Identities/MBR-016594

Gold, golden identity

Arthur I Contreras

5 source records from 4 feeds.

MBR-016594Verified5 records

Golden record

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

First nameENR: Arthur
Middle nameENR: I
Last nameENR: Contreras
Date of birthENR: 1943-10-20
GenderCLM: F
Member IDENR: UHC-78188-71
SSNENR: •••-••-3814
PhonePRV: 3339948394
EmailPRV: arthur.contreras@icloud.com
AddressENR: 3294 Baseline Rd
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32277
GroupENR: GRP-7211
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

PRV ×1TPA ×2CLM ×1ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
PRV-21453	PRV	2026-02-28	Arthur Contrerasflagged	1943-10-20	UHC-78188-71	3339948394	3294 Baseline Rd Apt 34, Jacksonville, FL	Scored	1.00	—
TPA-52192	TPA	2026-03-20	Arthur Contrerasflagged	1943-10-20	—	3339948394	3294 Baseline Rd, Jacksonville, FL	Scored	1.00	—
CLM-405013	CLM	2026-04-20	Arthur Contrerasflagged	1943-10-20	—	—	3294 Baseline Rd, Jacksonville, FL	Scored	1.00	—
TPA-52193	TPA	2026-08-08	Arthur Contrerasflagged	1943-10-20	UHC-78188-71	—	3294 Baseline Rd, Jacksonville, FL	Scored	1.00	—
ENR-106606	ENR	2026-09-20	Arthur Contrerasflagged	1943-10-20	UHC-78188-71	—	3294 Baseline Rd, Jacksonville, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-21453PRVCLM-405013CLM1.00Scoredweighted 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

▶TPA-52192TPACLM-405013CLM1.00Scoredweighted 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

▶TPA-52192TPAENR-106606ENR1.00Scoredweighted 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

▶PRV-21453PRVTPA-52192TPA1.00Scoredweighted 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-52192TPATPA-52193TPA1.00Scoredweighted 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-405013CLMTPA-52193TPA1.00Scoredweighted 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

▶PRV-21453PRVENR-106606ENR0.99RuleD1 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

▶TPA-52193TPAENR-106606ENR0.99RuleD1 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-21453PRVTPA-52193TPA0.99RuleD1 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-405013CLMENR-106606ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405013 → UHC-78188-71 (Arthur Contreras)
ACT-005525, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9a159fd1b2
scoring_agent, ENR-106606, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:54:38Record linked automatically7041f38cfa
scoring_agent, TPA-52193, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:54:38Record linked automaticallycd6fbf9e89
scoring_agent, CLM-405013, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:54:38Record linked automatically4ec2881530
scoring_agent, TPA-52192, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:54:38Record linked automatically8eb1ef3d9a
scoring_agent, PRV-21453, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:52:09Record linked automatically99dff97d5f
scoring_agent, ENR-106606, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:52:09Record linked automatically18c0320e39
scoring_agent, TPA-52193, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:52:09Record linked automatically609b00df1f
scoring_agent, CLM-405013, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:52:09Record linked automatically1da1abdca3
scoring_agent, TPA-52192, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:52:09Record linked automatically2b7c60584e
scoring_agent, PRV-21453, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:45:42Record linked automatically379ca0ad22
scoring_agent, ENR-106606, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:45:42Record linked automatically85affe29dd
scoring_agent, TPA-52193, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:45:42Record linked automatically9ba5891c11
scoring_agent, CLM-405013, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:45:42Record linked automatically36117d9890
scoring_agent, TPA-52192, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:45:42Record linked automatically1535209810
scoring_agent, PRV-21453, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:32:31Record linked automatically766005421e
scoring_agent, ENR-106606, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:32:31Record linked automaticallyedba21e612
scoring_agent, TPA-52193, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:32:31Record linked automaticallyd8c38c9db9
scoring_agent, CLM-405013, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:32:31Record linked automaticallya637cdfb4a
scoring_agent, TPA-52192, identity id MBR-016594, confidence 1, method probabilistic, matched record PRV-21453, policy version 1
2026-10-19 19:32:31Record linked automatically023ed5f3ec
scoring_agent, PRV-21453, identity id MBR-016594, confidence 1, method probabilistic, matched record TPA-52192, policy version 1
2026-10-19 19:31:28Record linked automatically0352cfc52e
scoring_agent, PRV-21453, identity id MBR-040337, confidence 1, method probabilistic, matched record CLM-404900, policy version 1
2026-10-19 19:31:28Record linked automatically00a28be747
matching_agent, TPA-52192, identity id MBR-029996, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106416
2026-10-19 19:31:28Record linked automaticallyd486864d75
matching_agent, CLM-405013, identity id MBR-014137, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405012

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-015870	2026-03-20	Sunrise Cardiovascular Associates out of network	93015, 93458	$7,638.00	—	Denied	Denied