Identities/MBR-009939
Gold, golden identity

Rachel O Munoz

6 source records from 2 feeds.

MBR-009939Verified6 records

Golden record

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

First nameENR
Rachel
Middle nameENR
O
Last nameENR
Munoz
Date of birthENR
2004-03-17
GenderCLM
M
Member IDENR
UHC-15937-04
SSNENR
•••-••-3375
PhoneENR
8985084666
EmailENR
rachel.munoz60@aol.com
AddressENR
7646 Bayshore Dr
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55307
GroupENR
GRP-5816
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×4ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.991.001.00CLMCLM-407420CLMCLM-407418CLMCLM-407417CLMCLM-407419ENRENR-109726ENRENR-109725IDMBR-009939
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-407420CLM2026-02-03Rachel Munozflagged2004-03-17——7646 Bayshore Dr, Eden Prairie, MNScored1.00—
CLM-407418CLM2026-04-12Rachel Munozflagged2004-03-17—8985084666—Scored1.00—
CLM-407417CLM2026-06-07Rachel Munozflagged2004-03-17UHC-15937-0489850846667646 Bayshore Dr, Eden Prairie, MNScored1.00—
CLM-407419CLM2026-07-05Rachel Mnozflagged2004-03-17UHC-15937-0489850846667646 Bayshore Dr, Eden Prairie, MNRule0.99D1 member id + dob exact
ENR-109726ENR2026-07-31Rachel Munozflagged2004-03-17UHC-15937-0489850846667646 Bayshore Dr, Eden Prairie, MNScored1.00—
ENR-109725ENR2026-09-27Rachel Munozflagged2004-03-17UHC-15937-0489850846667646 Bayshore Dr, Eden Prairie, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407420CLMCLM-407417CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407418CLMCLM-407417CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407420CLMCLM-407418CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407418CLMENR-109725ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407418CLMENR-109726ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407417CLMCLM-407419CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-407417CLMENR-109725ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-109726ENRENR-109725ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-407419CLMENR-109725ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-407417CLMENR-109726ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-407419CLMENR-109726ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-407418CLMCLM-407419CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407420CLMCLM-407419CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407420CLMENR-109725ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407420CLMENR-109726ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407418 → UHC-15937-04 (Rachel Munoz)
    ACT-001474, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-407420 → UHC-15937-04 (Rachel Munoz)
    ACT-007066, Claims processor
  • Care coordination outreachProposed
    Rachel Munoz: 4 claims, no attributed provider
    ACT-018533, Next-best-action
  • Duplicate member record retiredExecuted
    Rachel Munoz: 2 enrollment records collapsed into UHC-15937-04
    ACT-023231, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybef4cc58b8
    scoring_agent, ENR-109725, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:54:38Record linked automatically85b3437540
    scoring_agent, ENR-109726, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfbe45663fd
    matching_agent, CLM-407419, identity id MBR-009939, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109726
  • 2026-10-19 19:54:38Record linked automaticallya16df043bd
    scoring_agent, CLM-407417, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:54:38Record linked automatically503d31f33f
    scoring_agent, CLM-407418, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:54:38Record linked automatically09b8629416
    scoring_agent, CLM-407420, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7194da08ac
    scoring_agent, ENR-109725, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9d297fa6d4
    scoring_agent, ENR-109726, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c2aa4072c
    matching_agent, CLM-407419, identity id MBR-009939, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109726
  • 2026-10-19 19:52:09Record linked automaticallybd7b8d2028
    scoring_agent, CLM-407417, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:52:09Record linked automatically734108945f
    scoring_agent, CLM-407418, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1d850f37d1
    scoring_agent, CLM-407420, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyae35c2dec7
    scoring_agent, ENR-109725, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2595c66324
    scoring_agent, ENR-109726, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6480cf42e0
    matching_agent, CLM-407419, identity id MBR-009939, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109726
  • 2026-10-19 19:45:42Record linked automatically5828a40601
    scoring_agent, CLM-407417, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:45:42Record linked automatically067b3eaca7
    scoring_agent, CLM-407418, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyac495c2b5a
    scoring_agent, CLM-407420, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:32:31Record linked automatically883a34142b
    scoring_agent, ENR-109725, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7144b09e5e
    scoring_agent, ENR-109726, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya94e6d9c76
    matching_agent, CLM-407419, identity id MBR-009939, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109726
  • 2026-10-19 19:32:31Record linked automatically52080e13e7
    scoring_agent, CLM-407417, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:32:31Record linked automatically169e6f2b16
    scoring_agent, CLM-407418, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407420, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyac3a4de70c
    scoring_agent, CLM-407420, identity id MBR-009939, confidence 1, method probabilistic, matched record CLM-407418, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd7df6d3f00
    matching_agent, ENR-109725, identity id MBR-032083, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407430
  • 2026-10-19 19:31:28Record linked automaticallyb1c175ed03
    matching_agent, CLM-407418, identity id MBR-028056, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109705
  • 2026-10-19 19:31:28Record linked automatically4ef1eccd4e
    matching_agent, CLM-407417, identity id MBR-023618, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22177
  • 2026-10-19 19:31:28Record linked automatically4d01fc75dd
    matching_agent, ENR-109726, identity id MBR-021316, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53269
  • 2026-10-19 19:31:28Record linked automatically0872be456d
    matching_agent, CLM-407419, identity id MBR-017034, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109711
  • 2026-10-19 19:31:28Record linked automatically2fbcda8e8c
    scoring_agent, CLM-407420, identity id MBR-002682, confidence 1, method probabilistic, matched record TPA-53267, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0321482026-05-22Meadow GI Associates
out of network
99214$302.00$60.90ApprovedApproved
CLM-2026-0035402026-04-28Sunrise Medical Group
in network
99215$352.00$188.24ApprovedApproved
CLM-2026-0006212026-03-13Canyon Primary Care Associates
in network
36415, 99213$224.00—DeniedDenied
CLM-2026-0006202026-03-13Canyon Primary Care Associates
in network
36415, 99213$224.00$126.48ApprovedApproved
CLM-2026-0215522025-12-30Canyon Medical Group
in network
99215$388.00$210.56ApprovedApproved