Identities/MBR-023596

Gold, golden identity

Melissa Valdez

5 source records from 3 feeds.

MBR-023596Verified5 records

Golden record

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

First nameENR: Melissa
Middle name—: —
Last nameENR: Valdez
Date of birthENR: 1958-04-10
GenderENR: M
Member IDENR: UHC-92566-61
SSNENR: •••-••-6597
PhoneENR: 8754810688
EmailENR: melissa.valdez@gmail.com
AddressENR: 1948 Lincoln Way Apt 8
CityENR: Fresno
StateENR: CA
ZIPENR: 93740
GroupENR: GRP-6613
PlanENR: MEDICARE-ADV-B

Min confidence

0.97

Sources

TPA ×2CLM ×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

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
TPA-62631	TPA	2026-04-02	Meissa Valdezflagged	1958-04-10	UHC-92566-61	—	1948 Lincoln Way # 128, Fresno, CA	Scored	0.99	—
CLM-428582	CLM	2026-07-21	Melissa Valdezflagged	1958-04-10	—	—	1948 Lincoln Way, Fresno, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-428583	CLM	2026-07-28	Melissa Valdezflagged	1958-04-10	—	—	1948 Lincoln Way # 203, Fresno, CA	Scored	1.00	—
TPA-62630	TPA	2026-08-24	Melissa Valdezflagged	1958-04-10	—	—	1948 Lincoln Way, Fresno, CA	Scored	1.00	—
ENR-137520	ENR	2026-09-12	Melissa Valdezflagged	1958-04-10	UHC-92566-61	8754810688	1948 Lincoln Way Apt 8, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-428583CLMENR-137520ENR1.00Scoredweighted 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-428583CLMTPA-62630TPA1.00Scoredweighted 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

▶TPA-62631 TPACLM-428583CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62631 TPAENR-137520ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62631 TPACLM-428582CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428582CLMENR-137520ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62630TPAENR-137520ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62631 TPATPA-62630TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428582CLMTPA-62630TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428582CLMCLM-428583CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-428582 → UHC-92566-61 (Melissa Valdez)
ACT-007579, Claims processor
Orphan claim re-pointedExecuted
CLM-428583 → UHC-92566-61 (Melissa Valdez)
ACT-010202, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically145fbb7b09
scoring_agent, ENR-137520, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:54:38Record linked automatically48e3f674d5
scoring_agent, TPA-62630, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:54:38Record linked automatically890338a99b
scoring_agent, CLM-428583, identity id MBR-023596, confidence 1, method probabilistic, matched record TPA-62630, policy version 1
2026-10-19 19:54:38Record linked automatically39cfc4a16e
matching_agent, CLM-428582, identity id MBR-023596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62631
2026-10-19 19:54:38Record linked automatically59016bd40c
scoring_agent, TPA-62631, identity id MBR-023596, confidence 0.99, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:52:09Record linked automaticallyeb6935d4b0
scoring_agent, ENR-137520, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:52:09Record linked automaticallyed729de894
scoring_agent, TPA-62630, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:52:09Record linked automatically33100a3dcf
scoring_agent, CLM-428583, identity id MBR-023596, confidence 1, method probabilistic, matched record TPA-62630, policy version 1
2026-10-19 19:52:09Record linked automaticallyc2475f42c4
matching_agent, CLM-428582, identity id MBR-023596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62631
2026-10-19 19:52:09Record linked automatically822bce954a
scoring_agent, TPA-62631, identity id MBR-023596, confidence 0.99, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:45:42Record linked automaticallyddf466797c
scoring_agent, ENR-137520, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:45:42Record linked automatically79461feaf8
scoring_agent, TPA-62630, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:45:42Record linked automatically769242ddfa
scoring_agent, CLM-428583, identity id MBR-023596, confidence 1, method probabilistic, matched record TPA-62630, policy version 1
2026-10-19 19:45:42Record linked automatically5855e52e89
matching_agent, CLM-428582, identity id MBR-023596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62631
2026-10-19 19:45:42Record linked automatically0d0f80b6c4
scoring_agent, TPA-62631, identity id MBR-023596, confidence 0.99, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:32:31Record linked automaticallyd93c98cd11
scoring_agent, ENR-137520, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:32:31Record linked automaticallybbecc9ee1f
scoring_agent, TPA-62630, identity id MBR-023596, confidence 1, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:32:31Record linked automatically96d3021f79
scoring_agent, CLM-428583, identity id MBR-023596, confidence 1, method probabilistic, matched record TPA-62630, policy version 1
2026-10-19 19:32:31Record linked automatically0827a3cac0
matching_agent, CLM-428582, identity id MBR-023596, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-62631
2026-10-19 19:32:31Record linked automatically5ec18f74d2
scoring_agent, TPA-62631, identity id MBR-023596, confidence 0.99, method probabilistic, matched record CLM-428583, policy version 1
2026-10-19 19:31:28Record linked automatically6fadbcf560
scoring_agent, TPA-62630, identity id MBR-012860, confidence 1, method probabilistic, matched record CLM-428758, policy version 1
2026-10-19 19:31:28Record linked automatically3f8178cb49
matching_agent, ENR-137520, identity id MBR-007406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428408
2026-10-19 19:31:28Record linked automatically4419c7486f
scoring_agent, TPA-62631, identity id MBR-006565, confidence 1, method probabilistic, matched record ENR-137996, policy version 1
2026-10-19 19:31:28Record linked automaticallyfc7d81dfd1
scoring_agent, CLM-428582, identity id MBR-005802, confidence 1, method probabilistic, matched record TPA-62555, policy version 1
2026-10-19 19:31:28Record linked automatically74fdf41da5
matching_agent, CLM-428583, identity id MBR-005802, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137767

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033738	2026-07-20	Canyon Primary Care Associates in network	99203, 90471, 36415	$325.00	$181.50	Approved	Approved
CLM-2026-023631	2026-06-29	Canyon Internal Medicine Associates out of network	99214, 93000	$313.00	$120.85	Approved	Approved