Identities/MBR-023428
Gold, golden identity

Samuel Rodriguez

4 source records from 2 feeds.

MBR-023428Verified4 records

Golden record

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

First nameCLM
Samuel
Middle name—
—
Last nameCLM
Rodriguez
Date of birthCLM
1957-12-02
GenderCLM
F
Member IDCLM
UHC-96426-29
SSNCLM
•••-••-0731
PhoneCLM
3802015276
Email—
—
AddressCLM
9608 Meadow Ln
CityCLM
Plano
StateCLM
TX
ZIPCLM
75018
GroupCLM
GRP-9007
PlanCLM
MEDICARE-ADV-A
Min confidence
1.00
Sources
TPA ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00TPATPA-57713CLMCLM-417440CLMCLM-417439CLMCLM-417438IDMBR-023428
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
TPA-57713TPA2026-04-01Samuel Rodriguezflagged1957-12-02—38020152769608 Meadow Ln, Plano, TXScored1.00—
CLM-417440CLM2026-05-10Samuel Rodriguezflagged1957-12-02UHC-96426-29—9608 Meadow Ln, Plano, TXScored1.00—
CLM-417439CLM2026-07-13Samuel Rodriguezflagged1957-12-02UHC-96426-2938020152769608 Meadow Ln, Plano, TXScored1.00—
CLM-417438CLM2026-08-02Samuel Rodriguezflagged1957-12-02——9608 Meadow Ln, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-57713 TPACLM-417438CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57713 TPACLM-417439CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57713 TPACLM-417440CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417440CLMCLM-417439CLM0.99RuleD1 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-417440CLMCLM-417438CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417439CLMCLM-417438CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
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-417438 → UHC-96426-29 (Samuel Rodriguez)
    ACT-005007, Claims processor
  • Care coordination outreachProposed
    Samuel Rodriguez: 3 claims, no attributed provider
    ACT-019237, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyaef209b6c8
    scoring_agent, CLM-417438, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8b955a04eb
    scoring_agent, CLM-417439, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-22 12:43:54Record linked automatically511547b2c4
    scoring_agent, CLM-417440, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf547eec522
    scoring_agent, TPA-57713, identity id MBR-023428, confidence 1, method probabilistic, matched record CLM-417440, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc2678b5b88
    scoring_agent, CLM-417438, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6e786c80d7
    scoring_agent, CLM-417439, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd93474fef6
    scoring_agent, CLM-417440, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb8e8c2d2e5
    scoring_agent, TPA-57713, identity id MBR-023428, confidence 1, method probabilistic, matched record CLM-417440, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye7e216a3c5
    scoring_agent, CLM-417438, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyefbda516bc
    scoring_agent, CLM-417439, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye745e79a7c
    scoring_agent, CLM-417440, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya557f92108
    scoring_agent, TPA-57713, identity id MBR-023428, confidence 1, method probabilistic, matched record CLM-417440, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye512cc2feb
    scoring_agent, CLM-417438, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:45:42Record linked automatically58e705ecb7
    scoring_agent, CLM-417439, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyac59fefe90
    scoring_agent, CLM-417440, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7ea52d3a87
    scoring_agent, TPA-57713, identity id MBR-023428, confidence 1, method probabilistic, matched record CLM-417440, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9f2b25ae2d
    scoring_agent, CLM-417438, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3252a090fc
    scoring_agent, CLM-417439, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:32:31Record linked automatically15c9aea040
    scoring_agent, CLM-417440, identity id MBR-023428, confidence 1, method probabilistic, matched record TPA-57713, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf32453f0a2
    scoring_agent, TPA-57713, identity id MBR-023428, confidence 1, method probabilistic, matched record CLM-417440, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya8eda8b69a
    matching_agent, CLM-417440, identity id MBR-037273, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122845
  • 2026-10-19 19:31:28Record linked automatically93679c6412
    scoring_agent, CLM-417438, identity id MBR-018374, confidence 1, method probabilistic, matched record TPA-57624, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyebb6518a76
    scoring_agent, TPA-57713, identity id MBR-014033, confidence 1, method probabilistic, matched record ENR-123084, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0138642026-07-05Canyon Diagnostic Imaging
in network
70553$3,178.00$907.64ApprovedApproved
CLM-2026-0290322026-06-19Unity Primary Care Associates
out of network
90471, 99214$286.00$114.30ApprovedApproved
CLM-2026-0259532026-04-04Meadow Bone and Joint Center
in network
29881$9,500.00$3,341.61ApprovedApproved