Identities/MBR-010579

Gold, golden identity

Susan Z Alvarez

6 source records from 3 feeds.

MBR-010579Verified6 records

Golden record

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

First nameENR: Susan
Middle nameENR: Z
Last nameENR: Alvarez
Date of birthENR: 1965-11-01
GenderCLM: F
Member IDENR: UHC-58484-22
SSNENR: •••-••-6821
PhoneENR: 8814367108
EmailENR: susan.alvarez@proton.me
AddressENR: 8399 River Rd
CityENR: San Diego
StateENR: CA
ZIPENR: 92108
GroupENR: GRP-1759
PlanENR: NAVIGATE-HMO

Min confidence

0.97

Sources

CLM ×3ENR ×2TPA ×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-418571	CLM	2026-02-05	Susan Alvarezflagged	1965-11-01	—	—	8399 River Rd, San Diego, CA	Scored	1.00	—
CLM-418569	CLM	2026-04-10	Sue Alvarezflagged	1965-11-01	UHC-58484-22	8814367108	8399 River Rd, San Diego, CA	Scored	1.00	—
CLM-418570	CLM	2026-08-21	Susan Alvarezflagged	1965-11-01	UHC-58484-22	—	8399 River Rd, San Diego, CA	Scored	1.00	—
ENR-124443	ENR	2026-09-02	Susan Alvarezflagged	1965-11-01	UHC-58484-22	8814367108	8399 River Rd, San Diego, CA	Scored	1.00	—
ENR-124444	ENR	2026-09-02	Susan Alvarezflagged	1965-11-01	UHC-58484-22	8814367108	8399 River Rd, San Diego, CA	Scored	1.00	—
TPA-58196	TPA	2026-09-22	Susan Alvarezflagged	1965-11-01	—	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-418571CLMCLM-418569CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418571CLMCLM-418570CLM1.00Scoredweighted 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-418571CLMENR-124443ENR1.00Scoredweighted 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-418571CLMENR-124444ENR1.00Scoredweighted 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-418569CLMCLM-418570CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418569CLMENR-124443ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-418570CLMENR-124443ENR0.99RuleD1 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

▶CLM-418569CLMENR-124444ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-418570CLMENR-124444ENR0.99RuleD1 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

▶ENR-124443ENRENR-124444ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-418570CLMTPA-58196TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-124443ENRTPA-58196TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-124444ENRTPA-58196TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418571CLMTPA-58196TPA0.83Scoredweighted 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-418569CLMTPA-58196TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-418571 → UHC-58484-22 (Susan Alvarez)
ACT-006523, Claims processor
Care coordination outreachProposed
Susan Alvarez: 3 claims, no attributed provider
ACT-018570, Next-best-action
Duplicate member record retiredExecuted
Susan Alvarez: 2 enrollment records collapsed into UHC-58484-22
ACT-023322, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9e9a56adb9
matching_agent, TPA-58196, identity id MBR-010579, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418570
2026-10-19 19:54:38Record linked automatically7bd311c4bb
scoring_agent, ENR-124444, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:54:38Record linked automatically5502bfa061
scoring_agent, ENR-124443, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:54:38Record linked automatically4fd1ab0453
scoring_agent, CLM-418570, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:54:38Record linked automatically2a4eaba605
scoring_agent, CLM-418569, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:54:38Record linked automaticallyb45f419f8f
scoring_agent, CLM-418571, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418569, policy version 1
2026-10-19 19:52:09Record linked automaticallyb54ad82062
matching_agent, TPA-58196, identity id MBR-010579, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418570
2026-10-19 19:52:09Record linked automatically33b6782002
scoring_agent, ENR-124444, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:52:09Record linked automatically3339f38570
scoring_agent, ENR-124443, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:52:09Record linked automatically872aa7d9cb
scoring_agent, CLM-418570, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:52:09Record linked automatically0c7835605f
scoring_agent, CLM-418569, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:52:09Record linked automatically954317b3a5
scoring_agent, CLM-418571, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418569, policy version 1
2026-10-19 19:45:42Record linked automaticallyffdcf9d2f8
matching_agent, TPA-58196, identity id MBR-010579, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418570
2026-10-19 19:45:42Record linked automatically8d7b6ea302
scoring_agent, ENR-124444, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:45:42Record linked automatically8dba654c02
scoring_agent, ENR-124443, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:45:42Record linked automaticallycc1be01d24
scoring_agent, CLM-418570, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:45:42Record linked automatically65393ed3e2
scoring_agent, CLM-418569, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:45:42Record linked automaticallyddcaaa1155
scoring_agent, CLM-418571, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418569, policy version 1
2026-10-19 19:32:31Record linked automatically32e1ee4f13
matching_agent, TPA-58196, identity id MBR-010579, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418570
2026-10-19 19:32:31Record linked automaticallybf920d6b8a
scoring_agent, ENR-124444, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:32:31Record linked automaticallyc6db2484ff
scoring_agent, ENR-124443, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:32:31Record linked automaticallya5b1bf82bb
scoring_agent, CLM-418570, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:32:31Record linked automatically673efdd302
scoring_agent, CLM-418569, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418571, policy version 1
2026-10-19 19:32:31Record linked automatically442612a952
scoring_agent, CLM-418571, identity id MBR-010579, confidence 1, method probabilistic, matched record CLM-418569, policy version 1
2026-10-19 19:31:28Record linked automatically128ab909f3
matching_agent, CLM-418571, identity id MBR-041036, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124290
2026-10-19 19:31:28Record linked automatically2629bc1f6d
scoring_agent, ENR-124444, identity id MBR-030219, confidence 1.00, method probabilistic, matched record TPA-58155, policy version 1
2026-10-19 19:31:28Record linked automatically688e9e2159
scoring_agent, ENR-124443, identity id MBR-030219, confidence 1, method probabilistic, matched record TPA-58154, policy version 1
2026-10-19 19:31:28Record linked automatically4f5f961685
matching_agent, TPA-58196, identity id MBR-015363, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418805
2026-10-19 19:31:28Record linked automatically44b4345ca4
matching_agent, CLM-418570, identity id MBR-011928, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-124289
2026-10-19 19:31:28Record linked automaticallyeb94a0a13e
scoring_agent, CLM-418569, identity id MBR-005049, confidence 0.99, method probabilistic, matched record TPA-58111, 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-2026-034199	2026-08-14	Sunrise Counseling Center in network	99214	$225.00	$99.50	Approved	Approved
CLM-2026-006756	2026-04-05	Canyon Community Hospital out of network	99284	$1,057.00	—	Needs review	Needs review
CLM-2026-019539	2026-01-04	Sunrise Behavioral Health in network	99214	$206.00	$87.72	Approved	Approved