Identities/MBR-021175
Gold, golden identity

Ronald Padilla

4 source records from 2 feeds.

MBR-021175Verified4 records

Golden record

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

First nameCLM
Ronald
Middle name—
—
Last nameCLM
Padilla
Date of birthENR
2001-08-28
GenderENR
M
Member IDENR
UHC-04677-70
SSNENR
•••-••-3927
PhoneENR
4709867841
EmailENR
ronald.padilla30@outlook.com
AddressENR
6044 Broadway
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55370
GroupENR
GRP-9885
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.00CLMCLM-413359ENRENR-117527CLMCLM-413361CLMCLM-413360IDMBR-021175
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-413359CLM2026-03-21Ronald Padillaflagged2001-08-28——6044 Broadway, Eden Prairie, MNScored1.00—
ENR-117527ENR2026-07-21Ronad Padilllaflagged2001-08-28UHC-04677-7047098678416044 Broadway, Eden Prairie, MNScored0.99—
CLM-413361CLM2026-08-21Ronald Padillaflagged2001-08-28UHC-04677-7047098678416044 Broadway, Eden Prairie, MNScored1.00—
CLM-413360CLM2026-10-01Ronald Padillaflagged2001-08-28—47098678416044 Broadway, Eden Prairie, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413359CLMCLM-413360CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413361CLM CLM-413360CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413359CLMCLM-413361CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117527ENRCLM-413360CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117527ENRCLM-413361CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413359CLMENR-117527ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413360 → UHC-04677-70 (Ronald Padilla)
    ACT-006048, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-413359 → UHC-04677-70 (Ronald Padilla)
    ACT-008779, Claims processor
  • Care coordination outreachProposed
    Ronald Padilla: 3 claims, no attributed provider
    ACT-019139, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8cb7e4b5e2
    scoring_agent, CLM-413360, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-22 12:43:54Record linked automatically404eeb676d
    scoring_agent, CLM-413361, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf502eec431
    scoring_agent, ENR-117527, identity id MBR-021175, confidence 0.99, method probabilistic, matched record CLM-413360, policy version 1
  • 2026-10-22 12:43:54Record linked automatically3c23072fce
    scoring_agent, CLM-413359, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413361, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2459c76813
    scoring_agent, CLM-413360, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0823b79848
    scoring_agent, CLM-413361, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:54:38Record linked automatically86be74092b
    scoring_agent, ENR-117527, identity id MBR-021175, confidence 0.99, method probabilistic, matched record CLM-413360, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc46aa3188b
    scoring_agent, CLM-413359, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413361, policy version 1
  • 2026-10-19 19:52:09Record linked automatically269d510549
    scoring_agent, CLM-413360, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyed45033f7c
    scoring_agent, CLM-413361, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:52:09Record linked automatically175e54515d
    scoring_agent, ENR-117527, identity id MBR-021175, confidence 0.99, method probabilistic, matched record CLM-413360, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyff1b849b1d
    scoring_agent, CLM-413359, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413361, policy version 1
  • 2026-10-19 19:45:42Record linked automatically49a86045b8
    scoring_agent, CLM-413360, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically904db3d9d4
    scoring_agent, CLM-413361, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb092eb2002
    scoring_agent, ENR-117527, identity id MBR-021175, confidence 0.99, method probabilistic, matched record CLM-413360, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydab2932e25
    scoring_agent, CLM-413359, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413361, policy version 1
  • 2026-10-19 19:32:31Record linked automatically988178585c
    scoring_agent, CLM-413360, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7d4bea516a
    scoring_agent, CLM-413361, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413359, policy version 1
  • 2026-10-19 19:32:31Record linked automatically238106dae7
    scoring_agent, ENR-117527, identity id MBR-021175, confidence 0.99, method probabilistic, matched record CLM-413360, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3a6c4f83de
    scoring_agent, CLM-413359, identity id MBR-021175, confidence 1, method probabilistic, matched record CLM-413361, policy version 1
  • 2026-10-19 19:31:28Record linked automatically86f09490e7
    matching_agent, ENR-117527, identity id MBR-038058, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117526
  • 2026-10-19 19:31:28Record linked automatically2660ebe3b4
    scoring_agent, CLM-413359, identity id MBR-017574, confidence 1, method probabilistic, matched record ENR-117632, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8aecc5da39
    matching_agent, CLM-413361, identity id MBR-006587, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117633

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0177272026-08-21Riverside Medical Group
in network
99395, 36415$303.00$157.86ApprovedApproved
CLM-2026-0265042026-07-29Heritage Primary Care Associates
in network
36415$13.00$0.00ApprovedApproved
CLM-2026-0281852026-02-21Pinecrest Heart Institute
in network
93458$6,589.00—Needs reviewNeeds review
CLM-2026-0281842026-02-21Pinecrest Heart Institute
in network
93458$6,589.00$2,287.32ApprovedApproved