Identities/MBR-019454

Gold, golden identity

Margaret K Chavez

6 source records from 3 feeds.

MBR-019454Verified6 records

Golden record

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

First nameCLM: Margaret
Middle nameCLM: K
Last nameENR: Chavez
Date of birthENR: 1951-03-19
GenderENR: M
Member IDENR: UHC-92419-11
SSNENR: •••-••-6659
PhoneENR: 8756610430
EmailCLM: margaret.chavez@outlook.com
AddressENR: 5663 Spring St
CityENR: Minneapolis
StateENR: MN
ZIPENR: 55457
GroupENR: GRP-0692
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

ENR ×1CLM ×4TPA ×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
ENR-100618	ENR	2026-03-13	Peggy Chavezflagged	1951-03-19	UHC-92419-11	8756610430	5663 Spring St, Minneapolis, MN	Scored	1.00	—
CLM-400450	CLM	2026-03-15	Margaret Chavezflagged	1951-03-19	UHC-92419-11	—	5663 Spring St, Minneapolis, MN	Scored	1.00	—
CLM-400449	CLM	2026-09-03	Margaret Cavezflagged	1951-03-19	UHC-92419-11	—	5663 Spring St # 869, Minneapolis, MN	Rule	0.99	D1 member id + dob exact
CLM-400452	CLM	2026-09-20	Margaret Chavezflagged	1951-03-19	UHC-92419-11	8756610430	—	Rule	0.99	D1 member id + dob exact
CLM-400451	CLM	2026-09-29	Margaret Chavezflagged	1951-03-19	UHC-92419-11	8756610430	5663 Spring St, Minneapolis, MN	Scored	1.00	—
TPA-50193	TPA	2026-10-05	Margaret Chavezflagged	1951-03-19	—	—	5663 Spring St, Minneapolis, MN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-100618ENRTPA-50193TPA 1.00Scoredweighted 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

▶CLM-400450CLMTPA-50193TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400451CLMTPA-50193TPA 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-100618ENRCLM-400449CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400450CLMCLM-400449CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100618ENRCLM-400450CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-100618ENRCLM-400451CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400450CLMCLM-400451CLM0.99RuleD1 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-400449CLMCLM-400451CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400452CLMCLM-400451CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100618ENRCLM-400452CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400450CLMCLM-400452CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400449CLMCLM-400452CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400449CLMTPA-50193TPA 0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400452CLMTPA-50193TPA 0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Margaret Chavez: 4 claims, no attributed provider
ACT-019058, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb863937e3a
scoring_agent, TPA-50193, identity id MBR-019454, confidence 1, method probabilistic, matched record ENR-100618, policy version 1
2026-10-19 19:54:38Record linked automatically01d96642a3
scoring_agent, CLM-400451, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:54:38Record linked automaticallye2deb9dc74
matching_agent, CLM-400452, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:54:38Record linked automaticallye47b7ced58
matching_agent, CLM-400449, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:54:38Record linked automatically60a107d692
scoring_agent, CLM-400450, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:54:38Record linked automaticallyd624208fbc
scoring_agent, ENR-100618, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:52:09Record linked automatically62d540315f
scoring_agent, TPA-50193, identity id MBR-019454, confidence 1, method probabilistic, matched record ENR-100618, policy version 1
2026-10-19 19:52:09Record linked automatically9151212e49
scoring_agent, CLM-400451, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:52:09Record linked automatically6fab7707c6
matching_agent, CLM-400452, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:52:09Record linked automatically82079b658f
matching_agent, CLM-400449, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:52:09Record linked automatically97672b94f2
scoring_agent, CLM-400450, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:52:09Record linked automatically0c3c3bf1f9
scoring_agent, ENR-100618, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:45:42Record linked automaticallyb6ad3a2a32
scoring_agent, TPA-50193, identity id MBR-019454, confidence 1, method probabilistic, matched record ENR-100618, policy version 1
2026-10-19 19:45:42Record linked automatically5759c29435
scoring_agent, CLM-400451, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:45:42Record linked automatically9ef53f41b4
matching_agent, CLM-400452, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:45:42Record linked automatically850453659f
matching_agent, CLM-400449, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:45:42Record linked automatically90b719030a
scoring_agent, CLM-400450, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:45:42Record linked automaticallya484cf48fa
scoring_agent, ENR-100618, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:32:31Record linked automatically17f8b70a1a
scoring_agent, TPA-50193, identity id MBR-019454, confidence 1, method probabilistic, matched record ENR-100618, policy version 1
2026-10-19 19:32:31Record linked automatically0154e819ac
scoring_agent, CLM-400451, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:32:31Record linked automatically9fcfa26366
matching_agent, CLM-400452, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:32:31Record linked automatically0dee1af956
matching_agent, CLM-400449, identity id MBR-019454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100618
2026-10-19 19:32:31Record linked automatically7241ca9e71
scoring_agent, CLM-400450, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:32:31Record linked automaticallyed926c0ba6
scoring_agent, ENR-100618, identity id MBR-019454, confidence 1, method probabilistic, matched record TPA-50193, policy version 1
2026-10-19 19:31:28Record linked automaticallybedca75393
scoring_agent, CLM-400449, identity id MBR-044393, confidence 1, method probabilistic, matched record PRV-20133, policy version 1
2026-10-19 19:31:28Record linked automaticallycd83625b62
matching_agent, CLM-400450, identity id MBR-021084, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100650

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-2026-002545	2026-09-14	Evergreen Family Practice in network	99214	$228.00	$101.36	Approved	Approved
CLM-2026-001707	2026-09-14	Riverside Medical Group in network	99213	$148.00	$51.76	Approved	Approved
CLM-2026-031823	2026-08-13	Canyon Diagnostic Imaging in network	71046, 70553	$2,256.00	—	Needs review	Needs review
CLM-2026-033551	2026-02-03	Sunrise Community Hospital in network	96374, 99283, 99285	$4,022.00	$2,070.75	Approved	Approved