Identities/MBR-012289
Gold, golden identity

Helen Garcia

4 source records from 3 feeds.

MBR-012289Verified4 recordsOpen steward case

Golden record

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

First nameENR
Helen
Middle name—
—
Last nameENR
Garcia
Date of birthENR
1973-01-28
GenderENR
F
Member IDENR
UHC-38530-83
SSNENR
•••-••-3873
PhonePRV
9082605200
Email—
—
AddressENR
8801 Forest Ave
CityENR
Fresno
StateENR
CA
ZIPENR
93720
GroupENR
GRP-1225
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×1PRV ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99ENRENR-136701PRVPRV-28215CLMCLM-428002CLMCLM-428003IDMBR-012289
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
ENR-136701ENR2026-02-11Helen Garciaflagged1973-01-28UHC-38530-83—8801 Forest Ave, Fresno, CARule0.99D1 member id + dob exact
PRV-28215PRV2026-02-27Helen Garciaflagged1973-01-28UHC-38530-8390826052008801 Forest Ave # 953, Fresno, CAScored0.99—
CLM-428002CLM2026-06-04Helen Gariaflagged1973-01-28—90826052008801 Forest Ave, Fresno, CAScored0.99—
CLM-428003CLM2026-10-02Helen Garciaflagged1973-01-28UHC-38530-8390826052008801 Forest Ave, Fresno, CAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-28215PRVCLM-428002CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428002CLMCLM-428003CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-136701 ENRCLM-428003CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28215PRVCLM-428003CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-136701 ENRPRV-28215PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428002 → UHC-38530-83 (Helen Garcia)
    ACT-001368, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically2b51fda9ae
    scoring_agent, CLM-428003, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:54:38Record linked automatically54a1ccc09e
    scoring_agent, CLM-428002, identity id MBR-012289, confidence 0.99, method probabilistic, matched record PRV-28215, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyee7d310aae
    scoring_agent, PRV-28215, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:54:38Record linked automatically004d189fb4
    matching_agent, ENR-136701, identity id MBR-012289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28215
  • 2026-10-19 19:52:09Record linked automaticallyf71f0e3783
    scoring_agent, CLM-428003, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6826efa411
    scoring_agent, CLM-428002, identity id MBR-012289, confidence 0.99, method probabilistic, matched record PRV-28215, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7e07e2ecd9
    scoring_agent, PRV-28215, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye5bfaad19d
    matching_agent, ENR-136701, identity id MBR-012289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28215
  • 2026-10-19 19:45:42Record linked automatically736a6ab74a
    scoring_agent, CLM-428003, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf48eb0b2bd
    scoring_agent, CLM-428002, identity id MBR-012289, confidence 0.99, method probabilistic, matched record PRV-28215, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb7a200bd3c
    scoring_agent, PRV-28215, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5ed205fb7a
    matching_agent, ENR-136701, identity id MBR-012289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28215
  • 2026-10-19 19:32:31Record linked automatically44c403b2b1
    scoring_agent, CLM-428003, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7c8d9bec3b
    scoring_agent, CLM-428002, identity id MBR-012289, confidence 0.99, method probabilistic, matched record PRV-28215, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9afbb9fe36
    scoring_agent, PRV-28215, identity id MBR-012289, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4a4c6c3172
    matching_agent, ENR-136701, identity id MBR-012289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28215
  • 2026-10-19 19:31:28Record linked automatically3094699069
    scoring_agent, CLM-428002, identity id MBR-017901, confidence 0.99, method probabilistic, matched record CLM-428003, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1d3a77b74f
    scoring_agent, CLM-428003, identity id MBR-017901, confidence 0.99, method probabilistic, matched record CLM-428002, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0028512026-04-07Canyon Reference Lab
in network
83036, 87086, 80061$140.00—DeniedDenied
CLM-2026-0001102026-05-11Canyon Reference Lab
out of network
80053$53.00$0.00ApprovedApproved