Identities/MBR-011706
Gold, golden identity

Mark Valdez

4 source records from 2 feeds.

MBR-011706Verified4 records

Golden record

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

First nameENR
Mark
Middle name—
—
Last nameENR
Valdez
Date of birthENR
1980-03-27
GenderCLM
M
Member IDENR
UHC-55520-85
SSNENR
•••-••-1068
PhoneENR
6958144014
Email—
—
AddressENR
9126 Main St
CityENR
Orlando
StateENR
FL
ZIPENR
32880
GroupENR
GRP-1587
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.000.991.001.00CLMCLM-427748CLMCLM-427747CLMCLM-427746ENRENR-136383IDMBR-011706
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-427748CLM2026-02-09Mark Valdezflagged1980-03-27——9126 Main St, Orlando, FLScored1.00—
CLM-427747CLM2026-07-20Mark Valdezflagged1980-03-27UHC-55520-856958144014—Rule0.99D1 member id + dob exact
CLM-427746CLM2026-10-12Mark Valdezflagged1980-03-27——9126 Main St, Orlando, FLScored1.00—
ENR-136383ENR2026-10-16Mark Valdezflagged1980-03-27UHC-55520-8569581440149126 Main St, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427748 CLMCLM-427746 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427748 CLMENR-136383ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427746 CLMENR-136383ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427747CLMENR-136383ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427747CLMCLM-427746 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427748 CLMCLM-427747CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Mark Valdez: 2 plan codes across sources → canonical CORE-HMO
    ACT-000523, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-427748 → UHC-55520-85 (Mark Valdez)
    ACT-002941, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-427746 → UHC-55520-85 (Mark Valdez)
    ACT-008461, Claims processor
  • Care coordination outreachProposed
    Mark Valdez: 3 claims, no attributed provider
    ACT-018636, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyded52ba9cc
    scoring_agent, ENR-136383, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e890f8b1f
    scoring_agent, CLM-427746, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya7f4ed2d43
    matching_agent, CLM-427747, identity id MBR-011706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136383
  • 2026-10-19 19:54:38Record linked automatically8f18d196c5
    scoring_agent, CLM-427748, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427746, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8767e83730
    scoring_agent, ENR-136383, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:52:09Record linked automatically749c466cc0
    scoring_agent, CLM-427746, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6c4b802e12
    matching_agent, CLM-427747, identity id MBR-011706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136383
  • 2026-10-19 19:52:09Record linked automatically390d9629ec
    scoring_agent, CLM-427748, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427746, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyed3e0cebfd
    scoring_agent, ENR-136383, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf3a6248a6c
    scoring_agent, CLM-427746, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyba43f56c7e
    matching_agent, CLM-427747, identity id MBR-011706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136383
  • 2026-10-19 19:45:42Record linked automaticallydf389117f7
    scoring_agent, CLM-427748, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427746, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye1e071715d
    scoring_agent, ENR-136383, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1f66800f58
    scoring_agent, CLM-427746, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427748, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya61471c715
    matching_agent, CLM-427747, identity id MBR-011706, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136383
  • 2026-10-19 19:32:31Record linked automatically4cd76a5f88
    scoring_agent, CLM-427748, identity id MBR-011706, confidence 1, method probabilistic, matched record CLM-427746, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfaa0ab1e81
    matching_agent, CLM-427747, identity id MBR-011874, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136732
  • 2026-10-19 19:31:28Record linked automatically184b078583
    scoring_agent, CLM-427746, identity id MBR-006771, confidence 1, method probabilistic, matched record CLM-427745, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0269742026-09-23Heritage Physical Therapy
in network
97110$168.00$64.16ApprovedApproved
CLM-2026-0278272026-06-25Pinecrest Diagnostic Imaging
in network
70553, 77067$3,767.00—Needs reviewNeeds review
CLM-2026-0060852026-01-31Lakeside Bone and Joint Center
in network
27447$44,043.00—Needs reviewNeeds review