Identities/MBR-022115
Gold, golden identity

Deborah W Maldonado

4 source records from 3 feeds.

MBR-022115Verified4 records

Golden record

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

First nameENR
Deborah
Middle nameENR
W
Last nameENR
Maldonado
Date of birthPRV
1958-04-28
GenderENR
M
Member IDENR
UHC-25667-87
SSNENR
•••-••-1985
PhoneENR
8394392191
EmailENR
deborah.maldonado@hotmail.com
AddressENR
904 Canyon Rd
CityENR
Fresno
StateENR
CA
ZIPENR
93786
GroupENR
GRP-7845
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.960.970.96CLMCLM-416326ENRENR-121480PRVPRV-24840CLMCLM-416325IDMBR-022115
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-416326CLM2026-03-26Deborah Maldonadoflagged1958-04-28UHC-25667-878394392191904 Canyon Rd, Fresno, CARule0.97D2 ssn4 + dob + last name
ENR-121480ENR2026-05-07Deborah Maldonadoflagged1957-04-28UHC-25667-878394392191904 Canyon Rd, Fresno, CARule0.96D3 member id + name
PRV-24840PRV2026-06-09Deborah Maldonadoflagged1958-04-28—8394392191904 Canyon Rd, Fresno, CARule0.97D2 ssn4 + dob + last name
CLM-416325CLM2026-06-12Deborah Maldonadoflagged—UHC-25667-87—904 Canyon Rd, Fresno, CARule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416326CLMPRV-24840PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416326CLMCLM-416325 CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121480ENRCLM-416325 CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416326CLMENR-121480ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶PRV-24840PRVCLM-416325 CLM0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Email1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121480ENRPRV-24840PRV0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Deborah Maldonado: 3 plan codes across sources → canonical OPTIONS-PPO
    ACT-000910, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb6d4caf4a7
    matching_agent, CLM-416325, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:54:38Record linked automaticallyf9dd618739
    matching_agent, PRV-24840, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:54:38Record linked automatically46125b558e
    matching_agent, ENR-121480, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:54:38Record linked automaticallyf3a929ce39
    matching_agent, CLM-416326, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-24840
  • 2026-10-19 19:52:09Record linked automaticallyc7d8c77154
    matching_agent, CLM-416325, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:52:09Record linked automaticallye9a3b2f3f3
    matching_agent, PRV-24840, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:52:09Record linked automatically067b09f425
    matching_agent, ENR-121480, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:52:09Record linked automaticallyac3602058d
    matching_agent, CLM-416326, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-24840
  • 2026-10-19 19:45:42Record linked automatically8b94f1349e
    matching_agent, CLM-416325, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:45:42Record linked automatically9825790d8e
    matching_agent, PRV-24840, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:45:42Record linked automatically1166afcd6a
    matching_agent, ENR-121480, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:45:42Record linked automatically19c45d1402
    matching_agent, CLM-416326, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-24840
  • 2026-10-19 19:32:31Record linked automatically7a06a7f1a9
    matching_agent, CLM-416325, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:32:31Record linked automatically4f978188cb
    matching_agent, PRV-24840, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:32:31Record linked automatically090dea88f4
    matching_agent, ENR-121480, identity id MBR-022115, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416326
  • 2026-10-19 19:32:31Record linked automatically9dbf499112
    matching_agent, CLM-416326, identity id MBR-022115, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-24840
  • 2026-10-19 19:31:28Record linked automatically2ec48b6e0d
    matching_agent, CLM-416325, identity id MBR-041814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121388
  • 2026-10-19 19:31:28Record linked automaticallye03a3686d7
    matching_agent, CLM-416326, identity id MBR-029725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121391
  • 2026-10-19 19:31:28Record linked automaticallya74410f131
    matching_agent, ENR-121480, identity id MBR-022150, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416399
  • 2026-10-19 19:31:28Record linked automatically42f73a4a0d
    matching_agent, PRV-24840, identity id MBR-009199, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121640

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0037142026-05-10Pinecrest Physical Therapy
in network
97110, 97161$464.00$262.68ApprovedApproved
CLM-2026-0204212026-02-13Pinecrest Medical Group
in network
99214$266.00$139.92ApprovedApproved