Madison Moreno

3 source records from 3 feeds.

MBR-013287Verified3 records

Golden record

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

First nameENR: Madison
Middle name—: —
Last nameENR: Moreno
Date of birthENR: 1946-08-02
GenderENR: F
Member IDENR: UHC-53709-86
SSNENR: •••-••-5235
PhoneENR: 5533956010
EmailENR: madison.moreno82@icloud.com
AddressENR: 4686 Ocean Ave
CityENR: Eden Prairie
StateENR: MN
ZIP—: —
GroupENR: GRP-8880
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

TPA ×1CLM ×1ENR ×1

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
TPA-55023	TPA	2026-02-15	Madison Morenoflagged	1946-08-02	—	—	4686 Ocean Ave, Eden Prairie, MN	Scored	1.00	—
CLM-411421	CLM	2026-08-07	Madison Morenoflagged	1946-08-02	UHC-53709-86	—	4686 Ocean Ave, Eden Prairie, MN	Scored	1.00	—
ENR-115019	ENR	2026-08-10	Madison Morenoflagged	1946-08-02	UHC-53709-86	5533956010	4686 Ocean Ave, Eden Prairie, MN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-55023 TPACLM-411421CLM1.00Scoredweighted 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-411421CLMENR-115019ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55023 TPAENR-115019ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Madison Moreno: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000593, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb37b99a0f9
matching_agent, ENR-115019, identity id MBR-013287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411421
2026-10-19 19:54:38Record linked automaticallyb3e85370bb
scoring_agent, CLM-411421, identity id MBR-013287, confidence 1, method probabilistic, matched record TPA-55023, policy version 1
2026-10-19 19:54:38Record linked automaticallyb3e602d1d3
scoring_agent, TPA-55023, identity id MBR-013287, confidence 1, method probabilistic, matched record CLM-411421, policy version 1
2026-10-19 19:52:09Record linked automatically6ff017f20c
matching_agent, ENR-115019, identity id MBR-013287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411421
2026-10-19 19:52:09Record linked automatically0ecd7569cd
scoring_agent, CLM-411421, identity id MBR-013287, confidence 1, method probabilistic, matched record TPA-55023, policy version 1
2026-10-19 19:52:09Record linked automaticallyb85bf8552c
scoring_agent, TPA-55023, identity id MBR-013287, confidence 1, method probabilistic, matched record CLM-411421, policy version 1
2026-10-19 19:45:42Record linked automatically817a4442db
matching_agent, ENR-115019, identity id MBR-013287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411421
2026-10-19 19:45:42Record linked automatically7dab2b4991
scoring_agent, CLM-411421, identity id MBR-013287, confidence 1, method probabilistic, matched record TPA-55023, policy version 1
2026-10-19 19:45:42Record linked automaticallya314cdd604
scoring_agent, TPA-55023, identity id MBR-013287, confidence 1, method probabilistic, matched record CLM-411421, policy version 1
2026-10-19 19:32:31Record linked automatically74cbbb630b
matching_agent, ENR-115019, identity id MBR-013287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411421
2026-10-19 19:32:31Record linked automatically21889af559
scoring_agent, CLM-411421, identity id MBR-013287, confidence 1, method probabilistic, matched record TPA-55023, policy version 1
2026-10-19 19:32:31Record linked automatically999e7b556c
scoring_agent, TPA-55023, identity id MBR-013287, confidence 1, method probabilistic, matched record CLM-411421, policy version 1
2026-10-19 19:31:28Record linked automatically9df5c790bf
scoring_agent, ENR-115019, identity id MBR-026241, confidence 1, method probabilistic, matched record TPA-55022, policy version 1
2026-10-19 19:31:28Record linked automatically5d9bd25c9d
matching_agent, TPA-55023, identity id MBR-003080, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-115025
2026-10-19 19:31:28Record linked automatically7e21c407d5
scoring_agent, CLM-411421, identity id MBR-000439, confidence 1, method probabilistic, matched record TPA-55063, policy version 1

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-2026-020371	2026-07-08	Sunrise Behavioral Health in network	99214	$311.00	$117.82	Approved	Approved