Identities/MBR-010141

Gold, golden identity

Melissa B Maldonado

6 source records from 3 feeds.

MBR-010141Verified6 records

Golden record

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

First nameENR: Melissa
Middle nameENR: B
Last nameENR: Maldonado
Date of birthENR: 1971-06-16
GenderENR: F
Member IDENR: UHC-80701-58
SSNENR: •••-••-8572
PhoneENR: 6604987788
EmailENR: melissa.maldonado45@gmail.com
AddressENR: 7835 Church St
CityENR: San Antonio
StateENR: TX
ZIPENR: 78272
GroupENR: GRP-5911
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4PRV ×1ENR ×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-430128	CLM	2026-02-03	Melissa Maldonadoflagged	1971-06-16	—	—	—	Scored	1.00	—
CLM-430129	CLM	2026-03-07	Melissa Maldonadoflagged	1971-06-16	UHC-80701-58	—	7835 Church St, San Antonio, TX	Scored	1.00	—
CLM-430126	CLM	2026-04-27	Melissa Maldonadoflagged	1971-06-16	—	6604987788	7835 Church St, San Antonio, TX	Scored	1.00	—
PRV-28822	PRV	2026-06-10	Melissa Maldonadoflagged	1971-06-16	UHC-80701-58	6604987788	7835 Church St, San Antonio, TX	Scored	1.00	—
ENR-139522	ENR	2026-07-22	Melissa Maldonadoflagged	1971-06-16	UHC-80701-58	6604987788	7835 Church St, San Antonio, TX	Scored	1.00	—
CLM-430127	CLM	2026-08-10	Melissa Maldonadoflagged	1971-06-16	UHC-80701-58	6604987788	7835 Church St, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-430129CLMCLM-430126CLM1.00Scoredweighted 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-430126CLMCLM-430127CLM1.00Scoredweighted 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-430128CLMENR-139522ENR 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-430126CLMENR-139522ENR 1.00Scoredweighted 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-430128CLMPRV-28822PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-430126CLMPRV-28822PRV1.00Scoredweighted 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-430129CLMCLM-430127CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28822PRVCLM-430127CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-139522ENR CLM-430127CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-430129CLMENR-139522ENR 0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-28822PRVENR-139522ENR 0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-430129CLMPRV-28822PRV0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430128CLMCLM-430126CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-430128CLMCLM-430127CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-430128CLMCLM-430129CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430126 → UHC-80701-58 (Melissa Maldonado)
ACT-004301, Claims processor
Orphan claim re-pointedExecuted
CLM-430128 → UHC-80701-58 (Melissa Maldonado)
ACT-008065, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically43c69e7355
scoring_agent, CLM-430127, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:54:38Record linked automatically66ff8708d3
scoring_agent, ENR-139522, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:54:38Record linked automatically963d639505
scoring_agent, PRV-28822, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:54:38Record linked automatically6ee50b322c
scoring_agent, CLM-430126, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430129, policy version 1
2026-10-19 19:54:38Record linked automatically38575a8510
scoring_agent, CLM-430129, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:54:38Record linked automatically592282da12
scoring_agent, CLM-430128, identity id MBR-010141, confidence 1, method probabilistic, matched record PRV-28822, policy version 1
2026-10-19 19:52:09Record linked automaticallyd474ffd25c
scoring_agent, CLM-430127, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:52:09Record linked automaticallyde967716fa
scoring_agent, ENR-139522, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:52:09Record linked automaticallyae44f3e9f9
scoring_agent, PRV-28822, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:52:09Record linked automatically83cbeb8cd1
scoring_agent, CLM-430126, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430129, policy version 1
2026-10-19 19:52:09Record linked automatically7714cca276
scoring_agent, CLM-430129, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:52:09Record linked automatically29dbe657e4
scoring_agent, CLM-430128, identity id MBR-010141, confidence 1, method probabilistic, matched record PRV-28822, policy version 1
2026-10-19 19:45:42Record linked automatically27b15402a2
scoring_agent, CLM-430127, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:45:42Record linked automatically3ad320fc03
scoring_agent, ENR-139522, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:45:42Record linked automaticallyeeb2707612
scoring_agent, PRV-28822, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:45:42Record linked automatically578ad66fee
scoring_agent, CLM-430126, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430129, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2bddafb5f
scoring_agent, CLM-430129, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:45:42Record linked automatically46d47a543b
scoring_agent, CLM-430128, identity id MBR-010141, confidence 1, method probabilistic, matched record PRV-28822, policy version 1
2026-10-19 19:32:31Record linked automatically74ab517434
scoring_agent, CLM-430127, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:32:31Record linked automatically628a5f8fe2
scoring_agent, ENR-139522, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:32:31Record linked automatically349d8d0c60
scoring_agent, PRV-28822, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430128, policy version 1
2026-10-19 19:32:31Record linked automatically5b0d7550c6
scoring_agent, CLM-430126, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430129, policy version 1
2026-10-19 19:32:31Record linked automaticallyc47f777266
scoring_agent, CLM-430129, identity id MBR-010141, confidence 1, method probabilistic, matched record CLM-430126, policy version 1
2026-10-19 19:32:31Record linked automatically3ce33d0986
scoring_agent, CLM-430128, identity id MBR-010141, confidence 1, method probabilistic, matched record PRV-28822, policy version 1
2026-10-19 19:31:28Record linked automatically68dae5c43d
matching_agent, PRV-28822, identity id MBR-044617, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139718
2026-10-19 19:31:28Record linked automatically58e07a76d9
matching_agent, ENR-139522, identity id MBR-033718, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429951
2026-10-19 19:31:28Record linked automatically29bdc8db38
matching_agent, CLM-430128, identity id MBR-033163, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139726
2026-10-19 19:31:28Record linked automaticallyc198b96388
scoring_agent, CLM-430129, identity id MBR-018999, confidence 1, method probabilistic, matched record CLM-430130, policy version 1
2026-10-19 19:31:28Record linked automatically2b3df55dcf
scoring_agent, CLM-430126, identity id MBR-018968, confidence 1, method probabilistic, matched record PRV-28825, 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-2026-011463	2026-07-20	Pinecrest Bone and Joint Center in network	29881, 73721	$9,982.00	—	Denied	Denied
CLM-2026-011346	2026-03-16	Canyon Reference Lab in network	80053	$49.00	$0.00	Approved	Approved
CLM-2026-005108	2026-02-12	Meadow Heart Institute in network	93015	$580.00	$154.70	Approved	Approved
CLM-2026-025462	2025-12-26	Sunrise Cardiovascular Associates out of network	93306, 93015	$1,909.00	—	Denied	Denied