Identities/MBR-023972
Gold, golden identity

Ann K Gonzalez

5 source records from 2 feeds.

MBR-023972Verified5 records

Golden record

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

First nameCLM
Ann
Middle nameCLM
K
Last nameCLM
Gonzalez
Date of birthCLM
1960-10-27
GenderCLM
F
Member IDCLM
UHC-34996-49
SSNCLM
•••-••-4313
PhoneCLM
2788362292
Email—
—
AddressCLM
4617 Grand Ave
CityCLM
Sacramento
StateCLM
CA
ZIPCLM
95855
GroupCLM
GRP-2863
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×4TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.991.001.00CLMCLM-415242CLMCLM-415244CLMCLM-415241CLMCLM-415243TPATPA-56708IDMBR-023972
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-415242CLM2026-04-04Ann Gonzalezflagged1960-10-27UHC-34996-49——Rule0.99D1 member id + dob exact
CLM-415244CLM2026-05-30Ann Gonzalezflagged1960-10-27—27883622924617 Grand Ave, Sacramento, CAScored1.00—
CLM-415241CLM2026-08-06Ann Gonzaezflagged1960-10-27—2788362292—Scored0.99—
CLM-415243CLM2026-08-30Ann Gonzalezflagged1960-10-27UHC-34996-49—4617 Grand Ave, Sacramento, CAScored1.00—
TPA-56708TPA2026-09-05Ann Gonzalezflagged1960-10-27UHC-34996-4927883622924617 Grand Ave, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415244CLMCLM-415243CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415244CLMTPA-56708TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415244CLMCLM-415241CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415241CLM TPA-56708TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415242CLMCLM-415243CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415242CLMTPA-56708TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415243CLMTPA-56708TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415242CLMCLM-415244CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Ann Gonzalez: 2 plan codes across sources → canonical CORE-HMO
    ACT-000972, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-415241 → UHC-34996-49 (Ann Gonzalez)
    ACT-001631, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-415244 → UHC-34996-49 (Ann Gonzalez)
    ACT-003223, Claims processor
  • Care coordination outreachProposed
    Ann Gonzalez: 4 claims, no attributed provider
    ACT-019253, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically03b14ffdda
    scoring_agent, TPA-56708, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2948a76c6b
    scoring_agent, CLM-415243, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4d46cee2ee
    scoring_agent, CLM-415241, identity id MBR-023972, confidence 0.99, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc50ec9b4f1
    scoring_agent, CLM-415244, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415243, policy version 1
  • 2026-10-19 19:54:38Record linked automatically679b109e14
    matching_agent, CLM-415242, identity id MBR-023972, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415243
  • 2026-10-19 19:52:09Record linked automatically60a245bc5a
    scoring_agent, TPA-56708, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycd44128289
    scoring_agent, CLM-415243, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7906da2da4
    scoring_agent, CLM-415241, identity id MBR-023972, confidence 0.99, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2eaa3b158c
    scoring_agent, CLM-415244, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415243, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2837e512ae
    matching_agent, CLM-415242, identity id MBR-023972, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415243
  • 2026-10-19 19:45:42Record linked automaticallyad14d1692d
    scoring_agent, TPA-56708, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:45:42Record linked automatically119b2328d7
    scoring_agent, CLM-415243, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc79c34cf6b
    scoring_agent, CLM-415241, identity id MBR-023972, confidence 0.99, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:45:42Record linked automatically223a0a2679
    scoring_agent, CLM-415244, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415243, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf4ec9f3d47
    matching_agent, CLM-415242, identity id MBR-023972, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415243
  • 2026-10-19 19:32:31Record linked automaticallyd8e4524254
    scoring_agent, TPA-56708, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:32:31Record linked automatically837b935f3a
    scoring_agent, CLM-415243, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaaba2dfedf
    scoring_agent, CLM-415241, identity id MBR-023972, confidence 0.99, method probabilistic, matched record CLM-415244, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf3076c0ed4
    scoring_agent, CLM-415244, identity id MBR-023972, confidence 1, method probabilistic, matched record CLM-415243, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45b8614615
    matching_agent, CLM-415242, identity id MBR-023972, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415243
  • 2026-10-19 19:31:28Record linked automaticallycba6056b98
    scoring_agent, TPA-56708, identity id MBR-021060, confidence 0.93, method probabilistic, matched record ENR-120202, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycafc63ad67
    matching_agent, CLM-415244, identity id MBR-019319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119968
  • 2026-10-19 19:31:28Record linked automatically5e0a7019f7
    matching_agent, CLM-415241, identity id MBR-009722, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119966
  • 2026-10-19 19:31:28Record linked automatically3486418aaa
    matching_agent, CLM-415243, identity id MBR-002781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119967
  • 2026-10-19 19:31:28Record linked automatically75f7050384
    matching_agent, CLM-415242, identity id MBR-002781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119967

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0310882026-07-20Summit Internal Medicine Associates
in network
99232$244.00—DeniedDenied
CLM-2026-0310872026-07-20Summit Internal Medicine Associates
in network
99232$244.00$0.00ApprovedApproved
CLM-2026-0011942026-07-27Canyon Diagnostic Imaging
in network
76700, 77067, 74177$2,895.00$0.00ApprovedApproved
CLM-2026-0071362026-04-21Harbor Diabetes Center
in network
99214$313.00$154.06ApprovedApproved
CLM-2026-0157442026-02-28Meadow Reference Lab
in network
83036$53.00$0.00ApprovedApproved