Dorothy Medina

4 source records from 3 feeds.

MBR-017890Verified4 records

Golden record

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

First namePRV: Dorothy
Middle name—: —
Last namePRV: Medina
Date of birthPRV: 1967-10-19
GenderPRV: F
Member IDPRV: UHC-55197-73
SSNCLM: •••-••-1331
PhonePRV: 9407334986
Email—: —
AddressPRV: 1837 Pine Dr
CityPRV: Houston
StatePRV: TX
ZIPPRV: 77041
GroupCLM: GRP-6715
PlanCLM: OPTIONS-PPO

Min confidence

0.99

Sources

TPA ×1PRV ×2CLM ×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
TPA-53214	TPA	2026-03-06	Dot Medinaflagged	1967-10-19	—	—	1837 Pine Dr, Houston, TX	Scored	1.00	—
PRV-22171	PRV	2026-06-29	Dorothy Medinaflagged	1967-10-19	UHC-55197-73	—	1837 Pine Dr, Houston, TX	Scored	1.00	—
CLM-407314	CLM	2026-07-17	Dorothy Medinaflagged	1967-10-19	UHC-55197-73	9407334986	1837 Pine Dr, Houston, TX	Rule	0.99	D1 member id + dob exact
PRV-22172	PRV	2026-07-18	Dorothy Medinaflagged	1967-10-19	UHC-55197-73	9407334986	1837 Pine Dr, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53214TPAPRV-22171PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53214TPAPRV-22172PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22171PRVCLM-407314CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22171PRVPRV-22172PRV0.99RuleD1 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-407314CLMPRV-22172PRV0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-53214TPACLM-407314CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically818782d4ed
scoring_agent, PRV-22172, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:54:38Record linked automaticallyec967ac6b3
matching_agent, CLM-407314, identity id MBR-017890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22171
2026-10-19 19:54:38Record linked automaticallyc25cfb6915
scoring_agent, PRV-22171, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:54:38Record linked automatically55d8f0586f
scoring_agent, TPA-53214, identity id MBR-017890, confidence 1, method probabilistic, matched record PRV-22171, policy version 1
2026-10-19 19:52:09Record linked automatically799eac1e77
scoring_agent, PRV-22172, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:52:09Record linked automaticallye470bb9621
matching_agent, CLM-407314, identity id MBR-017890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22171
2026-10-19 19:52:09Record linked automatically88aabbfc30
scoring_agent, PRV-22171, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:52:09Record linked automaticallyc66b4c505b
scoring_agent, TPA-53214, identity id MBR-017890, confidence 1, method probabilistic, matched record PRV-22171, policy version 1
2026-10-19 19:45:42Record linked automatically5260a4e202
scoring_agent, PRV-22172, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:45:42Record linked automatically816efec3a5
matching_agent, CLM-407314, identity id MBR-017890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22171
2026-10-19 19:45:42Record linked automaticallyb987c139da
scoring_agent, PRV-22171, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:45:42Record linked automatically07bb2f6efe
scoring_agent, TPA-53214, identity id MBR-017890, confidence 1, method probabilistic, matched record PRV-22171, policy version 1
2026-10-19 19:32:31Record linked automaticallyb138cbc32c
scoring_agent, PRV-22172, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:32:31Record linked automaticallybf687aaada
matching_agent, CLM-407314, identity id MBR-017890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22171
2026-10-19 19:32:31Record linked automaticallycd70f678b2
scoring_agent, PRV-22171, identity id MBR-017890, confidence 1, method probabilistic, matched record TPA-53214, policy version 1
2026-10-19 19:32:31Record linked automaticallye85168d8de
scoring_agent, TPA-53214, identity id MBR-017890, confidence 1, method probabilistic, matched record PRV-22171, policy version 1
2026-10-19 19:31:28Record linked automatically3de307f405
matching_agent, TPA-53214, identity id MBR-027893, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109538
2026-10-19 19:31:28Record linked automaticallyee01c44804
matching_agent, PRV-22171, identity id MBR-026193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53256

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-2026-028096	2026-06-12	Evergreen Internal Medicine Associates in network	99232	$239.00	$0.00	Approved	Approved