Identities/MBR-013639
Gold, golden identity

Benjamin I Contreras

4 source records from 2 feeds.

MBR-013639Verified4 records

Golden record

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

First nameCLM
Benjamin
Middle nameCLM
I
Last nameCLM
Contreras
Date of birthCLM
1980-06-23
GenderCLM
F
Member IDCLM
UHC-74433-78
SSNCLM
•••-••-9857
PhoneCLM
9464555695
Email—
—
AddressCLM
7408 Sage Ct
CityCLM
Gilbert
StateCLM
AZ
ZIPCLM
85210
GroupCLM
GRP-9082
PlanCLM
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-414941TPATPA-56578CLMCLM-414943CLMCLM-414942IDMBR-013639
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-414941CLM2026-02-16Benjamin Contrerasflagged1980-06-23—9464555695—Scored1.00—
TPA-56578TPA2026-03-20Benjamin Contrerasflagged1980-06-23—94645556957408 Sage Ct, Gilbert, AZScored1.00—
CLM-414943CLM2026-07-24Benjamin Contrerasflagged1980-06-23UHC-74433-789464555695—Scored1.00—
CLM-414942CLM2026-10-12Benjamin Contrerasflagged1980-06-23UHC-74433-78—7408 Sage Ct, Gilbert, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56578TPA CLM-414942CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414941CLMCLM-414943CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414941CLMTPA-56578TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414943CLMCLM-414942CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56578TPA CLM-414943CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414941CLMCLM-414942CLM0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-414941 → UHC-74433-78 (Benjamin Contreras)
    ACT-001582, Claims processor
  • Care coordination outreachProposed
    Benjamin Contreras: 3 claims, no attributed provider
    ACT-018751, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically904aa676c4
    scoring_agent, CLM-414942, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:54:38Record linked automatically11b87fe279
    scoring_agent, CLM-414943, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:54:38Record linked automatically537aab596b
    scoring_agent, TPA-56578, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydac4e2ac5e
    scoring_agent, CLM-414941, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya06da96de3
    scoring_agent, CLM-414942, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb8e8a0fbdf
    scoring_agent, CLM-414943, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye7f9a71545
    scoring_agent, TPA-56578, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf160df80e7
    scoring_agent, CLM-414941, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:45:42Record linked automatically901e0622fe
    scoring_agent, CLM-414942, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfa0a6c9a0f
    scoring_agent, CLM-414943, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6fb0a6555e
    scoring_agent, TPA-56578, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:45:42Record linked automatically53af2591c3
    scoring_agent, CLM-414941, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5b0d96e1ca
    scoring_agent, CLM-414942, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:32:31Record linked automatically20a5d16167
    scoring_agent, CLM-414943, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5d9e1560e0
    scoring_agent, TPA-56578, identity id MBR-013639, confidence 1, method probabilistic, matched record CLM-414941, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyecf74d0511
    scoring_agent, CLM-414941, identity id MBR-013639, confidence 1, method probabilistic, matched record TPA-56578, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd2da27a40c
    matching_agent, CLM-414943, identity id MBR-020700, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119579
  • 2026-10-19 19:31:28Record linked automatically7614b361f3
    matching_agent, CLM-414941, identity id MBR-020049, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-119576
  • 2026-10-19 19:31:28Record linked automatically9ce04c86ec
    scoring_agent, TPA-56578, identity id MBR-008989, confidence 1.00, method probabilistic, matched record ENR-119816, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0323202026-10-07Sunrise Behavioral Health
in network
90791, 90834$547.00—DeniedDenied
CLM-2026-0283612026-06-14Valley Medical Group
in network
99215, 93000$503.00—DeniedDenied
CLM-2026-0010382026-01-08Sunrise Imaging Center
in network
70553$2,419.00—DeniedDenied