Identities/MBR-018365
Gold, golden identity

Carlos Maldonado

2 source records from 1 feed.

MBR-018365Verified2 records

Golden record

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

First nameCLM
Carlos
Middle name—
—
Last nameCLM
Maldonado
Date of birthCLM
1990-01-17
GenderCLM
M
Member IDCLM
UHC-37202-97
SSNCLM
•••-••-8694
PhoneCLM
5779465880
Email—
—
AddressCLM
4567 Cedar Ln
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85218
GroupCLM
GRP-0982
PlanCLM
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.97CLMCLM-420799CLMCLM-420800IDMBR-018365
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-420799CLM2026-03-08Carlos Maldonadoflagged1990-01-17—57794658804567 Cedar Ln, Mesa, AZRule0.97D2 ssn4 + dob + last name
CLM-420800CLM2026-08-22Carlos Maldonadoflagged1990-01-17UHC-37202-9757794658804567 Cedar Ln, Mesa, AZRule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-420799 CLMCLM-420800CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420799 → UHC-37202-97 (Carlos Maldonado)
    ACT-005132, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically09378ede89
    matching_agent, CLM-420800, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420799
  • 2026-10-22 12:43:54Record linked automatically20f5a1fed6
    matching_agent, CLM-420799, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420800
  • 2026-10-19 19:54:38Record linked automaticallyfba57b3363
    matching_agent, CLM-420800, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420799
  • 2026-10-19 19:54:38Record linked automatically8623159650
    matching_agent, CLM-420799, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420800
  • 2026-10-19 19:52:09Record linked automaticallybef9e3186c
    matching_agent, CLM-420800, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420799
  • 2026-10-19 19:52:09Record linked automatically5fb76e4d9f
    matching_agent, CLM-420799, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420800
  • 2026-10-19 19:45:42Record linked automatically8b5e6e7596
    matching_agent, CLM-420800, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420799
  • 2026-10-19 19:45:42Record linked automatically93cfbf56a8
    matching_agent, CLM-420799, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420800
  • 2026-10-19 19:32:31Record linked automaticallyacd75abdd6
    matching_agent, CLM-420800, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420799
  • 2026-10-19 19:32:31Record linked automatically13579af2a2
    matching_agent, CLM-420799, identity id MBR-018365, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420800
  • 2026-10-19 19:31:28Record linked automatically044a557662
    matching_agent, CLM-420799, identity id MBR-015029, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420800
  • 2026-10-19 19:31:28Record linked automatically81816ee049
    matching_agent, CLM-420800, identity id MBR-015029, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420798

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0080362026-07-14Lakeside Medical Group
out of network
99395$270.00$101.50ApprovedApproved
CLM-2026-0143542026-02-18Unity Counseling Center
in network
90791, 90834, 90837$792.00$451.04ApprovedApproved