Identities/MBR-012400

Gold, golden identity

Walter M Flores

5 source records from 2 feeds.

MBR-012400Verified5 records

Golden record

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

First nameENR: Walter
Middle nameENR: M
Last nameENR: Flores
Date of birthENR: 1947-07-06
GenderENR: F
Member IDENR: UHC-24155-05
SSNCLM: •••-••-3640
PhoneENR: 4568713691
Email—: —
AddressENR: 9510 Grand Ave
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90056
GroupENR: GRP-6344
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×4ENR ×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
CLM-429935	CLM	2026-02-12	Walter Floresflagged	1947-07-06	—	—	9510 Grand Ave, Los Angeles, CA	Scored	1.00	—
CLM-429933	CLM	2026-03-03	Walter Floresflagged	1947-07-06	UHC-24155-05	—	9510 Grand Ave, Los Angeles, CA	Scored	1.00	—
CLM-429936	CLM	2026-03-13	Walter Floresflagged	1947-07-06	—	4568713691	—	Scored	1.00	—
CLM-429934	CLM	2026-03-31	Walter Floresflagged	1947-07-06	UHC-24155-05	—	9510 Grand Ave, Los Angeles, CA	Scored	1.00	—
ENR-139246	ENR	2026-06-13	Walter Floresflagged	1947-07-06	UHC-24155-05	4568713691	9510 Grand Ave, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-429935CLMCLM-429933CLM1.00Scoredweighted 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-429935CLMCLM-429934CLM1.00Scoredweighted 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-429935CLMENR-139246ENR1.00Scoredweighted 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-429936CLMENR-139246ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429933CLMCLM-429934CLM0.99RuleD1 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

▶CLM-429933CLMENR-139246ENR0.99RuleD1 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

▶CLM-429934CLMENR-139246ENR0.99RuleD1 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

▶CLM-429936CLMCLM-429934CLM0.83Scoredweighted 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-429935CLMCLM-429936CLM0.83Scoredweighted 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-429933CLMCLM-429936CLM0.83Scoredweighted 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

Orphan claim re-pointedExecuted
CLM-429935 → UHC-24155-05 (Walter Flores)
ACT-006455, Claims processor
Orphan claim re-pointedExecuted
CLM-429936 → UHC-24155-05 (Walter Flores)
ACT-008905, Claims processor
Care coordination outreachProposed
Walter Flores: 4 claims, no attributed provider
ACT-018682, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyfc87fea082
scoring_agent, ENR-139246, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-22 12:43:54Record linked automaticallyd3edb3ce74
scoring_agent, CLM-429934, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-22 12:43:54Record linked automatically93b1177a46
scoring_agent, CLM-429936, identity id MBR-012400, confidence 1, method probabilistic, matched record ENR-139246, policy version 1
2026-10-22 12:43:54Record linked automatically7d64a3243c
scoring_agent, CLM-429933, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-22 12:43:54Record linked automatically9aba939a21
scoring_agent, CLM-429935, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429933, policy version 1
2026-10-19 19:54:38Record linked automatically0476a8978b
scoring_agent, ENR-139246, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:54:38Record linked automatically3707160f00
scoring_agent, CLM-429934, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:54:38Record linked automatically9071d6b5f8
scoring_agent, CLM-429936, identity id MBR-012400, confidence 1, method probabilistic, matched record ENR-139246, policy version 1
2026-10-19 19:54:38Record linked automaticallyb9fd1b6cce
scoring_agent, CLM-429933, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:54:38Record linked automatically3ff31d6ace
scoring_agent, CLM-429935, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429933, policy version 1
2026-10-19 19:52:09Record linked automatically92601a31e7
scoring_agent, ENR-139246, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:52:09Record linked automatically3262685c12
scoring_agent, CLM-429934, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:52:09Record linked automatically10549e1a78
scoring_agent, CLM-429936, identity id MBR-012400, confidence 1, method probabilistic, matched record ENR-139246, policy version 1
2026-10-19 19:52:09Record linked automatically691e1a77f7
scoring_agent, CLM-429933, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:52:09Record linked automaticallye2e297e286
scoring_agent, CLM-429935, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429933, policy version 1
2026-10-19 19:45:42Record linked automatically938a6bc94a
scoring_agent, ENR-139246, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:45:42Record linked automaticallycbf1abac10
scoring_agent, CLM-429934, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:45:42Record linked automatically1e134e8395
scoring_agent, CLM-429936, identity id MBR-012400, confidence 1, method probabilistic, matched record ENR-139246, policy version 1
2026-10-19 19:45:42Record linked automaticallyf012e8f804
scoring_agent, CLM-429933, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:45:42Record linked automatically54089e4315
scoring_agent, CLM-429935, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429933, policy version 1
2026-10-19 19:32:31Record linked automatically6868cfe392
scoring_agent, ENR-139246, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:32:31Record linked automatically7c49ae0918
scoring_agent, CLM-429934, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:32:31Record linked automatically9c1b4659fc
scoring_agent, CLM-429936, identity id MBR-012400, confidence 1, method probabilistic, matched record ENR-139246, policy version 1
2026-10-19 19:32:31Record linked automaticallyedfe48df63
scoring_agent, CLM-429933, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429935, policy version 1
2026-10-19 19:32:31Record linked automatically3451b68004
scoring_agent, CLM-429935, identity id MBR-012400, confidence 1, method probabilistic, matched record CLM-429933, policy version 1
2026-10-19 19:31:28Record linked automatically257a48224a
scoring_agent, ENR-139246, identity id MBR-039391, confidence 0.96, method probabilistic, matched record CLM-429709, policy version 1
2026-10-19 19:31:28Record linked automaticallyd1394c04fb
matching_agent, CLM-429935, identity id MBR-014927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139487
2026-10-19 19:31:28Record linked automatically7a8f932b3a
scoring_agent, CLM-429934, identity id MBR-002874, confidence 1, method probabilistic, matched record TPA-63124, policy version 1
2026-10-19 19:31:28Record linked automatically7e57984015
scoring_agent, CLM-429933, identity id MBR-002874, confidence 1, method probabilistic, matched record TPA-63124, policy version 1
2026-10-19 19:31:28Record linked automaticallyb206984aab
matching_agent, CLM-429936, identity id MBR-001814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139491

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-2026-033960	2026-03-23	Cornerstone Family Practice out of network	90471	$25.00	$0.00	Approved	Approved
CLM-2026-028641	2026-03-02	Canyon Primary Care Associates in network	90471, 99213, 99203	$404.00	$225.06	Approved	Approved
CLM-2026-000584	2026-02-19	Mesa Medical Group in network	99395, 99214, 99213	$733.00	$424.46	Approved	Approved
CLM-2026-019316	2026-01-11	Desert Reference Lab out of network	83036	$44.00	$0.00	Approved	Approved