Gold, golden identity
Dorothy L Herrera
4 source records from 3 feeds.
MBR-024206Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Dorothy
- Middle nameENR
- L
- Last nameENR
- Herrera
- Date of birthENR
- 1952-04-24
- GenderENR
- M
- Member IDENR
- UHC-12392-13
- SSNENR
- •••-••-2500
- PhoneENR
- 2075718948
- EmailENR
- dorothy.herrera@icloud.com
- AddressENR
- 6298 Broadway
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93767
- GroupENR
- GRP-1240
- PlanENR
- OPTIONS-PPO
Min confidence
0.99
Sources
PRV ×1ENR ×1CLM ×2
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-21654 | PRV | 2026-04-05 | Dorothy Herreraflagged | 1952-04-24 | — | — | 6298 Broadway, Fresno, CA | Scored | 1.00 | — |
| ENR-107493 | ENR | 2026-06-13 | Dorothy Herreraflagged | 1952-04-24 | UHC-12392-13 | 2075718948 | 6298 Broadway, Fresno, CA | Scored | 1.00 | — |
| CLM-405697 | CLM | 2026-08-12 | Dorothy Herreraflagged | 1952-04-24 | UHC-12392-13 | 2075718948 | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-405698 | CLM | 2026-10-08 | Dot Herreraflagged | 1952-04-24 | UHC-12392-13 | 2075718948 | 6298 Broadway, Fresno, CA | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-21654PRVCLM-405698CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-21654PRVENR-107493ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-107493ENRCLM-405697CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-107493ENRCLM-405698CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-405697CLMCLM-405698CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-21654PRVCLM-405697CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically1b1ef5cd72scoring_agent, CLM-405698, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:54:38Record linked automatically547d969b40matching_agent, CLM-405697, identity id MBR-024206, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107493
- 2026-10-19 19:54:38Record linked automatically6fb9063010scoring_agent, ENR-107493, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:54:38Record linked automatically02b6405e5escoring_agent, PRV-21654, identity id MBR-024206, confidence 1, method probabilistic, matched record ENR-107493, policy version 1
- 2026-10-19 19:52:09Record linked automatically6577d4c3dcscoring_agent, CLM-405698, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd8441f9060matching_agent, CLM-405697, identity id MBR-024206, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107493
- 2026-10-19 19:52:09Record linked automaticallya50c02692ascoring_agent, ENR-107493, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:52:09Record linked automatically01512daf82scoring_agent, PRV-21654, identity id MBR-024206, confidence 1, method probabilistic, matched record ENR-107493, policy version 1
- 2026-10-19 19:45:42Record linked automatically0ec1646ef3scoring_agent, CLM-405698, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:45:42Record linked automatically0f7610ee20matching_agent, CLM-405697, identity id MBR-024206, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107493
- 2026-10-19 19:45:42Record linked automatically647915061dscoring_agent, ENR-107493, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyaf13406151scoring_agent, PRV-21654, identity id MBR-024206, confidence 1, method probabilistic, matched record ENR-107493, policy version 1
- 2026-10-19 19:32:31Record linked automatically638cdcb5f1scoring_agent, CLM-405698, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:32:31Record linked automaticallya226560b4fmatching_agent, CLM-405697, identity id MBR-024206, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107493
- 2026-10-19 19:32:31Record linked automatically193a499ab5scoring_agent, ENR-107493, identity id MBR-024206, confidence 1, method probabilistic, matched record PRV-21654, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf441edc2a5scoring_agent, PRV-21654, identity id MBR-024206, confidence 1, method probabilistic, matched record ENR-107493, policy version 1
- 2026-10-19 19:31:28Record linked automaticallye130783bbdmatching_agent, CLM-405698, identity id MBR-027830, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107460
- 2026-10-19 19:31:28Record linked automatically9a5a010f10matching_agent, CLM-405697, identity id MBR-025598, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107459
- 2026-10-19 19:31:28Record linked automaticallyc3f92f9884matching_agent, ENR-107493, identity id MBR-022403, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52554
- 2026-10-19 19:31:28Record linked automatically4edd059629matching_agent, PRV-21654, identity id MBR-021225, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107241
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-2026-031999 | 2026-09-16 | Lakeside Behavioral Health out of network | 90834 | $191.00 | — | Denied | Denied |
| CLM-2026-031998 | 2026-09-16 | Lakeside Behavioral Health out of network | 90834 | $191.00 | $45.95 | Approved | Approved |
| CLM-2026-015811 | 2026-08-09 | Sunrise Clinical Laboratories in network | 87086, 83036, 85025 | $124.00 | $0.00 | Approved | Approved |