Identities/MBR-014478
Gold, golden identity

John C Estrada

4 source records from 2 feeds.

MBR-014478Verified4 records

Golden record

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

First nameENR
John
Middle nameENR
C
Last nameENR
Estrada
Date of birthENR
1991-01-14
GenderENR
F
Member IDENR
UHC-95931-01
SSNENR
•••-••-6457
PhoneENR
9288505242
EmailENR
john.estrada@proton.me
AddressCLM
3522 Market St
CityCLM
Miami
StateCLM
FL
ZIPCLM
33185
GroupENR
GRP-6989
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.990.971.00CLMCLM-401702ENRENR-102218CLMCLM-401703CLMCLM-401701IDMBR-014478
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-401702CLM2026-02-20John Estradaflagged1991-01-14UHC-95931-01—3522 Market St, Miami, FLScored1.00—
ENR-102218ENR2026-06-01John Estradaflagged1991-01-14UHC-95931-0192885052427030 Baseline Rd, San Antonio, TXRule0.99D1 member id + dob exact
CLM-401703CLM2026-07-06John Estradaflagged1991-01-14——7030 Baseline Rd, San Antonio, TXRule0.97D2 ssn4 + dob + last name
CLM-401701CLM2026-09-07Jack Estradaflagged1991-01-14—92885052423522 Market St, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401702CLMCLM-401701CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401702CLMENR-102218ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102218ENRCLM-401701CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401703CLMCLM-401701CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102218ENRCLM-401703CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401702CLMCLM-401703CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401703 → UHC-95931-01 (John Estrada)
    ACT-003414, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-401701 → UHC-95931-01 (John Estrada)
    ACT-004303, Claims processor
  • Outreach address correctedProposed
    John Estrada: 7030 Baseline Rd, San Antonio → 3522 Market St, Miami
    ACT-011814, Outreach
  • Care coordination outreachProposed
    John Estrada: 3 claims, no attributed provider
    ACT-018803, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyd1580c590c
    scoring_agent, CLM-401701, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
  • 2026-10-22 12:43:54Record linked automatically470fa23c04
    matching_agent, CLM-401703, identity id MBR-014478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102218
  • 2026-10-22 12:43:54Record linked automatically6788fc9804
    matching_agent, ENR-102218, identity id MBR-014478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401702
  • 2026-10-22 12:43:54Record linked automaticallyc343f5a550
    scoring_agent, CLM-401702, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401701, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybf785131b0
    scoring_agent, CLM-401701, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3dc2863793
    matching_agent, CLM-401703, identity id MBR-014478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102218
  • 2026-10-19 19:54:38Record linked automatically7b95d213be
    matching_agent, ENR-102218, identity id MBR-014478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401702
  • 2026-10-19 19:54:38Record linked automatically10112a6398
    scoring_agent, CLM-401702, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401701, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4049cd5a37
    scoring_agent, CLM-401701, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd78e57ccc3
    matching_agent, CLM-401703, identity id MBR-014478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102218
  • 2026-10-19 19:52:09Record linked automaticallyf6cea7986b
    matching_agent, ENR-102218, identity id MBR-014478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401702
  • 2026-10-19 19:52:09Record linked automatically428aeb82b3
    scoring_agent, CLM-401702, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401701, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8930e1cdac
    scoring_agent, CLM-401701, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1c0d50906d
    matching_agent, CLM-401703, identity id MBR-014478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102218
  • 2026-10-19 19:45:42Record linked automatically46669d5fe9
    matching_agent, ENR-102218, identity id MBR-014478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401702
  • 2026-10-19 19:45:42Record linked automaticallya436d1278b
    scoring_agent, CLM-401702, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401701, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8146d8ad7c
    scoring_agent, CLM-401701, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401702, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0b4169e6a4
    matching_agent, CLM-401703, identity id MBR-014478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-102218
  • 2026-10-19 19:32:31Record linked automaticallyc7dd1262f1
    matching_agent, ENR-102218, identity id MBR-014478, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401702
  • 2026-10-19 19:32:31Record linked automatically0169dc2324
    scoring_agent, CLM-401702, identity id MBR-014478, confidence 1, method probabilistic, matched record CLM-401701, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6a06d71eee
    scoring_agent, ENR-102218, identity id MBR-028653, confidence 1, method probabilistic, matched record TPA-50753, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyeb4f4d8f6b
    scoring_agent, CLM-401701, identity id MBR-012884, confidence 1, method probabilistic, matched record TPA-50756, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7c662fadc9
    scoring_agent, CLM-401702, identity id MBR-012884, confidence 1, method probabilistic, matched record TPA-50755, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfac2429625
    matching_agent, CLM-401703, identity id MBR-007445, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102222

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0113542026-08-16Sunrise Family Practice
in network
90471, 99395$308.00$170.96ApprovedApproved
CLM-2026-0078352026-05-22Evergreen Diagnostic Imaging
in network
77067, 74177$2,313.00$0.00ApprovedApproved
CLM-2026-0019252026-01-17Pinecrest Medical Group
in network
99395$269.00$146.78ApprovedApproved