Identities/MBR-019240
Gold, golden identity

Randy Maldonado

3 source records from 2 feeds.

MBR-019240Verified3 records

Golden record

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

First namePRV
Randy
Middle name—
—
Last namePRV
Maldonado
Date of birthPRV
1963-10-24
GenderCLM
M
Member IDPRV
UHC-17028-42
SSNPRV
•••-••-5169
PhonePRV
5507664265
Email—
—
AddressPRV
8563 Apache Blvd Apt 11
CityPRV
Glendale
StatePRV
AZ
ZIP—
—
GroupCLM
GRP-1749
PlanCLM
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99CLMCLM-424161CLMCLM-424160PRVPRV-27119IDMBR-019240
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-424161CLM2026-03-12Randy Maldonadoflagged1963-10-24UHC-17028-42—8563 Apache Blvd, Glendale, AZScored0.99—
CLM-424160CLM2026-06-29Ranyd Maldonadoflagged1963-10-24—55076642658563 Apache Blvd, Glendale, AZScored0.99—
PRV-27119PRV2026-10-14Randy Maldonadoflagged1963-10-24UHC-17028-4255076642658563 Apache Blvd Apt 11, Glendale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424161CLMCLM-424160CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424161CLMPRV-27119PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424160CLMPRV-27119PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424160 → UHC-17028-42 (Randy Maldonado)
    ACT-001675, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0bf367fa28
    matching_agent, PRV-27119, identity id MBR-019240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424161
  • 2026-10-19 19:54:38Record linked automatically8b26db0bb9
    scoring_agent, CLM-424160, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424161, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3858ee05cd
    scoring_agent, CLM-424161, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424160, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0109a69bb7
    matching_agent, PRV-27119, identity id MBR-019240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424161
  • 2026-10-19 19:52:09Record linked automaticallybe304bec0e
    scoring_agent, CLM-424160, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424161, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb62fd1cf20
    scoring_agent, CLM-424161, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424160, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6f4751caf6
    matching_agent, PRV-27119, identity id MBR-019240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424161
  • 2026-10-19 19:45:42Record linked automatically166d8608b9
    scoring_agent, CLM-424160, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424161, policy version 1
  • 2026-10-19 19:45:42Record linked automatically988de585c5
    scoring_agent, CLM-424161, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424160, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd5ba7b2ebb
    matching_agent, PRV-27119, identity id MBR-019240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424161
  • 2026-10-19 19:32:31Record linked automaticallyed486c64c7
    scoring_agent, CLM-424160, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424161, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2466c429b8
    scoring_agent, CLM-424161, identity id MBR-019240, confidence 0.99, method probabilistic, matched record CLM-424160, policy version 1
  • 2026-10-19 19:31:28Record linked automatically77ef152c53
    matching_agent, PRV-27119, identity id MBR-022820, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131757
  • 2026-10-19 19:31:28Record linked automaticallya4b22511ae
    matching_agent, CLM-424161, identity id MBR-001992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131783
  • 2026-10-19 19:31:28Record linked automatically74caaad28f
    matching_agent, CLM-424160, identity id MBR-001429, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131781

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0013462026-05-15Mesa Clinical Laboratories
out of network
80061, 85025$106.00—DeniedDenied
CLM-2026-0224202026-03-03Evergreen Counseling Center
in network
90834$199.00—Needs reviewNeeds review