Identities/MBR-025572

Gold, golden identity

Mark M Marquez

5 source records from 4 feeds.

MBR-025572Verified5 records

Golden record

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

First nameENR: Mark
Middle nameENR: M
Last namePRV: Marquez
Date of birthENR: 1953-02-28
GenderENR: M
Member IDENR: UHC-00810-97
SSNENR: •••-••-1659
PhoneENR: 7106427661
EmailENR: mark.marquez@icloud.com
AddressPRV: 3821 Ridge Rd
CityPRV: Las Vegas
StatePRV: NV
ZIPPRV: 89133
GroupENR: GRP-0985
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

TPA ×1CLM ×2ENR ×1PRV ×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-61562	TPA	2026-04-13	Mark Marquezflagged	1953-02-28	—	7106427661	5772 Sage Ct, San Antonio, TX	Scored	1.00	—
CLM-426189	CLM	2026-05-27	Mark Marquezflagged	1953-02-28	UHC-00810-97	7106427661	5772 Sage Ct, San Antonio, TX	Scored	1.00	—
ENR-134305	ENR	2026-06-29	Mark Marqquezflagged	1953-02-28	UHC-00810-97	7106427661	5772 Sage Ct, San Antonio, TX	Scored	0.99	—
PRV-27718	PRV	2026-08-25	Mark Marquezflagged	1953-02-28	—	7106427661	3821 Ridge Rd, Las Vegas, NV	Scored	1.00	—
CLM-426188	CLM	2026-09-16	Mark Marquezflagged	1953-02-28	—	7106427661	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-61562TPACLM-426188CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426189CLMCLM-426188CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-27718PRVCLM-426188CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61562TPACLM-426189CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61562TPAENR-134305ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-134305ENRCLM-426188CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426189CLMENR-134305ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-134305ENRPRV-27718PRV0.97RuleD2 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
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61562TPAPRV-27718PRV0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426189CLMPRV-27718PRV0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426188 → UHC-00810-97 (Mark Marquez)
ACT-003133, Claims processor
Outreach address correctedProposed
Mark Marquez: 5772 Sage Ct, San Antonio → 3821 Ridge Rd, Las Vegas
ACT-012650, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5b61eed0c1
scoring_agent, CLM-426188, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:54:38Record linked automatically54887a1337
scoring_agent, PRV-27718, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426188, policy version 1
2026-10-19 19:54:38Record linked automaticallyc33fb982e0
scoring_agent, ENR-134305, identity id MBR-025572, confidence 0.99, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:54:38Record linked automaticallyc37f28dbfd
scoring_agent, CLM-426189, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:54:38Record linked automatically442bce14e3
scoring_agent, TPA-61562, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426189, policy version 1
2026-10-19 19:52:09Record linked automaticallya156d0d2db
scoring_agent, CLM-426188, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:52:09Record linked automatically78b40dccf8
scoring_agent, PRV-27718, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426188, policy version 1
2026-10-19 19:52:09Record linked automaticallye248d2147e
scoring_agent, ENR-134305, identity id MBR-025572, confidence 0.99, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:52:09Record linked automatically7daee70cab
scoring_agent, CLM-426189, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:52:09Record linked automatically5f9a596d21
scoring_agent, TPA-61562, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426189, policy version 1
2026-10-19 19:45:42Record linked automaticallyf398af1630
scoring_agent, CLM-426188, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:45:42Record linked automaticallyacd26b27f1
scoring_agent, PRV-27718, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426188, policy version 1
2026-10-19 19:45:42Record linked automatically3f49c3c56b
scoring_agent, ENR-134305, identity id MBR-025572, confidence 0.99, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:45:42Record linked automatically17b4e01988
scoring_agent, CLM-426189, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:45:42Record linked automatically518c7d8ecd
scoring_agent, TPA-61562, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426189, policy version 1
2026-10-19 19:32:31Record linked automaticallye21d77b7dc
scoring_agent, CLM-426188, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:32:31Record linked automatically9590f16ebe
scoring_agent, PRV-27718, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426188, policy version 1
2026-10-19 19:32:31Record linked automaticallyae9e745a2c
scoring_agent, ENR-134305, identity id MBR-025572, confidence 0.99, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:32:31Record linked automatically457d3a8cf0
scoring_agent, CLM-426189, identity id MBR-025572, confidence 1, method probabilistic, matched record TPA-61562, policy version 1
2026-10-19 19:32:31Record linked automatically03043c58e7
scoring_agent, TPA-61562, identity id MBR-025572, confidence 1, method probabilistic, matched record CLM-426189, policy version 1
2026-10-19 19:31:28Record linked automatically3736b02b95
scoring_agent, TPA-61562, identity id MBR-035774, confidence 1, method probabilistic, matched record CLM-426288, policy version 1
2026-10-19 19:31:28Record linked automatically27efd79cb8
matching_agent, ENR-134305, identity id MBR-018818, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425971
2026-10-19 19:31:28Record linked automatically1ff95ed31f
scoring_agent, PRV-27718, identity id MBR-009823, confidence 1, method probabilistic, matched record PRV-27719, policy version 1
2026-10-19 19:31:28Record linked automaticallye1a55b9ff6
matching_agent, CLM-426189, identity id MBR-007615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134604
2026-10-19 19:31:28Record linked automaticallyfce0ddbd6f
matching_agent, CLM-426188, identity id MBR-007615, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-134604

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-2026-006802	2026-08-02	Desert Medical Group in network	99232	$213.00	$0.00	Approved	Approved
CLM-2026-020842	2026-04-27	Unity Community Hospital in network	99284, 99285	$3,348.00	$1,591.40	Approved	Approved