Identities/MBR-009951

Gold, golden identity

Mariana R Valdez

6 source records from 4 feeds.

MBR-009951Verified6 records

Golden record

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

First nameENR: Mariana
Middle namePRV: R
Last nameENR: Valdez
Date of birthENR: 1982-11-22
GenderENR: M
Member IDENR: UHC-75813-69
SSNENR: •••-••-6987
PhonePRV: 9142666728
EmailENR: mariana.valdez31@hotmail.com
AddressENR: 1961 Apache Blvd
CityENR: Dallas
StateENR: TX
ZIP—: —
GroupENR: GRP-8742
PlanENR: MEDICARE-ADV-A

Min confidence

0.86

Sources

PRV ×2TPA ×1CLM ×2ENR ×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
PRV-24539	PRV	2026-02-03	Mariana Valdezflagged	1982-11-22	—	9142666728	1961 Apache Blvd, Dallas, TX	Scored	1.00	—
TPA-56759	TPA	2026-05-15	Valdez Marianaflagged	1983-11-22	—	9142666728	1961 Apache Blvd, Dallas, TX	Scored	0.86	—
CLM-415391	CLM	2026-05-23	Mariaan Valezflagged	1982-11-22	UHC-75813-69	—	1961 Apache Blvd, Dallas, TX	Rule	0.99	D1 member id + dob exact
ENR-120270	ENR	2026-06-16	Mariana Valdezflagged	1982-11-22	UHC-75813-69	—	1961 Apache Blvd, Dallas, TX	Scored	1.00	—
CLM-415392	CLM	2026-07-09	Mariana Valdeezflagged	1982-11-22	—	9142666728	1961 Apache Blvd, Dallas, TX	Scored	0.99	—
PRV-24538	PRV	2026-08-20	Mariana Valdezflagged	1982-11-22	UHC-75813-69	—	1961 Apache Blvd, Dallas, TX	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-24539PRVENR-120270ENR1.00Scoredweighted 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-24539PRVCLM-415392CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-120270ENRCLM-415392CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415391CLMENR-120270ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-120270ENRPRV-24538PRV0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-415391CLMPRV-24538PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-24539PRVPRV-24538PRV0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415392CLMPRV-24538PRV0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56759TPAENR-120270ENR0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-24539PRVTPA-56759TPA0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-56759TPACLM-415392CLM0.82Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.94	3	swapped
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415392 → UHC-75813-69 (Mariana Valdez)
ACT-001748, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically1593a3eea7
matching_agent, PRV-24538, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:54:38Record linked automatically49fd0ccddb
scoring_agent, CLM-415392, identity id MBR-009951, confidence 0.99, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:54:38Record linked automatically79d974adf4
scoring_agent, ENR-120270, identity id MBR-009951, confidence 1, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:54:38Record linked automatically1a2101451e
matching_agent, CLM-415391, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:54:38Record linked automaticallyd85c90eb0b
scoring_agent, TPA-56759, identity id MBR-009951, confidence 0.86, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:54:38Record linked automaticallybb10e25d01
scoring_agent, PRV-24539, identity id MBR-009951, confidence 1, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:52:09Record linked automatically5bb22b4aff
matching_agent, PRV-24538, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:52:09Record linked automatically128cb45d14
scoring_agent, CLM-415392, identity id MBR-009951, confidence 0.99, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:52:09Record linked automaticallyc4b5c90894
scoring_agent, ENR-120270, identity id MBR-009951, confidence 1, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:52:09Record linked automatically97aa3c3202
matching_agent, CLM-415391, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:52:09Record linked automatically57d25903ab
scoring_agent, TPA-56759, identity id MBR-009951, confidence 0.86, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:52:09Record linked automatically8702558e85
scoring_agent, PRV-24539, identity id MBR-009951, confidence 1, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:45:42Record linked automatically4254a5cdc5
matching_agent, PRV-24538, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:45:42Record linked automatically7a81525e2f
scoring_agent, CLM-415392, identity id MBR-009951, confidence 0.99, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5c709f4b1
scoring_agent, ENR-120270, identity id MBR-009951, confidence 1, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:45:42Record linked automatically2429dd7a39
matching_agent, CLM-415391, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:45:42Record linked automatically0aedae37f1
scoring_agent, TPA-56759, identity id MBR-009951, confidence 0.86, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:45:42Record linked automatically48f4a40777
scoring_agent, PRV-24539, identity id MBR-009951, confidence 1, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:32:31Record linked automatically0c9d86a712
matching_agent, PRV-24538, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:32:31Record linked automatically3ccca70bf2
scoring_agent, CLM-415392, identity id MBR-009951, confidence 0.99, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:32:31Record linked automatically19868e4f72
scoring_agent, ENR-120270, identity id MBR-009951, confidence 1, method probabilistic, matched record PRV-24539, policy version 1
2026-10-19 19:32:31Record linked automatically9cac3c9339
matching_agent, CLM-415391, identity id MBR-009951, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120270
2026-10-19 19:32:31Record linked automaticallyf562e25ba4
scoring_agent, TPA-56759, identity id MBR-009951, confidence 0.86, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:32:31Record linked automaticallydbc059b70e
scoring_agent, PRV-24539, identity id MBR-009951, confidence 1, method probabilistic, matched record ENR-120270, policy version 1
2026-10-19 19:31:28Record linked automatically5e4b93cbc4
scoring_agent, PRV-24539, identity id MBR-027533, confidence 1, method probabilistic, matched record CLM-415471, policy version 1
2026-10-19 19:31:28Record linked automaticallyd709dc4a54
scoring_agent, PRV-24538, identity id MBR-027533, confidence 1, method probabilistic, matched record CLM-415471, policy version 1
2026-10-19 19:31:28Record linked automaticallyd95072e8de
scoring_agent, CLM-415391, identity id MBR-013409, confidence 1, method probabilistic, matched record CLM-415390, policy version 1
2026-10-19 19:31:28Record linked automatically0ebf4e453a
scoring_agent, CLM-415392, identity id MBR-013409, confidence 1, method probabilistic, matched record ENR-120164, policy version 1
2026-10-19 19:31:28Record linked automaticallye1e197285e
scoring_agent, TPA-56759, identity id MBR-002692, confidence 1, method probabilistic, matched record ENR-120381, policy version 1

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-2026-001649	2026-07-01	Lakeside Imaging Center in network	77067, 71046	$385.00	$2.93	Approved	Approved
CLM-2026-003792	2026-05-19	Desert Reference Lab in network	83036, 80061	$138.00	—	Denied	Denied
CLM-2026-003791	2026-05-19	Desert Reference Lab in network	83036, 80061	$138.00	$0.00	Approved	Approved