Identities/MBR-025834
Gold, golden identity

Dorothy E Mejia

3 source records from 2 feeds.

MBR-025834Verified3 records

Golden record

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

First nameCLM
Dorothy
Middle nameCLM
E
Last nameCLM
Mejia
Date of birthCLM
1939-07-16
GenderTPA
F
Member IDCLM
UHC-42359-64
SSNCLM
•••-••-8525
PhoneCLM
3699616081
Email—
—
AddressCLM
347 Lincoln Way
CityCLM
Glendale
StateCLM
AZ
ZIPCLM
85354
GroupCLM
GRP-8837
PlanCLM
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99CLMCLM-403658TPATPA-51586CLMCLM-403657IDMBR-025834
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-403658CLM2026-04-14Dorothy Mejiaflagged1939-07-16UHC-42359-643699616081347 Lincoln Way, Glendale, AZScored0.99—
TPA-51586TPA2026-08-26Dorothy Meejiaflagged1939-07-16——347 Lincoln Way, Glendale, AZScored0.99—
CLM-403657CLM2026-09-07Dot Mejiaflagged1939-07-16UHC-42359-64—347 Lincoln Way, Glendale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403658 CLMCLM-403657CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51586TPACLM-403657CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403658 CLMTPA-51586TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

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 automaticallyaed76920dc
    matching_agent, CLM-403657, identity id MBR-025834, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403658
  • 2026-10-19 19:54:38Record linked automaticallyc6bc2b11a1
    scoring_agent, TPA-51586, identity id MBR-025834, confidence 0.99, method probabilistic, matched record CLM-403658, policy version 1
  • 2026-10-19 19:54:38Record linked automatically30b23a1f45
    scoring_agent, CLM-403658, identity id MBR-025834, confidence 0.99, method probabilistic, matched record TPA-51586, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2cd82d85c9
    matching_agent, CLM-403657, identity id MBR-025834, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403658
  • 2026-10-19 19:52:09Record linked automaticallycf9c19152f
    scoring_agent, TPA-51586, identity id MBR-025834, confidence 0.99, method probabilistic, matched record CLM-403658, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb02eb3b667
    scoring_agent, CLM-403658, identity id MBR-025834, confidence 0.99, method probabilistic, matched record TPA-51586, policy version 1
  • 2026-10-19 19:45:42Record linked automatically206a3301d9
    matching_agent, CLM-403657, identity id MBR-025834, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403658
  • 2026-10-19 19:45:42Record linked automaticallyc0fa7edd0a
    scoring_agent, TPA-51586, identity id MBR-025834, confidence 0.99, method probabilistic, matched record CLM-403658, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye8a8fff65f
    scoring_agent, CLM-403658, identity id MBR-025834, confidence 0.99, method probabilistic, matched record TPA-51586, policy version 1
  • 2026-10-19 19:32:31Record linked automatically379c573fc7
    matching_agent, CLM-403657, identity id MBR-025834, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403658
  • 2026-10-19 19:32:31Record linked automatically65c801d7a7
    scoring_agent, TPA-51586, identity id MBR-025834, confidence 0.99, method probabilistic, matched record CLM-403658, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya8086a524f
    scoring_agent, CLM-403658, identity id MBR-025834, confidence 0.99, method probabilistic, matched record TPA-51586, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyce31c600a3
    scoring_agent, CLM-403658, identity id MBR-017580, confidence 1, method probabilistic, matched record CLM-403657, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybed950fecb
    scoring_agent, CLM-403657, identity id MBR-017580, confidence 1, method probabilistic, matched record CLM-403658, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb677958e5c
    scoring_agent, TPA-51586, identity id MBR-013678, confidence 1.00, method probabilistic, matched record ENR-104553, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0171342026-07-24Sunrise Clinical Laboratories
in network
87086$64.00—Needs reviewNeeds review
CLM-2026-0171332026-07-24Sunrise Clinical Laboratories
in network
87086$64.00$0.00ApprovedApproved
CLM-2026-0124452026-03-11Mesa Dermatology Clinic
in network
11102$201.00$64.62ApprovedApproved