Donald S Morales

4 source records from 3 feeds.

MBR-014058Verified4 records

Golden record

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

First nameENR: Donald
Middle nameCLM: S
Last nameENR: Morales
Date of birthENR: 1965-12-15
GenderENR: M
Member IDENR: UHC-67538-62
SSNENR: •••-••-8238
PhonePRV: 8892940574
EmailENR: donald.morales5@hotmail.com
AddressENR: 9049 Ridge Rd
CityENR: Atlanta
StateENR: GA
ZIPENR: 30395
GroupENR: GRP-9075
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×2PRV ×1ENR ×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-426280	CLM	2026-02-18	Donald Moralesflagged	1965-12-15	UHC-67538-62	8892940574	9049 Ridge Rd, Atlanta, GA	Scored	1.00	—
CLM-426279	CLM	2026-07-27	Donald Moralesflagged	1965-12-15	—	—	9049 Ridge Rd, Atlanta, GA	Scored	1.00	—
PRV-27744	PRV	2026-10-10	Donald Moralesflagged	1965-12-15	UHC-67538-62	8892940574	9049 Ridge Rd, Atlanta, GA	Scored	1.00	—
ENR-134443	ENR	2026-10-16	Donald Moralesflagged	1965-12-15	UHC-67538-62	—	9049 Ridge Rd, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-426280CLMCLM-426279CLM1.00Scoredweighted 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-426279CLMENR-134443ENR1.00Scoredweighted 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-426279CLMPRV-27744PRV1.00Scoredweighted 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-426280CLMENR-134443ENR0.99RuleD1 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

▶PRV-27744PRVENR-134443ENR0.99RuleD1 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-426280CLMPRV-27744PRV0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426279 → UHC-67538-62 (Donald Morales)
ACT-003839, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically3662737bca
scoring_agent, ENR-134443, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-22 12:43:54Record linked automatically80a93bf2b0
scoring_agent, PRV-27744, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-22 12:43:54Record linked automatically5b7553eebe
scoring_agent, CLM-426279, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426280, policy version 1
2026-10-22 12:43:54Record linked automatically8c97b44083
scoring_agent, CLM-426280, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:54:38Record linked automatically63d2d501ae
scoring_agent, ENR-134443, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:54:38Record linked automatically564584df91
scoring_agent, PRV-27744, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:54:38Record linked automatically5824d83492
scoring_agent, CLM-426279, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426280, policy version 1
2026-10-19 19:54:38Record linked automatically08c1131712
scoring_agent, CLM-426280, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:52:09Record linked automatically2450af224f
scoring_agent, ENR-134443, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:52:09Record linked automatically3ceb029668
scoring_agent, PRV-27744, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:52:09Record linked automatically317e54b17e
scoring_agent, CLM-426279, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426280, policy version 1
2026-10-19 19:52:09Record linked automatically03ceac4adf
scoring_agent, CLM-426280, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:45:42Record linked automaticallyd80c8198ff
scoring_agent, ENR-134443, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:45:42Record linked automatically5e03ba6687
scoring_agent, PRV-27744, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:45:42Record linked automatically1b21e5426c
scoring_agent, CLM-426279, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426280, policy version 1
2026-10-19 19:45:42Record linked automatically40ce85a8b8
scoring_agent, CLM-426280, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:32:31Record linked automatically4846e0d8a0
scoring_agent, ENR-134443, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:32:31Record linked automaticallye7ec2d543a
scoring_agent, PRV-27744, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:32:31Record linked automatically1588bed0af
scoring_agent, CLM-426279, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426280, policy version 1
2026-10-19 19:32:31Record linked automatically7b64f89d91
scoring_agent, CLM-426280, identity id MBR-014058, confidence 1, method probabilistic, matched record CLM-426279, policy version 1
2026-10-19 19:31:28Record linked automatically63cbb2d778
scoring_agent, ENR-134443, identity id MBR-018187, confidence 1, method probabilistic, matched record CLM-426060, policy version 1
2026-10-19 19:31:28Record linked automatically1bc098cb3e
matching_agent, CLM-426280, identity id MBR-012786, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134724
2026-10-19 19:31:28Record linked automatically1d78632bc2
matching_agent, CLM-426279, identity id MBR-010600, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134722

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-2026-009586	2026-07-24	Pinecrest Medical Group in network	99214	$314.00	$164.68	Approved	Approved
CLM-2026-018575	2026-01-24	Lakeside Endocrine Associates out of network	83036	$78.00	—	Denied	Denied