Identities/MBR-013919
Gold, golden identity

Willie G Medina

4 source records from 2 feeds.

MBR-013919Verified4 records

Golden record

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

First nameENR
Willie
Middle nameENR
G
Last nameENR
Medina
Date of birthENR
2006-07-04
GenderENR
F
Member IDENR
UHC-66180-38
SSNENR
•••-••-4632
PhoneENR
9445763540
EmailENR
willie.medina43@hotmail.com
AddressENR
1180 Broadway
CityENR
Fresno
StateENR
CA
ZIPENR
93749
GroupENR
GRP-8821
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00CLMCLM-403686CLMCLM-403685CLMCLM-403687ENRENR-104789IDMBR-013919
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-403686CLM2026-02-18Willie Meedinaflagged2006-07-04UHC-66180-3894457635401180 Broadway, Fresno, CARule0.99D1 member id + dob exact
CLM-403685CLM2026-05-29Willie Medinaflagged2006-07-04——1180 Broadway, Fresno, CAScored1.00—
CLM-403687CLM2026-08-23Willie Medinaflagged2006-07-04——1180 Broadway, Fresno, CAScored1.00—
ENR-104789ENR2026-09-06Willie Medinaflagged2006-07-04UHC-66180-3894457635401180 Broadway, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403685CLMCLM-403687CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403685CLMENR-104789ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403687CLMENR-104789ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403686CLMENR-104789ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-403686CLMCLM-403685CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403686CLMCLM-403687CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403685 → UHC-66180-38 (Willie Medina)
    ACT-006832, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-403687 → UHC-66180-38 (Willie Medina)
    ACT-010428, Claims processor
  • Care coordination outreachProposed
    Willie Medina: 3 claims, no attributed provider
    ACT-018768, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically73e2565a6e
    scoring_agent, ENR-104789, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9345a0962d
    scoring_agent, CLM-403687, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:54:38Record linked automatically38f5c00a30
    scoring_agent, CLM-403685, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403687, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd30a0cda0d
    matching_agent, CLM-403686, identity id MBR-013919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104789
  • 2026-10-19 19:52:09Record linked automatically1aefdf2486
    scoring_agent, ENR-104789, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc3a3f09913
    scoring_agent, CLM-403687, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfc5c382389
    scoring_agent, CLM-403685, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403687, policy version 1
  • 2026-10-19 19:52:09Record linked automatically18843d2320
    matching_agent, CLM-403686, identity id MBR-013919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104789
  • 2026-10-19 19:45:42Record linked automatically84f591dc95
    scoring_agent, ENR-104789, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1bff842b7b
    scoring_agent, CLM-403687, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6668283875
    scoring_agent, CLM-403685, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403687, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd6a9481968
    matching_agent, CLM-403686, identity id MBR-013919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104789
  • 2026-10-19 19:32:31Record linked automatically3c0e0e40e6
    scoring_agent, ENR-104789, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybe7cc4e505
    scoring_agent, CLM-403687, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403685, policy version 1
  • 2026-10-19 19:32:31Record linked automatically17b8f2f258
    scoring_agent, CLM-403685, identity id MBR-013919, confidence 1, method probabilistic, matched record CLM-403687, policy version 1
  • 2026-10-19 19:32:31Record linked automatically61008f398c
    matching_agent, CLM-403686, identity id MBR-013919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104789
  • 2026-10-19 19:31:28Record linked automaticallya15be64093
    matching_agent, CLM-403685, identity id MBR-022961, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104801
  • 2026-10-19 19:31:28Record linked automatically9cca505db4
    matching_agent, CLM-403686, identity id MBR-022961, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403687
  • 2026-10-19 19:31:28Record linked automatically3702a8161e
    matching_agent, CLM-403687, identity id MBR-022961, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-403686
  • 2026-10-19 19:31:28Record linked automatically4037f9c566
    scoring_agent, ENR-104789, identity id MBR-007047, confidence 1, method probabilistic, matched record TPA-51653, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0345562026-07-11Northgate Clinical Laboratories
in network
85025$43.00—DeniedDenied
CLM-2026-0345552026-07-11Northgate Clinical Laboratories
in network
85025$43.00$0.00ApprovedApproved
CLM-2026-0206592026-05-23Valley Bone and Joint Center
out of network
27447$49,930.00—Needs reviewNeeds review
CLM-2026-0326842026-01-13Mesa Orthopedic Specialists
in network
20610$193.00$79.66ApprovedApproved