Arthur Torres

4 source records from 2 feeds.

MBR-019719Verified4 records

Golden record

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

First nameCLM: Arthur
Middle name—: —
Last nameCLM: Torres
Date of birthCLM: 2005-05-12
GenderCLM: F
Member IDCLM: UHC-83889-10
SSN—: —
PhoneCLM: 3305416365
Email—: —
AddressCLM: 3615 Valley View Dr
CityCLM: Denver
StateCLM: CO
ZIPCLM: 80265
GroupCLM: GRP-7675
PlanCLM: SELECT-EPO

Min confidence

0.99

Sources

CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-413485	CLM	2026-03-14	Arthur Torresflagged	2005-05-12	UHC-83889-10	3305416365	3615 Valley View Dr, Denver, CO	Scored	1.00	—
CLM-413486	CLM	2026-03-14	Arthur Torresflagged	2005-05-12	UHC-83889-10	3305416365	3615 Valley View Dr, Denver, CO	Scored	1.00	—
CLM-413484	CLM	2026-03-30	Arthur Torres	2005-05-12	UHC-83889-10	—	—	Rule	0.99	D1 member id + dob exact
TPA-55931	TPA	2026-06-21	Arthur Torresflagged	2005-05-12	—	—	3615 Valley View Dr, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-413485CLMTPA-55931TPA1.00Scoredweighted 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-413486CLMTPA-55931TPA1.00Scoredweighted 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-413485CLMCLM-413484 CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413486CLMCLM-413484 CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413485CLMCLM-413486CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413484 CLMTPA-55931TPA0.83Scoredweighted 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
Arthur Torres: 3 claims, no attributed provider
ACT-019070, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically36d9f41d8c
scoring_agent, TPA-55931, identity id MBR-019719, confidence 1, method probabilistic, matched record CLM-413485, policy version 1
2026-10-22 12:43:54Record linked automaticallyf4792a7801
matching_agent, CLM-413484, identity id MBR-019719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413485
2026-10-22 12:43:54Record linked automaticallyd9821573b3
scoring_agent, CLM-413486, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-22 12:43:54Record linked automatically61442e9ed3
scoring_agent, CLM-413485, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:54:38Record linked automatically5de3b200e0
scoring_agent, TPA-55931, identity id MBR-019719, confidence 1, method probabilistic, matched record CLM-413485, policy version 1
2026-10-19 19:54:38Record linked automaticallydc78fbcab6
matching_agent, CLM-413484, identity id MBR-019719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413485
2026-10-19 19:54:38Record linked automaticallyb3cf7ce538
scoring_agent, CLM-413486, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:54:38Record linked automatically20c0bff389
scoring_agent, CLM-413485, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:52:09Record linked automatically4af39c3cd6
scoring_agent, TPA-55931, identity id MBR-019719, confidence 1, method probabilistic, matched record CLM-413485, policy version 1
2026-10-19 19:52:09Record linked automatically37c13c4974
matching_agent, CLM-413484, identity id MBR-019719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413485
2026-10-19 19:52:09Record linked automatically4b9a764e6f
scoring_agent, CLM-413486, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:52:09Record linked automatically661bb914fb
scoring_agent, CLM-413485, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:45:42Record linked automaticallyfcdcb81de7
scoring_agent, TPA-55931, identity id MBR-019719, confidence 1, method probabilistic, matched record CLM-413485, policy version 1
2026-10-19 19:45:42Record linked automaticallye900575088
matching_agent, CLM-413484, identity id MBR-019719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413485
2026-10-19 19:45:42Record linked automatically31d7652c4f
scoring_agent, CLM-413486, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:45:42Record linked automaticallye81eb93aa9
scoring_agent, CLM-413485, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:32:31Record linked automatically04e854a53d
scoring_agent, TPA-55931, identity id MBR-019719, confidence 1, method probabilistic, matched record CLM-413485, policy version 1
2026-10-19 19:32:31Record linked automatically18babb665e
matching_agent, CLM-413484, identity id MBR-019719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413485
2026-10-19 19:32:31Record linked automaticallybe3dcd6c86
scoring_agent, CLM-413486, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:32:31Record linked automaticallyd620a8bf9a
scoring_agent, CLM-413485, identity id MBR-019719, confidence 1, method probabilistic, matched record TPA-55931, policy version 1
2026-10-19 19:31:28Record linked automaticallyf52792760d
scoring_agent, CLM-413486, identity id MBR-015189, confidence 1, method probabilistic, matched record PRV-23965, policy version 1
2026-10-19 19:31:28Record linked automatically86b2650a2b
scoring_agent, TPA-55931, identity id MBR-009144, confidence 1, method probabilistic, matched record CLM-413594, 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-2026-011994	2026-03-16	Harbor Clinical Laboratories out of network	80053, 83036, 87086	$169.00	—	Denied	Denied
CLM-2026-004403	2026-02-20	Lakeside Medical Group in network	99215	$353.00	—	Denied	Denied
CLM-2026-031187	2026-02-27	Canyon Internal Medicine Associates out of network	80053	$85.00	—	Denied	Denied
CLM-2026-004402	2026-02-20	Lakeside Medical Group in network	99215	$353.00	$193.86	Approved	Approved