-56624TPA1.00Scoredweighted 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

▶TPA-56623TPATPA-56624TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24412PRVTPA-56624TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415037CLMTPA-56624TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56623TPACLM-415037CLM0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415038CLM CLM-415037CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶PRV-24412PRVCLM-415037CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415038 → UHC-54030-96 (Carlos Estrada)
ACT-006680, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya1186e4e09
scoring_agent, TPA-56624, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:54:38Record linked automatically3029aa1c96
matching_agent, CLM-415037, identity id MBR-009806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56624
2026-10-19 19:54:38Record linked automatically755a247308
scoring_agent, PRV-24412, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:54:38Record linked automatically35033bcdf9
scoring_agent, TPA-56623, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:54:38Record linked automatically6699c63f07
scoring_agent, CLM-415038, identity id MBR-009806, confidence 1, method probabilistic, matched record TPA-56623, policy version 1
2026-10-19 19:52:09Record linked automaticallyd26b02c6ba
scoring_agent, TPA-56624, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:52:09Record linked automaticallyd3923e3d4f
matching_agent, CLM-415037, identity id MBR-009806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56624
2026-10-19 19:52:09Record linked automatically271f0317d7
scoring_agent, PRV-24412, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:52:09Record linked automatically55d420f28c
scoring_agent, TPA-56623, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:52:09Record linked automatically4715239080
scoring_agent, CLM-415038, identity id MBR-009806, confidence 1, method probabilistic, matched record TPA-56623, policy version 1
2026-10-19 19:45:42Record linked automatically807d4cd574
scoring_agent, TPA-56624, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:45:42Record linked automaticallyd4caefe75c
matching_agent, CLM-415037, identity id MBR-009806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56624
2026-10-19 19:45:42Record linked automatically4756f1903a
scoring_agent, PRV-24412, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:45:42Record linked automaticallydcf170a930
scoring_agent, TPA-56623, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:45:42Record linked automaticallyfcd9c49b76
scoring_agent, CLM-415038, identity id MBR-009806, confidence 1, method probabilistic, matched record TPA-56623, policy version 1
2026-10-19 19:32:31Record linked automatically2795c41cc0
scoring_agent, TPA-56624, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:32:31Record linked automatically9c8fc8f908
matching_agent, CLM-415037, identity id MBR-009806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56624
2026-10-19 19:32:31Record linked automatically3f22fb1f8f
scoring_agent, PRV-24412, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:32:31Record linked automatically824d6bdabc
scoring_agent, TPA-56623, identity id MBR-009806, confidence 1, method probabilistic, matched record CLM-415038, policy version 1
2026-10-19 19:32:31Record linked automatically68521c7296
scoring_agent, CLM-415038, identity id MBR-009806, confidence 1, method probabilistic, matched record TPA-56623, policy version 1
2026-10-19 19:31:28Record linked automatically8be27ed9cf
scoring_agent, TPA-56623, identity id MBR-027589, confidence 1, method probabilistic, matched record CLM-415217, policy version 1
2026-10-19 19:31:28Record linked automaticallyc69641cdfe
scoring_agent, CLM-415037, identity id MBR-004238, confidence 1, method probabilistic, matched record TPA-56537, policy version 1
2026-10-19 19:31:28Record linked automatically4ef774e367
matching_agent, CLM-415038, identity id MBR-001243, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119694
2026-10-19 19:31:28Record linked automatically163f37bbb3
matching_agent, PRV-24412, identity id MBR-001217, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119690

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-2026-001325	2026-09-04	Canyon Clinical Laboratories in network	87086, 80053	$133.00	$0.00	Approved	Approved
CLM-2026-020107	2026-01-20	Valley Rehabilitation Center in network	97110, 97161	$399.00	$227.38	Approved	Approved