James Delgado

4 source records from 3 feeds.

MBR-018511Verified4 recordsOpen steward case

Golden record

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

First namePRV: James
Middle name—: —
Last namePRV: Delgado
Date of birthPRV: 1977-12-02
GenderPRV: M
Member IDPRV: UHC-33344-70
SSNCLM: •••-••-6020
PhonePRV: 2208398187
Email—: —
AddressTPA: 6511 Harbor Blvd
CityPRV: Tampa
StatePRV: FL
ZIPTPA: 33608
GroupCLM: GRP-6493
PlanCLM: OPTIONS-PPO

Min confidence

0.97

Sources

PRV ×1CLM ×2TPA ×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
PRV-20740	PRV	2026-03-09	James Delgadoflagged	1977-12-02	UHC-33344-70	2208398187	7763 Broadway # 785, Tampa, FL	Scored	1.00	—
CLM-402541	CLM	2026-05-07	James Delgadoflagged	1977-12-02	—	2208398187	7763 Broadway # 784, Tampa, FL	Scored	1.00	—
TPA-51075	TPA	2026-08-18	James Dellgadoflagged	1977-12-02	—	—	6511 Harbor Blvd, Tampa, FL	Rule	0.97	D2 ssn4 + dob + last name
CLM-402540	CLM	2026-10-12	James Delgadoflagged	—	—	2208398187	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-402541CLMCLM-402540CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight
Name	1.00	3
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20740PRVCLM-402541CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-402541CLMTPA-51075TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20740PRVCLM-402540CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

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

▶PRV-20740PRVTPA-51075TPA0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402541 → UHC-33344-70 (James Delgado)
ACT-003963, Claims processor
Orphan claim re-pointedExecuted
CLM-402540 → UHC-33344-70 (James Delgado)
ACT-006877, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically70ee250303
scoring_agent, CLM-402540, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:54:38Record linked automatically742b40bfd6
matching_agent, TPA-51075, identity id MBR-018511, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402541
2026-10-19 19:54:38Record linked automatically2be9f65bbe
scoring_agent, CLM-402541, identity id MBR-018511, confidence 1, method probabilistic, matched record PRV-20740, policy version 1
2026-10-19 19:54:38Record linked automatically925bb64d03
scoring_agent, PRV-20740, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:52:09Record linked automaticallya86636d21f
scoring_agent, CLM-402540, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:52:09Record linked automatically31e8d75d0d
matching_agent, TPA-51075, identity id MBR-018511, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402541
2026-10-19 19:52:09Record linked automatically62ec241398
scoring_agent, CLM-402541, identity id MBR-018511, confidence 1, method probabilistic, matched record PRV-20740, policy version 1
2026-10-19 19:52:09Record linked automaticallyedee422107
scoring_agent, PRV-20740, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:45:42Record linked automatically69f083a724
scoring_agent, CLM-402540, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:45:42Record linked automatically521d4573de
matching_agent, TPA-51075, identity id MBR-018511, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402541
2026-10-19 19:45:42Record linked automaticallyb44a89ebb2
scoring_agent, CLM-402541, identity id MBR-018511, confidence 1, method probabilistic, matched record PRV-20740, policy version 1
2026-10-19 19:45:42Record linked automaticallyee57a7bdcb
scoring_agent, PRV-20740, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:32:31Record linked automatically3749f5fa5d
scoring_agent, CLM-402540, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:32:31Record linked automatically0c196a3012
matching_agent, TPA-51075, identity id MBR-018511, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402541
2026-10-19 19:32:31Record linked automaticallyf6c0fc19e9
scoring_agent, CLM-402541, identity id MBR-018511, confidence 1, method probabilistic, matched record PRV-20740, policy version 1
2026-10-19 19:32:31Record linked automaticallyd0243bc793
scoring_agent, PRV-20740, identity id MBR-018511, confidence 1, method probabilistic, matched record CLM-402541, policy version 1
2026-10-19 19:31:28Record linked automaticallydda6c9d220
matching_agent, TPA-51075, identity id MBR-031998, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103114
2026-10-19 19:31:28Record linked automaticallyd97a40b657
scoring_agent, PRV-20740, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-51090, policy version 1
2026-10-19 19:31:28Record linked automaticallyfd99de182f
matching_agent, CLM-402541, identity id MBR-000475, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402542
2026-10-19 19:31:28Record linked automatically04e4b0c6dc
scoring_agent, CLM-402540, identity id MBR-000475, confidence 1, method probabilistic, matched record CLM-402542, policy version 1

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-2026-020844	2026-09-24	Mesa Physical Therapy in network	97110, 97014	$359.00	—	Denied	Denied
CLM-2026-020843	2026-09-24	Mesa Physical Therapy in network	97110, 97014	$359.00	$197.58	Approved	Approved
CLM-2026-010081	2026-04-22	Valley Community Hospital out of network	96374, 99284	$1,309.00	$490.95	Approved	Approved