Identities/MBR-018192
Gold, golden identity

Joan Maldonado

4 source records from 2 feeds.

MBR-018192Verified4 records

Golden record

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

First nameENR
Joan
Middle name—
—
Last nameENR
Maldonado
Date of birthENR
1990-12-10
GenderENR
F
Member IDENR
UHC-93987-64
SSNENR
•••-••-5808
PhoneENR
9547456209
EmailENR
joan.maldonado@gmail.com
AddressENR
1564 Ridge Rd
CityENR
Tampa
StateENR
FL
ZIPENR
33607
GroupENR
GRP-8476
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-421013CLMCLM-421012CLMCLM-421011ENRENR-127599IDMBR-018192
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-421013CLM2026-03-08Joan Maldonadoflagged1990-12-10UHC-93987-64—1564 Ridge Rd, Tampa, FLRule0.99D1 member id + dob exact
CLM-421012CLM2026-09-06Joan Maldonadoflagged1990-12-10UHC-93987-6495474562091564 Ridge Rd, Tampa, FLRule0.99D1 member id + dob exact
CLM-421011CLM2026-09-23Joan Maldonadoflagged1990-12-10UHC-93987-6495474562091564 Ridge Rd, Tampa, FLRule0.99D1 member id + dob exact
ENR-127599ENR2026-10-15Joan Maldonadoflagged1990-12-10UHC-93987-6495474562091564 Ridge Rd, Tampa, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421013CLMCLM-421011CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421012CLMCLM-421011CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421013CLMCLM-421012CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421013CLMENR-127599ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421012CLMENR-127599ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421011CLMENR-127599ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
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
    Joan Maldonado: 3 claims, no attributed provider
    ACT-018992, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically2a17f76fd7
    matching_agent, ENR-127599, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:54:38Record linked automaticallyb8561a3947
    matching_agent, CLM-421011, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:54:38Record linked automaticallyb30ebd31e0
    matching_agent, CLM-421012, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:54:38Record linked automatically4fee343574
    matching_agent, CLM-421013, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421012
  • 2026-10-19 19:52:09Record linked automatically91d5509c90
    matching_agent, ENR-127599, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:52:09Record linked automatically7f74896341
    matching_agent, CLM-421011, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:52:09Record linked automaticallya1c1f2d738
    matching_agent, CLM-421012, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:52:09Record linked automatically833beb0e9a
    matching_agent, CLM-421013, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421012
  • 2026-10-19 19:45:42Record linked automatically2078f4e964
    matching_agent, ENR-127599, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:45:42Record linked automatically50ce809757
    matching_agent, CLM-421011, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:45:42Record linked automatically0ff5345014
    matching_agent, CLM-421012, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:45:42Record linked automatically404fd0f7d7
    matching_agent, CLM-421013, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421012
  • 2026-10-19 19:32:31Record linked automatically0106f8587b
    matching_agent, ENR-127599, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:32:31Record linked automatically5a25ca7f7c
    matching_agent, CLM-421011, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:32:31Record linked automatically37fc2dbe98
    matching_agent, CLM-421012, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421013
  • 2026-10-19 19:32:31Record linked automaticallye83c829dbf
    matching_agent, CLM-421013, identity id MBR-018192, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421012
  • 2026-10-19 19:31:28Record linked automaticallyccda32d46a
    matching_agent, ENR-127599, identity id MBR-033410, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421051
  • 2026-10-19 19:31:28Record linked automatically68aa94fc93
    matching_agent, CLM-421012, identity id MBR-020594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26159
  • 2026-10-19 19:31:28Record linked automatically181007cf1e
    scoring_agent, CLM-421013, identity id MBR-012253, confidence 0.99, method probabilistic, matched record CLM-421014, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7ded423675
    scoring_agent, CLM-421011, identity id MBR-012169, confidence 1, method probabilistic, matched record TPA-59166, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0298542026-09-04Riverside Digestive Health Center
in network
45378$2,230.00$709.17ApprovedApproved
CLM-2026-0299662026-07-24Riverside Internal Medicine Associates
out of network
93000$83.00—DeniedDenied
CLM-2026-0299652026-07-24Riverside Internal Medicine Associates
out of network
93000$83.00$0.00ApprovedApproved
CLM-2026-0064462026-02-22Meadow Diagnostic Imaging
out of network
71046$166.00$0.00ApprovedApproved