Identities/MBR-024348
Gold, golden identity

Virginia Z Fernandez

6 source records from 3 feeds.

MBR-024348Verified6 records

Golden record

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

First nameENR
Virginia
Middle nameENR
Z
Last nameENR
Fernandez
Date of birthENR
1973-06-03
GenderENR
F
Member IDENR
UHC-33328-14
SSNENR
•••-••-8718
PhoneENR
8542792861
EmailENR
virginia.fernandez@yahoo.com
AddressENR
3072 Ocean Ave
CityENR
Jacksonville
StateENR
FL
ZIPENR
32215
GroupENR
GRP-2742
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3TPA ×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

0.991.001.000.991.001.00CLMCLM-431174TPATPA-63774ENRENR-140943CLMCLM-431175TPATPA-63775CLMCLM-431173IDMBR-024348
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-431174CLM2026-04-06Virginia Fernandezflagged1973-06-03UHC-33328-148542792861—Rule0.99D1 member id + dob exact
TPA-63774TPA2026-05-24Virginia Fernandezflagged1973-06-03——3072 Ocean Ave, Jacksonville, FLScored1.00—
ENR-140943ENR2026-06-30Virginia Fernandezflagged1973-06-03UHC-33328-1485427928613072 Ocean Ave, Jacksonville, FLScored1.00—
CLM-431175CLM2026-08-26Virginia Fernandezflagged1973-06-03UHC-33328-14——Rule0.99D1 member id + dob exact
TPA-63775TPA2026-09-24Virginia Fernandezflagged1973-06-03——3072 Ocean Ave, Jacksonville, FLScored1.00—
CLM-431173CLM2026-09-26Virginia Fernandezflagged1973-06-03—85427928613072 Ocean Ave, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63774TPACLM-431173CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63775TPACLM-431173CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63774TPAENR-140943ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63774TPATPA-63775TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140943ENRTPA-63775TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431174CLMCLM-431175CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140943ENRCLM-431175CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431174CLMENR-140943ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431174CLMCLM-431173CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-140943ENRCLM-431173CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-431175CLMCLM-431173CLM 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-63774TPACLM-431175CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-431174CLMTPA-63774TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-431174CLMTPA-63775TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-431175CLMTPA-63775TPA0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-431173 → UHC-33328-14 (Virginia Fernandez)
    ACT-006611, Claims processor
  • Care coordination outreachProposed
    Virginia Fernandez: 3 claims, no attributed provider
    ACT-019269, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye0cc97f242
    scoring_agent, CLM-431173, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:54:38Record linked automatically700ee61988
    scoring_agent, TPA-63775, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb8c6dfa7e1
    matching_agent, CLM-431175, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431174
  • 2026-10-19 19:54:38Record linked automaticallyfe6d2f2cb6
    scoring_agent, ENR-140943, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6dbeea8d4c
    scoring_agent, TPA-63774, identity id MBR-024348, confidence 1, method probabilistic, matched record ENR-140943, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyea93111d13
    matching_agent, CLM-431174, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140943
  • 2026-10-19 19:52:09Record linked automaticallyc377c9200e
    scoring_agent, CLM-431173, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye489512725
    scoring_agent, TPA-63775, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:52:09Record linked automatically438507b555
    matching_agent, CLM-431175, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431174
  • 2026-10-19 19:52:09Record linked automatically7044487c6e
    scoring_agent, ENR-140943, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3a285a214c
    scoring_agent, TPA-63774, identity id MBR-024348, confidence 1, method probabilistic, matched record ENR-140943, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyef8a41f46c
    matching_agent, CLM-431174, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140943
  • 2026-10-19 19:45:42Record linked automatically3144f38ff8
    scoring_agent, CLM-431173, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyabf92a35fd
    scoring_agent, TPA-63775, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4ab5ea44b5
    matching_agent, CLM-431175, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431174
  • 2026-10-19 19:45:42Record linked automatically38444f66f7
    scoring_agent, ENR-140943, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1f40b46a79
    scoring_agent, TPA-63774, identity id MBR-024348, confidence 1, method probabilistic, matched record ENR-140943, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyad3ab4e187
    matching_agent, CLM-431174, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140943
  • 2026-10-19 19:32:31Record linked automatically387d059eee
    scoring_agent, CLM-431173, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:32:31Record linked automatically19200a43f4
    scoring_agent, TPA-63775, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:32:31Record linked automatically905721d3e4
    matching_agent, CLM-431175, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431174
  • 2026-10-19 19:32:31Record linked automatically345258450f
    scoring_agent, ENR-140943, identity id MBR-024348, confidence 1, method probabilistic, matched record TPA-63774, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7a0d4cc70d
    scoring_agent, TPA-63774, identity id MBR-024348, confidence 1, method probabilistic, matched record ENR-140943, policy version 1
  • 2026-10-19 19:32:31Record linked automatically737cdd6b0f
    matching_agent, CLM-431174, identity id MBR-024348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140943
  • 2026-10-19 19:31:28Record linked automaticallyc4c46643b2
    matching_agent, CLM-431173, identity id MBR-016057, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63644
  • 2026-10-19 19:31:28Record linked automaticallycbd44ad4d5
    scoring_agent, CLM-431174, identity id MBR-016057, confidence 1, method probabilistic, matched record PRV-29118, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf2100a91ab
    scoring_agent, CLM-431175, identity id MBR-011330, confidence 0.99, method probabilistic, matched record PRV-29119, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb006b8bc20
    matching_agent, TPA-63775, identity id MBR-007403, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141443

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0198402026-08-23Sunrise Cardiovascular Associates
out of network
93306$913.00$0.00ApprovedApproved
CLM-2026-0281592026-08-08Mesa Regional Medical Center
out of network
96374, 71046, 99284$2,135.00$866.25ApprovedApproved
CLM-2026-0112762026-03-16Lakeside Physical Therapy
in network
97110, 97161, 97014$542.00—DeniedDenied