Identities/MBR-011580

Gold, golden identity

Lucia Vega

5 source records from 1 feed.

MBR-011580Verified5 records

Golden record

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

First nameCLM: Lucia
Middle name—: —
Last nameCLM: Vega
Date of birthCLM: 2006-09-16
GenderCLM: F
Member IDCLM: UHC-56461-21
SSN—: —
PhoneCLM: 6385682951
EmailCLM: lucia.vega80@outlook.com
AddressCLM: 1004 Willow Ct
CityCLM: Nashville
StateCLM: TN
ZIPCLM: 37227
GroupCLM: GRP-5118
PlanCLM: CORE-HMO

Min confidence

0.99

Sources

CLM ×5

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-414961	CLM	2026-02-08	Lucia Vegaflagged	2006-09-16	—	6385682951	1004 Willow Ct, Nashville, TN	Scored	1.00	—
CLM-414964	CLM	2026-05-21	Lucia Vegaflagged	2006-09-16	UHC-56461-21	—	—	Rule	0.99	D1 member id + dob exact
CLM-414965	CLM	2026-06-20	Lucia Vegaflagged	2006-09-16	UHC-56461-21	6385682951	1004 Willow Ct, Nashville, TN	Scored	1.00	—
CLM-414963	CLM	2026-07-20	Lucia Vegaflagged	2006-09-16	—	6385682951	1004 Willow Ct, Nashville, TN	Scored	1.00	—
CLM-414962	CLM	2026-07-20	Lucia Vegaflagged	2006-09-16	—	6385682951	1004 Willow Ct, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-414961CLMCLM-414962CLM1.00Scoredweighted 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-414965 CLMCLM-414962CLM1.00Scoredweighted 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-414963CLMCLM-414962CLM1.00Scoredweighted 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-414961CLMCLM-414963CLM1.00Scoredweighted 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-414965 CLMCLM-414963CLM1.00Scoredweighted 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-414961CLMCLM-414965 CLM1.00Scoredweighted 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-414964CLMCLM-414965 CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414964CLMCLM-414962CLM0.83Scoredweighted 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-414964CLMCLM-414963CLM0.83Scoredweighted 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-414961CLMCLM-414964CLM0.83Scoredweighted 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

Eligibility conflict resolvedProposed
Lucia Vega: 2 plan codes across sources → canonical CORE-HMO
ACT-000514, Eligibility engine
Orphan claim re-pointedExecuted
CLM-414961 → UHC-56461-21 (Lucia Vega)
ACT-003969, Claims processor
Orphan claim re-pointedExecuted
CLM-414963 → UHC-56461-21 (Lucia Vega)
ACT-005314, Claims processor
Orphan claim re-pointedExecuted
CLM-414962 → UHC-56461-21 (Lucia Vega)
ACT-008274, Claims processor
Care coordination outreachProposed
Lucia Vega: 5 claims, no attributed provider
ACT-018624, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf4166876d7
scoring_agent, CLM-414962, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:54:38Record linked automatically9569a4678e
scoring_agent, CLM-414963, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:54:38Record linked automatically97287936ff
scoring_agent, CLM-414965, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:54:38Record linked automaticallyae4adb2933
matching_agent, CLM-414964, identity id MBR-011580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414965
2026-10-19 19:54:38Record linked automatically7d23399231
scoring_agent, CLM-414961, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414965, policy version 1
2026-10-19 19:52:09Record linked automatically889aedc1f2
scoring_agent, CLM-414962, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:52:09Record linked automatically6cbed4d7ba
scoring_agent, CLM-414963, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:52:09Record linked automaticallya9e562774a
scoring_agent, CLM-414965, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:52:09Record linked automaticallybb0ba71a06
matching_agent, CLM-414964, identity id MBR-011580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414965
2026-10-19 19:52:09Record linked automaticallyf816117574
scoring_agent, CLM-414961, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414965, policy version 1
2026-10-19 19:45:42Record linked automatically4a3969acfd
scoring_agent, CLM-414962, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:45:42Record linked automaticallye1b38026e2
scoring_agent, CLM-414963, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:45:42Record linked automatically13d59c1437
scoring_agent, CLM-414965, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:45:42Record linked automatically3a66336c12
matching_agent, CLM-414964, identity id MBR-011580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414965
2026-10-19 19:45:42Record linked automatically640de038af
scoring_agent, CLM-414961, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414965, policy version 1
2026-10-19 19:32:31Record linked automaticallye28f3faf8f
scoring_agent, CLM-414962, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:32:31Record linked automatically8ce3c44442
scoring_agent, CLM-414963, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:32:31Record linked automatically11410e7797
scoring_agent, CLM-414965, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414961, policy version 1
2026-10-19 19:32:31Record linked automaticallydcfa98d1cd
matching_agent, CLM-414964, identity id MBR-011580, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414965
2026-10-19 19:32:31Record linked automatically5662ac4512
scoring_agent, CLM-414961, identity id MBR-011580, confidence 1, method probabilistic, matched record CLM-414965, policy version 1
2026-10-19 19:31:28Record linked automatically2fe905c019
matching_agent, CLM-414963, identity id MBR-020305, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119608
2026-10-19 19:31:28Record linked automaticallyc6f6cf12db
scoring_agent, CLM-414962, identity id MBR-020305, confidence 0.88, method probabilistic, matched record CLM-414963, policy version 1
2026-10-19 19:31:28Record linked automatically84eb947c58
matching_agent, CLM-414965, identity id MBR-012589, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119610
2026-10-19 19:31:28Record linked automaticallya28ca8794c
matching_agent, CLM-414964, identity id MBR-012589, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119610

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-026249	2026-07-05	Unity Family Practice in network	99203, 36415, 90471	$307.00	$160.34	Approved	Approved
CLM-2026-015077	2026-06-22	Meadow Primary Care Associates in network	99203, 90471	$267.00	$135.54	Approved	Approved
CLM-2026-032832	2026-06-14	Summit Diagnostic Imaging in network	76700, 70553	$3,151.00	$1,034.48	Approved	Approved
CLM-2026-022652	2026-04-25	Pinecrest Medical Group in network	80053	$52.00	$2.24	Approved	Approved
CLM-2026-010111	2026-01-02	Meadow Bone and Joint Center in network	27447	$29,612.00	—	Denied	Denied