Denise Petesr

4 source records from 2 feeds.

MBR-025374Verified4 records

Golden record

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

First nameCLM: Denise
Middle name—: —
Last nameCLM: Petesr
Date of birthCLM: 1908-10-22
GenderCLM: F
Member IDCLM: UHC-28393-22
SSNCLM: •••-••-1272
PhoneCLM: 8414694491
EmailTPA: denise.peters66@gmail.com
AddressTPA: 9572 Mesa Dr Apt 10
CityCLM: San Antonio
StateCLM: TX
ZIPCLM: 78291
Group—: —
PlanCLM: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-401522	CLM	2026-04-12	Denise Petersflagged	1980-10-22	—	8414694491	9572 Mesa Dr, San Antonio, TX	Scored	1.00	—
CLM-401524	CLM	2026-07-24	Denise Petesrflagged	1908-10-22	UHC-28393-22	—	9572 Mesa Dr, San Antonio, TX	Rule	0.99	D1 member id + dob exact
CLM-401523	CLM	2026-07-24	Denise Petesrflagged	1908-10-22	UHC-28393-22	—	9572 Mesa Dr, San Antonio, TX	Rule	0.99	D1 member id + dob exact
TPA-50662	TPA	2026-07-27	Denise Petersflagged	1980-10-22	UHC-28393-22	—	9572 Mesa Dr Apt 10, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-401522CLMTPA-50662TPA1.00Scoredweighted 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-401524CLMCLM-401523CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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

▶CLM-401524CLMTPA-50662TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.60	3	transposition
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401523CLMTPA-50662TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.60	3	transposition
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401522 → UHC-28393-22 (Denise Petesr)
ACT-002276, Claims processor
Care coordination outreachProposed
Denise Petesr: 3 claims, no attributed provider
ACT-019302, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyd82ab0d430
scoring_agent, TPA-50662, identity id MBR-025374, confidence 1, method probabilistic, matched record CLM-401522, policy version 1
2026-10-22 12:43:54Record linked automatically9ace3a3546
matching_agent, CLM-401523, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401524
2026-10-22 12:43:54Record linked automaticallyfae982b227
matching_agent, CLM-401524, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401523
2026-10-22 12:43:54Record linked automaticallyf8508a1719
scoring_agent, CLM-401522, identity id MBR-025374, confidence 1, method probabilistic, matched record TPA-50662, policy version 1
2026-10-19 19:54:38Record linked automatically564fef9105
scoring_agent, TPA-50662, identity id MBR-025374, confidence 1, method probabilistic, matched record CLM-401522, policy version 1
2026-10-19 19:54:38Record linked automatically3a67ce40e2
matching_agent, CLM-401523, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401524
2026-10-19 19:54:38Record linked automaticallye78b518c7f
matching_agent, CLM-401524, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401523
2026-10-19 19:54:38Record linked automaticallyec1113397b
scoring_agent, CLM-401522, identity id MBR-025374, confidence 1, method probabilistic, matched record TPA-50662, policy version 1
2026-10-19 19:52:09Record linked automatically598adf4b8f
scoring_agent, TPA-50662, identity id MBR-025374, confidence 1, method probabilistic, matched record CLM-401522, policy version 1
2026-10-19 19:52:09Record linked automatically46d8df84f4
matching_agent, CLM-401523, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401524
2026-10-19 19:52:09Record linked automatically77a8b06a27
matching_agent, CLM-401524, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401523
2026-10-19 19:52:09Record linked automatically6556d34f19
scoring_agent, CLM-401522, identity id MBR-025374, confidence 1, method probabilistic, matched record TPA-50662, policy version 1
2026-10-19 19:45:42Record linked automatically34ad902af7
scoring_agent, TPA-50662, identity id MBR-025374, confidence 1, method probabilistic, matched record CLM-401522, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8030d8697
matching_agent, CLM-401523, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401524
2026-10-19 19:45:42Record linked automaticallyd29b279435
matching_agent, CLM-401524, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401523
2026-10-19 19:45:42Record linked automatically5c61220494
scoring_agent, CLM-401522, identity id MBR-025374, confidence 1, method probabilistic, matched record TPA-50662, policy version 1
2026-10-19 19:32:31Record linked automatically20f22f732c
scoring_agent, TPA-50662, identity id MBR-025374, confidence 1, method probabilistic, matched record CLM-401522, policy version 1
2026-10-19 19:32:31Record linked automaticallyd40fa28920
matching_agent, CLM-401523, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401524
2026-10-19 19:32:31Record linked automaticallyf027076069
matching_agent, CLM-401524, identity id MBR-025374, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401523
2026-10-19 19:32:31Record linked automatically9a24490e94
scoring_agent, CLM-401522, identity id MBR-025374, confidence 1, method probabilistic, matched record TPA-50662, policy version 1
2026-10-19 19:31:28Record linked automaticallyfcd16c2131
scoring_agent, TPA-50662, identity id MBR-026476, confidence 0.93, method probabilistic, matched record TPA-50661, policy version 1
2026-10-19 19:31:28Record linked automaticallya093e03f42
matching_agent, CLM-401523, identity id MBR-004207, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401525
2026-10-19 19:31:28Record linked automatically6df72113a7
matching_agent, CLM-401522, identity id MBR-004207, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401525
2026-10-19 19:31:28Record linked automatically0217f4ae9a
matching_agent, CLM-401524, identity id MBR-004207, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401525

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-022110	2026-07-19	Mesa Internal Medicine Associates in network	99232	$235.00	$0.00	Approved	Approved
CLM-2026-016458	2026-07-03	Northgate Clinical Laboratories in network	83036	$68.00	$0.00	Approved	Approved
CLM-2026-003551	2026-03-03	Mesa Cardiovascular Associates in network	93224, 99214	$737.00	$396.94	Approved	Approved