Identities/MBR-016927
Gold, golden identity

Sean Alvarado

4 source records from 2 feeds.

MBR-016927Verified4 recordsOpen steward case

Golden record

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

First nameCLM
Sean
Middle name—
—
Last nameCLM
Alvarado
Date of birthCLM
1974-11-08
GenderCLM
M
Member IDCLM
UHC-95582-59
SSN—
—
PhoneCLM
4724395793
Email—
—
AddressCLM
3881 Palm Dr
CityCLM
Los Angeles
StateCLM
CA
ZIPCLM
90000
GroupCLM
GRP-5900
PlanCLM
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-401990TPATPA-50860CLMCLM-401989CLMCLM-401991IDMBR-016927
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-401990CLM2026-03-02Sean Alvaradoflagged1974-11-08UHC-95582-59—3881 Palm Dr, Los Angeles, CAScored1.00—
TPA-50860TPA2026-07-23Sean Alvaradoflagged1974-11-08——3881 Palm Dr, Los Angeles, CAScored1.00—
CLM-401989CLM2026-09-24Sean Alvaradoflagged1974-11-08UHC-95582-5947243957933881 Palm Dr, Los Angeles, CAScored1.00—
CLM-401991CLM2026-09-28Alvarado Seanflagged1974-11-08UHC-95582-5947243957933881 Palm Dr, Los Angeles, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50860TPACLM-401989CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401990CLMTPA-50860TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401990CLMCLM-401989CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401990CLMCLM-401991CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401989CLMCLM-401991CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Sean Alvarado: 3 claims, no attributed provider
    ACT-018932, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8a3f05ba70
    matching_agent, CLM-401991, identity id MBR-016927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401990
  • 2026-10-19 19:54:38Record linked automatically193272b107
    scoring_agent, CLM-401989, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:54:38Record linked automatically302eec2349
    scoring_agent, TPA-50860, identity id MBR-016927, confidence 1, method probabilistic, matched record CLM-401990, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7b2f6f0444
    scoring_agent, CLM-401990, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7c47d71cf6
    matching_agent, CLM-401991, identity id MBR-016927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401990
  • 2026-10-19 19:52:09Record linked automatically3c6757a54b
    scoring_agent, CLM-401989, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydc3d1bfc3b
    scoring_agent, TPA-50860, identity id MBR-016927, confidence 1, method probabilistic, matched record CLM-401990, policy version 1
  • 2026-10-19 19:52:09Record linked automatically294c69a83e
    scoring_agent, CLM-401990, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2d70da2c9d
    matching_agent, CLM-401991, identity id MBR-016927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401990
  • 2026-10-19 19:45:42Record linked automaticallyb0666ea77d
    scoring_agent, CLM-401989, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0a20905af4
    scoring_agent, TPA-50860, identity id MBR-016927, confidence 1, method probabilistic, matched record CLM-401990, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2269bf4105
    scoring_agent, CLM-401990, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:32:31Record linked automatically54df394ad4
    matching_agent, CLM-401991, identity id MBR-016927, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401990
  • 2026-10-19 19:32:31Record linked automaticallyb78397a186
    scoring_agent, CLM-401989, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf66370bc29
    scoring_agent, TPA-50860, identity id MBR-016927, confidence 1, method probabilistic, matched record CLM-401990, policy version 1
  • 2026-10-19 19:32:31Record linked automatically47048c4d72
    scoring_agent, CLM-401990, identity id MBR-016927, confidence 1, method probabilistic, matched record TPA-50860, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4fa601f30f
    scoring_agent, CLM-401991, identity id MBR-012129, confidence 1, method probabilistic, matched record TPA-50882, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0072282026-09-15Mesa Family Practice
in network
90471, 99214, 99203$422.00—DeniedDenied
CLM-2026-0112902026-08-27Northgate Primary Care Associates
out of network
99203, 99395$420.00—DeniedDenied
CLM-2026-0161812026-02-27Sunrise Cardiovascular Associates
out of network
93224$277.00$49.65ApprovedApproved