Identities/MBR-015165
Gold, golden identity

Rachel C Flores

6 source records from 4 feeds.

MBR-015165Verified6 records

Golden record

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

First nameENR
Rachel
Middle nameENR
C
Last nameENR
Flores
Date of birthENR
2006-02-05
GenderENR
M
Member IDENR
UHC-97143-27
SSNENR
•••-••-4672
PhoneENR
8643566599
EmailENR
rachel.flores57@icloud.com
AddressENR
5831 Sunset Blvd
CityENR
Plano
StateENR
TX
ZIPENR
75080
GroupENR
GRP-0644
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×2PRV ×1TPA ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.991.000.991.00ENRENR-135676PRVPRV-27989TPATPA-62021CLMCLM-427209ENRENR-135675CLMCLM-427210IDMBR-015165
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
ENR-135676ENR2026-02-22Rachel Floresflagged2006-02-05UHC-97143-2786435665995831 Sunset Blvd Apt 39, Plano, TXRule0.99D1 member id + dob exact
PRV-27989PRV2026-05-27Rachel Floresflagged2006-02-05UHC-97143-2786435665995831 Sunset Blvd, Plano, TXScored1.00—
TPA-62021TPA2026-06-02Rachel Floresflagged2006-02-05UHC-97143-2786435665995831 Sunset Blvd, Plano, TXRule0.99D1 member id + dob exact
CLM-427209CLM2026-06-20Rachel Floresflagged2006-02-05UHC-97143-2786435665995831 Sunset Blvd, Plano, TXScored1.00—
ENR-135675ENR2026-07-03Rachel Foresflagged2006-02-05UHC-97143-2786435665995831 Sunset Blvd, Plano, TXRule0.99D1 member id + dob exact
CLM-427210CLM2026-08-09Rachel Floresflagged2006-02-05—86435665995831 Sunset Blvd, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-27989PRVCLM-427210CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427209CLMCLM-427210CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-135676ENRCLM-427209CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-27989PRVCLM-427209CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-62021TPA CLM-427209CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-135676ENRENR-135675ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶PRV-27989PRVENR-135675ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-62021TPA ENR-135675ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-427209CLMENR-135675ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-135676ENRPRV-27989PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-135676ENRTPA-62021TPA 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶PRV-27989PRVTPA-62021TPA 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-135676ENRCLM-427210CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-62021TPA CLM-427210CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-135675ENRCLM-427210CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427210 → UHC-97143-27 (Rachel Flores)
    ACT-008968, Claims processor
  • Outreach address correctedProposed
    Rachel Flores: 5831 Sunset Blvd Apt 39, Plano → 5831 Sunset Blvd, Plano
    ACT-011872, Outreach
  • Duplicate member record retiredExecuted
    Rachel Flores: 2 enrollment records collapsed into UHC-97143-27
    ACT-023968, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd19af6c489
    scoring_agent, CLM-427210, identity id MBR-015165, confidence 1, method probabilistic, matched record PRV-27989, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd9df7c83a5
    matching_agent, ENR-135675, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:54:38Record linked automatically1ebfd3a12e
    scoring_agent, CLM-427209, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5a19b2c92c
    matching_agent, TPA-62021, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:54:38Record linked automatically85106d1eae
    scoring_agent, PRV-27989, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6512bfb501
    matching_agent, ENR-135676, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27989
  • 2026-10-19 19:52:09Record linked automaticallyfdb701a340
    scoring_agent, CLM-427210, identity id MBR-015165, confidence 1, method probabilistic, matched record PRV-27989, policy version 1
  • 2026-10-19 19:52:09Record linked automatically40a9b5c7a3
    matching_agent, ENR-135675, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:52:09Record linked automatically151ad8d744
    scoring_agent, CLM-427209, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf9dd15df09
    matching_agent, TPA-62021, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:52:09Record linked automaticallydf06c8dae3
    scoring_agent, PRV-27989, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycbc2a1ac5f
    matching_agent, ENR-135676, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27989
  • 2026-10-19 19:45:42Record linked automatically1a6ef5ff95
    scoring_agent, CLM-427210, identity id MBR-015165, confidence 1, method probabilistic, matched record PRV-27989, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb40d4db4da
    matching_agent, ENR-135675, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:45:42Record linked automatically4ffb6b5704
    scoring_agent, CLM-427209, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9b6e5d062e
    matching_agent, TPA-62021, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:45:42Record linked automatically948d252331
    scoring_agent, PRV-27989, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:45:42Record linked automatically74bb89bd7c
    matching_agent, ENR-135676, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27989
  • 2026-10-19 19:32:31Record linked automaticallyeaaedd4454
    scoring_agent, CLM-427210, identity id MBR-015165, confidence 1, method probabilistic, matched record PRV-27989, policy version 1
  • 2026-10-19 19:32:31Record linked automatically29dcf0ffc5
    matching_agent, ENR-135675, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:32:31Record linked automaticallyc51ae707be
    scoring_agent, CLM-427209, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc94a1975cd
    matching_agent, TPA-62021, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135676
  • 2026-10-19 19:32:31Record linked automaticallyd012e195a8
    scoring_agent, PRV-27989, identity id MBR-015165, confidence 1, method probabilistic, matched record CLM-427210, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc9c02ec597
    matching_agent, ENR-135676, identity id MBR-015165, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27989
  • 2026-10-19 19:31:28Record linked automatically020492164e
    scoring_agent, CLM-427209, identity id MBR-039915, confidence 0.93, method probabilistic, matched record TPA-61966, policy version 1
  • 2026-10-19 19:31:28Record linked automatically069228c7f1
    scoring_agent, CLM-427210, identity id MBR-025029, confidence 0.99, method probabilistic, matched record TPA-61968, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5f3553ac06
    matching_agent, ENR-135675, identity id MBR-022319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426991
  • 2026-10-19 19:31:28Record linked automatically0e4525542f
    matching_agent, PRV-27989, identity id MBR-013732, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136077

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0288842026-07-14Canyon Diagnostic Imaging
in network
77067$224.00$0.00ApprovedApproved
CLM-2026-0152632026-05-24Pinecrest Bone and Joint Center
in network
27447$37,387.00—Needs reviewNeeds review