Identities/MBR-017686

Gold, golden identity

Mateo Perez

5 source records from 3 feeds.

MBR-017686Verified5 records

Golden record

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

First nameENR: Mateo
Middle name—: —
Last nameENR: Perez
Date of birthENR: 2003-01-14
GenderENR: F
Member IDENR: UHC-46817-61
SSNENR: •••-••-6138
PhoneENR: 9009394352
EmailENR: mateo.perez@gmail.com
AddressENR: 2630 Maple Ave
CityENR: Tampa
StateENR: FL
ZIPENR: 33636
GroupENR: GRP-7687
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

TPA ×1ENR ×1CLM ×3

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
TPA-56405	TPA	2026-03-05	Mateo Perezflagged	2003-01-14	—	—	2630 Maple Ave, Tampa, FL	Scored	1.00	—
ENR-119114	ENR	2026-05-06	Mateo Perezflagged	2003-01-14	UHC-46817-61	9009394352	2630 Maple Ave, Tampa, FL	Scored	1.00	—
CLM-414521	CLM	2026-06-17	Mateo Perezflagged	2003-01-14	—	—	2630 Maple Ave, Tampa, FL	Scored	1.00	—
CLM-414520	CLM	2026-09-12	Mateo Perezflagged	2003-01-14	—	—	2630 Maple Ave, Tampa, FL	Scored	1.00	—
CLM-414522	CLM	2026-10-13	Mateo Perezflagged	—	—	9009394352	2630 Maple Ave, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-414521CLMCLM-414520CLM1.00Scoredweighted 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-56405TPACLM-414521CLM1.00Scoredweighted 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

▶ENR-119114ENRCLM-414521CLM1.00Scoredweighted 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

▶ENR-119114ENRCLM-414522CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-56405TPACLM-414520CLM0.97RuleD2 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

▶ENR-119114ENRCLM-414520CLM0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-56405TPAENR-119114ENR0.97RuleD2 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

▶TPA-56405TPACLM-414522CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-414521CLMCLM-414522CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-414520CLMCLM-414522CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414520 → UHC-46817-61 (Mateo Perez)
ACT-002249, Claims processor
Orphan claim re-pointedExecuted
CLM-414521 → UHC-46817-61 (Mateo Perez)
ACT-004642, Claims processor
Orphan claim re-pointedExecuted
CLM-414522 → UHC-46817-61 (Mateo Perez)
ACT-010351, Claims processor
Care coordination outreachProposed
Mateo Perez: 3 claims, no attributed provider
ACT-018973, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically77086b7a05
scoring_agent, CLM-414522, identity id MBR-017686, confidence 1, method probabilistic, matched record ENR-119114, policy version 1
2026-10-19 19:54:38Record linked automatically77393d68d2
scoring_agent, CLM-414520, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:54:38Record linked automatically641e99d6a9
scoring_agent, CLM-414521, identity id MBR-017686, confidence 1, method probabilistic, matched record TPA-56405, policy version 1
2026-10-19 19:54:38Record linked automaticallyc2a833298a
scoring_agent, ENR-119114, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:54:38Record linked automaticallyac956319fe
scoring_agent, TPA-56405, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:52:09Record linked automatically86c8ec11ab
scoring_agent, CLM-414522, identity id MBR-017686, confidence 1, method probabilistic, matched record ENR-119114, policy version 1
2026-10-19 19:52:09Record linked automatically1b06bc1568
scoring_agent, CLM-414520, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:52:09Record linked automatically18d6033969
scoring_agent, CLM-414521, identity id MBR-017686, confidence 1, method probabilistic, matched record TPA-56405, policy version 1
2026-10-19 19:52:09Record linked automatically951c03f86b
scoring_agent, ENR-119114, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:52:09Record linked automatically814bc2a1f2
scoring_agent, TPA-56405, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:45:42Record linked automaticallyb408411fb8
scoring_agent, CLM-414522, identity id MBR-017686, confidence 1, method probabilistic, matched record ENR-119114, policy version 1
2026-10-19 19:45:42Record linked automatically15d6d82564
scoring_agent, CLM-414520, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:45:42Record linked automatically695aeae9a0
scoring_agent, CLM-414521, identity id MBR-017686, confidence 1, method probabilistic, matched record TPA-56405, policy version 1
2026-10-19 19:45:42Record linked automaticallye162d3e061
scoring_agent, ENR-119114, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:45:42Record linked automaticallyc094478d78
scoring_agent, TPA-56405, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:32:31Record linked automaticallye448315119
scoring_agent, CLM-414522, identity id MBR-017686, confidence 1, method probabilistic, matched record ENR-119114, policy version 1
2026-10-19 19:32:31Record linked automatically2207e56f15
scoring_agent, CLM-414520, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:32:31Record linked automaticallya609512ad4
scoring_agent, CLM-414521, identity id MBR-017686, confidence 1, method probabilistic, matched record TPA-56405, policy version 1
2026-10-19 19:32:31Record linked automatically07f4f0304f
scoring_agent, ENR-119114, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:32:31Record linked automatically31680b9fb4
scoring_agent, TPA-56405, identity id MBR-017686, confidence 1, method probabilistic, matched record CLM-414521, policy version 1
2026-10-19 19:31:28Record linked automatically523a428476
matching_agent, CLM-414520, identity id MBR-032120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119039
2026-10-19 19:31:28Record linked automaticallyd48af6e8c8
matching_agent, CLM-414522, identity id MBR-030725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24261
2026-10-19 19:31:28Record linked automatically3fab2be14f
scoring_agent, CLM-414521, identity id MBR-030725, confidence 0.98, method probabilistic, matched record ENR-119040, policy version 1
2026-10-19 19:31:28Record linked automatically8187bb00e3
scoring_agent, TPA-56405, identity id MBR-030175, confidence 1, method probabilistic, matched record CLM-414744, policy version 1
2026-10-19 19:31:28Record linked automatically4ed838893a
matching_agent, ENR-119114, identity id MBR-026247, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414576

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-2026-034284	2026-09-23	Meadow Diagnostic Imaging out of network	70553, 76700	$3,143.00	—	Denied	Denied
CLM-2026-003467	2026-08-07	Evergreen Internal Medicine Associates in network	99214	$271.00	—	Needs review	Needs review
CLM-2026-003466	2026-08-07	Evergreen Internal Medicine Associates in network	99214	$271.00	$148.02	Approved	Approved
CLM-2026-012539	2026-05-07	Pinecrest Internal Medicine Associates in network	99232	$189.00	$0.00	Approved	Approved