Identities/MBR-011323

Gold, golden identity

Donald O Torres

5 source records from 4 feeds.

MBR-011323Verified5 records

Golden record

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

First nameENR: Donald
Middle nameTPA: O
Last nameENR: Torres
Date of birthENR: 1963-09-18
GenderENR: M
Member IDENR: UHC-28843-56
SSNENR: •••-••-0657
PhoneENR: 7587485754
EmailENR: donald.torres28@aol.com
AddressENR: 4999 Jefferson Ave
CityENR: Charlotte
StateENR: NC
ZIPENR: 28240
GroupENR: GRP-8974
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

ENR ×1TPA ×1CLM ×2PRV ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
ENR-108713	ENR	2026-02-08	Donald Torresflagged	1963-09-18	UHC-28843-56	7587485754	4999 Jefferson Ave, Charlotte, NC	Scored	1.00	—
TPA-52934	TPA	2026-02-18	Donald Torresflagged	1963-09-18	UHC-28843-56	7587485754	4999 Jefferson Ave, Charlotte, NC	Scored	1.00	—
CLM-406678	CLM	2026-04-08	Donald Torresflagged	1963-09-18	UHC-28843-56	—	4999 Jefferson Ave, Charlotte, NC	Scored	1.00	—
PRV-21953	PRV	2026-05-23	Donald Torresflagged	1963-09-18	—	7587485754	4999 Jefferson Ave, Charlotte, NC	Scored	1.00	—
CLM-406679	CLM	2026-06-06	Don Torresflagged	1963-09-18	UHC-28843-56	—	4999 Jefferson Ave, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-21953PRVCLM-406679CLM1.00Scoredweighted 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

▶ENR-108713ENRPRV-21953PRV1.00Scoredweighted 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

▶TPA-52934TPAPRV-21953PRV1.00Scoredweighted 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-406678CLMPRV-21953PRV1.00Scoredweighted 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

▶ENR-108713ENRCLM-406678CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶TPA-52934TPACLM-406678CLM0.99RuleD1 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

▶ENR-108713ENRCLM-406679CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52934TPACLM-406679CLM0.99RuleD1 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-406678CLMCLM-406679CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-108713ENRTPA-52934TPA0.99RuleD1 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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyea7804955a
scoring_agent, CLM-406679, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-22 12:43:54Record linked automatically6ff246b7f6
scoring_agent, PRV-21953, identity id MBR-011323, confidence 1, method probabilistic, matched record ENR-108713, policy version 1
2026-10-22 12:43:54Record linked automatically9b65887fa5
scoring_agent, CLM-406678, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-22 12:43:54Record linked automatically575b47e0b8
scoring_agent, TPA-52934, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-22 12:43:54Record linked automatically186a92d6e1
scoring_agent, ENR-108713, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:54:38Record linked automaticallydea08b087f
scoring_agent, CLM-406679, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:54:38Record linked automatically158b461eba
scoring_agent, PRV-21953, identity id MBR-011323, confidence 1, method probabilistic, matched record ENR-108713, policy version 1
2026-10-19 19:54:38Record linked automatically05a944bb93
scoring_agent, CLM-406678, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:54:38Record linked automaticallyca189e7445
scoring_agent, TPA-52934, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:54:38Record linked automaticallyd2d2a608c9
scoring_agent, ENR-108713, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:52:09Record linked automaticallye5790c3156
scoring_agent, CLM-406679, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:52:09Record linked automatically247ad0f548
scoring_agent, PRV-21953, identity id MBR-011323, confidence 1, method probabilistic, matched record ENR-108713, policy version 1
2026-10-19 19:52:09Record linked automaticallyb91dae18b0
scoring_agent, CLM-406678, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:52:09Record linked automaticallyf0e56ecb14
scoring_agent, TPA-52934, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:52:09Record linked automaticallyee71387627
scoring_agent, ENR-108713, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:45:42Record linked automatically374fe7f76f
scoring_agent, CLM-406679, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:45:42Record linked automatically04cf70e284
scoring_agent, PRV-21953, identity id MBR-011323, confidence 1, method probabilistic, matched record ENR-108713, policy version 1
2026-10-19 19:45:42Record linked automatically42e644aff0
scoring_agent, CLM-406678, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:45:42Record linked automatically2576a150ab
scoring_agent, TPA-52934, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:45:42Record linked automatically578dc49f64
scoring_agent, ENR-108713, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:32:31Record linked automatically30c2d95b80
scoring_agent, CLM-406679, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:32:31Record linked automaticallyfae32c44ab
scoring_agent, PRV-21953, identity id MBR-011323, confidence 1, method probabilistic, matched record ENR-108713, policy version 1
2026-10-19 19:32:31Record linked automatically5d214be430
scoring_agent, CLM-406678, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:32:31Record linked automaticallye42a01ab41
scoring_agent, TPA-52934, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:32:31Record linked automatically2f4cecde85
scoring_agent, ENR-108713, identity id MBR-011323, confidence 1, method probabilistic, matched record PRV-21953, policy version 1
2026-10-19 19:31:28Record linked automatically1dec95fe3c
scoring_agent, CLM-406679, identity id MBR-024389, confidence 1, method probabilistic, matched record TPA-52965, policy version 1
2026-10-19 19:31:28Record linked automaticallyc94414e6e4
matching_agent, CLM-406678, identity id MBR-024389, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406679
2026-10-19 19:31:28Record linked automatically5ba192da15
scoring_agent, PRV-21953, identity id MBR-008412, confidence 1.00, method probabilistic, matched record ENR-108564, 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-2026-031031	2026-06-04	Pinecrest Medical Group in network	99214, 99215, 80053	$716.00	—	Needs review	Needs review
CLM-2026-028783	2026-03-22	Sunrise Imaging Center in network	70553, 77067	$3,677.00	—	Needs review	Needs review