Identities/MBR-015167

Gold, golden identity

Alexander Medina

5 source records from 3 feeds.

MBR-015167Verified5 records

Golden record

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

First namePRV: Alexander
Middle name—: —
Last namePRV: Medina
Date of birthPRV: 1962-10-09
GenderPRV: F
Member IDCLM: UHC-92974-96
SSNCLM: •••-••-9992
PhonePRV: 7598484612
EmailCLM: alexander.medina@icloud.com
AddressCLM: 3388 Forest Ave Apt 34
CityPRV: Atlanta
StatePRV: GA
ZIPPRV: 30372
GroupCLM: GRP-3157
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3PRV ×1TPA ×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-400276	CLM	2026-02-22	Alexander Medinaflagged	1962-10-09	—	7598484612	3388 Forest Ave, Atlanta, GA	Scored	1.00	—
PRV-20076	PRV	2026-05-31	Alexander Medinaflagged	1962-10-09	—	7598484612	3388 Forest Ave, Atlanta, GA	Scored	1.00	—
TPA-50116	TPA	2026-08-17	Alexandder Medinaflagged	1962-10-09	UHC-92974-96	—	3388 Forest Ave, Atlanta, GA	Scored	1.00	—
CLM-400275	CLM	2026-08-28	Alexander Medinaflagged	1962-10-09	—	7598484612	3388 Forest Ave, Atlanta, GA	Scored	1.00	—
CLM-400274	CLM	2026-09-20	Alexander Medinaflagged	1962-10-09	UHC-92974-96	7598484612	3388 Forest Ave Apt 34, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-400276CLMCLM-400274CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20076PRVCLM-400274CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400276CLMCLM-400275CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20076PRVCLM-400275CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400276CLMPRV-20076PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50116TPACLM-400275CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400276CLMTPA-50116TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20076PRVTPA-50116TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-50116TPACLM-400274CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400275CLMCLM-400274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
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-400276 → UHC-92974-96 (Alexander Medina)
ACT-002632, Claims processor
Orphan claim re-pointedExecuted
CLM-400275 → UHC-92974-96 (Alexander Medina)
ACT-005589, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically2487dd667d
scoring_agent, CLM-400274, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-22 12:43:54Record linked automaticallyd9f57258b6
scoring_agent, CLM-400275, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-22 12:43:54Record linked automatically7778e0e4a0
scoring_agent, TPA-50116, identity id MBR-015167, confidence 1.00, method probabilistic, matched record CLM-400276, policy version 1
2026-10-22 12:43:54Record linked automatically35e64f7e08
scoring_agent, PRV-20076, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-22 12:43:54Record linked automaticallyab27ed12d4
scoring_agent, CLM-400276, identity id MBR-015167, confidence 1, method probabilistic, matched record PRV-20076, policy version 1
2026-10-19 19:54:38Record linked automatically0ec3f6264e
scoring_agent, CLM-400274, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:54:38Record linked automatically85605087cf
scoring_agent, CLM-400275, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa4a61ad1d
scoring_agent, TPA-50116, identity id MBR-015167, confidence 1.00, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:54:38Record linked automaticallye2f5214feb
scoring_agent, PRV-20076, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:54:38Record linked automatically479ddb21a6
scoring_agent, CLM-400276, identity id MBR-015167, confidence 1, method probabilistic, matched record PRV-20076, policy version 1
2026-10-19 19:52:09Record linked automatically4eb23807e8
scoring_agent, CLM-400274, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:52:09Record linked automaticallyba286424d3
scoring_agent, CLM-400275, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:52:09Record linked automaticallya55d310852
scoring_agent, TPA-50116, identity id MBR-015167, confidence 1.00, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:52:09Record linked automaticallyc043123357
scoring_agent, PRV-20076, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:52:09Record linked automaticallya2c0d7d0ae
scoring_agent, CLM-400276, identity id MBR-015167, confidence 1, method probabilistic, matched record PRV-20076, policy version 1
2026-10-19 19:45:42Record linked automatically82b9d49786
scoring_agent, CLM-400274, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:45:42Record linked automatically96bbcf609c
scoring_agent, CLM-400275, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:45:42Record linked automatically84c248d157
scoring_agent, TPA-50116, identity id MBR-015167, confidence 1.00, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:45:42Record linked automatically77bf0369cc
scoring_agent, PRV-20076, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:45:42Record linked automatically5481b41aa4
scoring_agent, CLM-400276, identity id MBR-015167, confidence 1, method probabilistic, matched record PRV-20076, policy version 1
2026-10-19 19:32:31Record linked automaticallyd96d552f1b
scoring_agent, CLM-400274, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:32:31Record linked automaticallydeff347f77
scoring_agent, CLM-400275, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:32:31Record linked automaticallya4db6e52f3
scoring_agent, TPA-50116, identity id MBR-015167, confidence 1.00, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:32:31Record linked automatically10ec6946fb
scoring_agent, PRV-20076, identity id MBR-015167, confidence 1, method probabilistic, matched record CLM-400276, policy version 1
2026-10-19 19:32:31Record linked automatically21dab0f59b
scoring_agent, CLM-400276, identity id MBR-015167, confidence 1, method probabilistic, matched record PRV-20076, policy version 1
2026-10-19 19:31:28Record linked automatically62bae2e79b
matching_agent, PRV-20076, identity id MBR-029740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400265
2026-10-19 19:31:28Record linked automatically1b5116396a
matching_agent, CLM-400275, identity id MBR-013545, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100404
2026-10-19 19:31:28Record linked automaticallyb6e35cd11d
matching_agent, CLM-400276, identity id MBR-012136, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100408
2026-10-19 19:31:28Record linked automatically5a2083e7fc
scoring_agent, TPA-50116, identity id MBR-006936, confidence 1, method probabilistic, matched record CLM-400270, policy version 1

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-2026-033887	2026-08-16	Meadow Heart Institute in network	93224	$447.00	$202.14	Approved	Approved
CLM-2026-016100	2026-08-11	Meadow Family Practice in network	99214, 99203, 99213	$623.00	$356.26	Approved	Approved
CLM-2026-004888	2026-01-30	Cornerstone Internal Medicine Associates in network	99214, 99215	$608.00	$346.96	Approved	Approved