Identities/MBR-019692
Gold, golden identity

Teresa D Gonzales

3 source records from 2 feeds.

MBR-019692Verified3 records

Golden record

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

First nameENR
Teresa
Middle nameCLM
D
Last nameENR
Gonzales
Date of birthENR
1961-04-23
GenderCLM
M
Member IDENR
UHC-82828-61
SSNENR
•••-••-8835
PhoneENR
4467870483
Email—
—
AddressENR
9167 Grand Ave
CityENR
Houston
StateENR
TX
ZIPENR
77037
GroupENR
GRP-6303
PlanENR
MEDICARE-ADV-A
Min confidence
0.94
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.940.970.97CLMCLM-410684CLMCLM-410683ENRENR-114019IDMBR-019692
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-410684CLM2026-03-14Teresa Gonzalesflagged1961-04-23—44678704839167 Grand Ave, Houston, TXScored0.94—
CLM-410683CLM2026-04-14Teresa Gonzalesflagged1961-04-23———Rule0.97D2 ssn4 + dob + last name
ENR-114019ENR2026-05-28Teresa Gonzalesflagged1961-04-23UHC-82828-6144678704839167 Grand Ave, Houston, TXRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410683CLMENR-114019ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410684CLMENR-114019ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410684CLMCLM-410683CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410684 → UHC-82828-61 (Teresa Gonzales)
    ACT-006452, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410683 → UHC-82828-61 (Teresa Gonzales)
    ACT-010019, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1396be1016
    matching_agent, ENR-114019, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410683
  • 2026-10-19 19:54:38Record linked automatically887df7858e
    matching_agent, CLM-410683, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114019
  • 2026-10-19 19:54:38Record linked automatically7a4155f60b
    scoring_agent, CLM-410684, identity id MBR-019692, confidence 0.94, method probabilistic, matched record ENR-114019, policy version 1
  • 2026-10-19 19:52:09Record linked automatically45a1b8923d
    matching_agent, ENR-114019, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410683
  • 2026-10-19 19:52:09Record linked automatically0d36eecdbb
    matching_agent, CLM-410683, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114019
  • 2026-10-19 19:52:09Record linked automatically207299c36c
    scoring_agent, CLM-410684, identity id MBR-019692, confidence 0.94, method probabilistic, matched record ENR-114019, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9bc608b6ee
    matching_agent, ENR-114019, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410683
  • 2026-10-19 19:45:42Record linked automatically973b337bd7
    matching_agent, CLM-410683, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114019
  • 2026-10-19 19:45:42Record linked automaticallye5805855ea
    scoring_agent, CLM-410684, identity id MBR-019692, confidence 0.94, method probabilistic, matched record ENR-114019, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycd9b1ee0b7
    matching_agent, ENR-114019, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410683
  • 2026-10-19 19:32:31Record linked automatically0cd7bea210
    matching_agent, CLM-410683, identity id MBR-019692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114019
  • 2026-10-19 19:32:31Record linked automatically93f433f7f1
    scoring_agent, CLM-410684, identity id MBR-019692, confidence 0.94, method probabilistic, matched record ENR-114019, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd81d8f2d35
    scoring_agent, ENR-114019, identity id MBR-025382, confidence 0.93, method probabilistic, matched record CLM-410596, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya92f1c1125
    matching_agent, CLM-410684, identity id MBR-003097, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114149
  • 2026-10-19 19:31:28Record linked automatically86cf0c1bab
    matching_agent, CLM-410683, identity id MBR-000248, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114147

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0330352026-03-21Meadow Imaging Center
in network
74177$1,576.00$0.00ApprovedApproved
CLM-2026-0193122026-02-10Mesa Orthopedic Specialists
out of network
99213, 20610$421.00—Needs reviewNeeds review
CLM-2026-0193112026-02-10Mesa Orthopedic Specialists
out of network
99213, 20610$421.00$114.45ApprovedApproved