Identities/MBR-012337

Gold, golden identity

William Contreras

6 source records from 3 feeds.

MBR-012337Verified6 records

Golden record

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

First nameENR: William
Middle name—: —
Last nameCLM: Contreras
Date of birthENR: 2002-04-08
GenderENR: F
Member IDENR: UHC-63728-04
SSNENR: •••-••-4890
PhoneENR: 2025322515
EmailENR: william.contreras@proton.me
AddressENR: 3013 Grand Ave
CityENR: Seattle
StateENR: WA
ZIPENR: 98116
GroupENR: GRP-8277
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

ENR ×1TPA ×2CLM ×3

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
ENR-113363	ENR	2026-02-11	William Cnotrerasflagged	2002-04-08	UHC-63728-04	2025322515	3013 Grand Ave, Seattle, WA	Scored	0.99	—
TPA-54444	TPA	2026-03-09	William Contrerasflagged	2002-04-08	—	—	3013 Grand Ave, Seattle, WA	Rule	0.97	D2 ssn4 + dob + last name
CLM-410142	CLM	2026-03-17	William Contrerasflagged	2002-04-08	—	—	3013 Grand Ave, Seattle, WA	Scored	1.00	—
CLM-410143	CLM	2026-03-19	Bill Contrerasflagged	2002-04-08	UHC-63728-04	2025322515	—	Scored	1.00	—
TPA-54445	TPA	2026-04-13	Williaam Contrerasflagged	2002-04-08	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-410144	CLM	2026-10-17	William Contrerasflagged	2002-04-08	—	2025322515	3013 Grand Ave, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-410142CLMCLM-410144CLM1.00Scoredweighted 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-410143CLMCLM-410144CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113363 ENRCLM-410144CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-113363 ENRCLM-410142CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113363 ENRCLM-410143CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-54444TPACLM-410143CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113363 ENRTPA-54444TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-113363 ENRTPA-54445 TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54444TPATPA-54445 TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410143CLMTPA-54445 TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54444TPACLM-410142CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54444TPACLM-410144CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410142CLMCLM-410143CLM0.83Scoredweighted 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

▶TPA-54445 TPACLM-410144CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-410142CLMTPA-54445 TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
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-410142 → UHC-63728-04 (William Contreras)
ACT-001781, Claims processor
Orphan claim re-pointedExecuted
CLM-410144 → UHC-63728-04 (William Contreras)
ACT-007421, Claims processor
Care coordination outreachProposed
William Contreras: 3 claims, no attributed provider
ACT-018674, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically55e6cd2dd8
scoring_agent, CLM-410144, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410142, policy version 1
2026-10-19 19:54:38Record linked automatically455e4f3dd2
matching_agent, TPA-54445, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:54:38Record linked automaticallye570b50abb
scoring_agent, CLM-410143, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:54:38Record linked automatically54c63dfa2d
scoring_agent, CLM-410142, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:54:38Record linked automaticallyeb0e9e6721
matching_agent, TPA-54444, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:54:38Record linked automatically33c8ff666c
scoring_agent, ENR-113363, identity id MBR-012337, confidence 0.99, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:52:09Record linked automaticallyc60d290e23
scoring_agent, CLM-410144, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410142, policy version 1
2026-10-19 19:52:09Record linked automatically37385eb780
matching_agent, TPA-54445, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:52:09Record linked automatically44be3ed05c
scoring_agent, CLM-410143, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:52:09Record linked automatically50177bc147
scoring_agent, CLM-410142, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:52:09Record linked automatically9d5183b2de
matching_agent, TPA-54444, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:52:09Record linked automatically996927100b
scoring_agent, ENR-113363, identity id MBR-012337, confidence 0.99, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:45:42Record linked automatically6bb90daf72
scoring_agent, CLM-410144, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410142, policy version 1
2026-10-19 19:45:42Record linked automatically7e240bcfe2
matching_agent, TPA-54445, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:45:42Record linked automatically28421d1d30
scoring_agent, CLM-410143, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:45:42Record linked automatically9f76fe93f9
scoring_agent, CLM-410142, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:45:42Record linked automatically94524dbe8c
matching_agent, TPA-54444, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:45:42Record linked automatically1d5bd2e6da
scoring_agent, ENR-113363, identity id MBR-012337, confidence 0.99, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:32:31Record linked automaticallyb0140f24f8
scoring_agent, CLM-410144, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410142, policy version 1
2026-10-19 19:32:31Record linked automatically585ff5c162
matching_agent, TPA-54445, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:32:31Record linked automatically0497516509
scoring_agent, CLM-410143, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:32:31Record linked automatically7a31880e47
scoring_agent, CLM-410142, identity id MBR-012337, confidence 1, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:32:31Record linked automaticallyae8df29514
matching_agent, TPA-54444, identity id MBR-012337, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113363
2026-10-19 19:32:31Record linked automaticallyb878607246
scoring_agent, ENR-113363, identity id MBR-012337, confidence 0.99, method probabilistic, matched record CLM-410144, policy version 1
2026-10-19 19:31:28Record linked automatically8b876e4cf9
matching_agent, ENR-113363, identity id MBR-028461, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54513
2026-10-19 19:31:28Record linked automatically477cf09e77
scoring_agent, TPA-54444, identity id MBR-027778, confidence 1, method probabilistic, matched record TPA-54445, policy version 1
2026-10-19 19:31:28Record linked automatically02dcbd0390
scoring_agent, TPA-54445, identity id MBR-027778, confidence 1, method probabilistic, matched record ENR-113152, policy version 1
2026-10-19 19:31:28Record linked automaticallyb98f9641ba
scoring_agent, CLM-410142, identity id MBR-002214, confidence 1, method probabilistic, matched record CLM-410141, policy version 1
2026-10-19 19:31:28Record linked automaticallya55612a314
matching_agent, CLM-410143, identity id MBR-002214, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410144
2026-10-19 19:31:28Record linked automaticallyc241fd0abe
matching_agent, CLM-410144, identity id MBR-002214, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410143

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-2026-023019	2026-10-11	Lakeside Clinical Laboratories in network	87086	$60.00	$0.00	Approved	Approved
CLM-2026-013525	2026-03-17	Desert Rehabilitation Center in network	97110	$158.00	$77.96	Approved	Approved
CLM-2026-001773	2025-09-10	Heritage Primary Care Associates in network	99213, 99214, 99395	$750.00	—	Denied	Denied