Identities/MBR-019571
Gold, golden identity

Grace S Maldonado

4 source records from 3 feeds.

MBR-019571Verified4 records

Golden record

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

First namePRV
Grace
Middle nameENR
S
Last namePRV
Maldonado
Date of birthPRV
1945-01-19
GenderENR
M
Member IDENR
UHC-96133-18
SSNENR
•••-••-5570
PhonePRV
9109435868
EmailENR
grace.maldonado@gmail.com
AddressENR
6552 Baseline Rd
CityENR
Jacksonville
StateENR
FL
ZIPENR
32265
GroupENR
GRP-0358
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
CLM ×2PRV ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.970.96CLMCLM-413270PRVPRV-23853CLMCLM-413271ENRENR-117415IDMBR-019571
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-413270CLM2026-03-14Grace Maldonadoflagged1945-01-19UHC-96133-18—902 Lincoln Way, Orlando, FLRule0.99D1 member id + dob exact
PRV-23853PRV2026-06-29Grace Maldonadoflagged1945-01-19UHC-96133-189109435868902 Lincoln Way, Orlando, FLRule0.99D1 member id + dob exact
CLM-413271CLM2026-08-17Grace Maldonadoflagged1945-01-19———Rule0.97D2 ssn4 + dob + last name
ENR-117415ENR2026-09-22Maldonado Graceflagged—UHC-96133-18—6552 Baseline Rd, Jacksonville, FLRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413270CLMPRV-23853PRV0.99RuleD1 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-413270CLMCLM-413271CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23853PRVCLM-413271CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413270CLMENR-117415ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23853PRVENR-117415ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address0.002different
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413271 → UHC-96133-18 (Grace Maldonado)
    ACT-003559, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically37e433ef65
    matching_agent, ENR-117415, identity id MBR-019571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413270
  • 2026-10-22 12:43:54Record linked automaticallye9ed41acb7
    matching_agent, CLM-413271, identity id MBR-019571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413270
  • 2026-10-22 12:43:54Record linked automatically433fe9d80f
    matching_agent, PRV-23853, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413270
  • 2026-10-22 12:43:54Record linked automatically16a1491138
    matching_agent, CLM-413270, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23853
  • 2026-10-19 19:54:38Record linked automaticallydd51ce5615
    matching_agent, ENR-117415, identity id MBR-019571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:54:38Record linked automaticallybb92fd9e50
    matching_agent, CLM-413271, identity id MBR-019571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:54:38Record linked automatically37479a2f77
    matching_agent, PRV-23853, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413270
  • 2026-10-19 19:54:38Record linked automatically0925a229d1
    matching_agent, CLM-413270, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23853
  • 2026-10-19 19:52:09Record linked automaticallyd76aee3315
    matching_agent, ENR-117415, identity id MBR-019571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:52:09Record linked automaticallyaa2dd70bdf
    matching_agent, CLM-413271, identity id MBR-019571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:52:09Record linked automatically1e14f30a61
    matching_agent, PRV-23853, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413270
  • 2026-10-19 19:52:09Record linked automaticallybccb0a2283
    matching_agent, CLM-413270, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23853
  • 2026-10-19 19:45:42Record linked automatically95e0b33f3d
    matching_agent, ENR-117415, identity id MBR-019571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:45:42Record linked automaticallyff4a94f270
    matching_agent, CLM-413271, identity id MBR-019571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:45:42Record linked automaticallyf8eaeca3b3
    matching_agent, PRV-23853, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413270
  • 2026-10-19 19:45:42Record linked automatically5248405c53
    matching_agent, CLM-413270, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23853
  • 2026-10-19 19:32:31Record linked automatically90fef43d8b
    matching_agent, ENR-117415, identity id MBR-019571, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:32:31Record linked automatically0ca2caed38
    matching_agent, CLM-413271, identity id MBR-019571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413270
  • 2026-10-19 19:32:31Record linked automaticallye13454e131
    matching_agent, PRV-23853, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413270
  • 2026-10-19 19:32:31Record linked automatically726c3b9d6c
    matching_agent, CLM-413270, identity id MBR-019571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23853
  • 2026-10-19 19:31:28Record linked automaticallyd6bb722129
    matching_agent, CLM-413271, identity id MBR-046036, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117531
  • 2026-10-19 19:31:28Record linked automatically798db64761
    matching_agent, CLM-413270, identity id MBR-038700, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117530
  • 2026-10-19 19:31:28Record linked automaticallyc7e0e1eaf7
    matching_agent, PRV-23853, identity id MBR-000396, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117220

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0084132026-07-06Heritage Imaging Center
in network
77067$382.00$18.17ApprovedApproved
CLM-2026-0183412026-03-08Pinecrest Behavioral Health
in network
99214$276.00—Needs reviewNeeds review