Identities/MBR-026232
Gold, golden identity

Martha Romero

3 source records from 1 feed.

MBR-026232Verified3 records

Golden record

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

First nameCLM
Martha
Middle name—
—
Last nameCLM
Romero
Date of birthCLM
1971-12-09
GenderCLM
M
Member IDCLM
UHC-86120-37
SSNCLM
•••-••-7934
PhoneCLM
4078120453
EmailCLM
martha.romero@gmail.com
AddressCLM
4012 Broadway
CityCLM
Sacramento
StateCLM
CA
ZIPCLM
95809
GroupCLM
GRP-1359
PlanCLM
NAVIGATE-HMO
Min confidence
0.93
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.931.001.00CLMCLM-404240CLMCLM-404241CLMCLM-404242IDMBR-026232
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-404240CLM2026-04-16Martha Romeroflagged1971-12-09—40781204534012 Broadway, Sacramento, CAScored0.93—
CLM-404241CLM2026-05-02Martha Romeroflagged1971-12-09UHC-86120-37—4012 Broadway, Sacramento, CAScored1.00—
CLM-404242CLM2026-07-29Martha Romeroflagged1971-12-09——4012 Broadway, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404241CLMCLM-404242CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404240CLMCLM-404241CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404240CLMCLM-404242CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404240 → UHC-86120-37 (Martha Romero)
    ACT-009727, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-404242 → UHC-86120-37 (Martha Romero)
    ACT-010324, Claims processor
  • Care coordination outreachProposed
    Martha Romero: 3 claims, no attributed provider
    ACT-019323, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyed748a3e25
    scoring_agent, CLM-404242, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-22 12:43:54Record linked automatically88af6d5c67
    scoring_agent, CLM-404241, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404242, policy version 1
  • 2026-10-22 12:43:54Record linked automatically510e7dfd4b
    scoring_agent, CLM-404240, identity id MBR-026232, confidence 0.93, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:54:38Record linked automatically15598d14e5
    scoring_agent, CLM-404242, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya8977eb10b
    scoring_agent, CLM-404241, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404242, policy version 1
  • 2026-10-19 19:54:38Record linked automatically098808e2a8
    scoring_agent, CLM-404240, identity id MBR-026232, confidence 0.93, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybf2d058a2a
    scoring_agent, CLM-404242, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:52:09Record linked automatically27ad470096
    scoring_agent, CLM-404241, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404242, policy version 1
  • 2026-10-19 19:52:09Record linked automatically09c2e0351e
    scoring_agent, CLM-404240, identity id MBR-026232, confidence 0.93, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1692da8aa8
    scoring_agent, CLM-404242, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8dfc711c33
    scoring_agent, CLM-404241, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404242, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4b0ebaa86c
    scoring_agent, CLM-404240, identity id MBR-026232, confidence 0.93, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydcf12f3841
    scoring_agent, CLM-404242, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5e11dadaa9
    scoring_agent, CLM-404241, identity id MBR-026232, confidence 1, method probabilistic, matched record CLM-404242, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7cb18662c8
    scoring_agent, CLM-404240, identity id MBR-026232, confidence 0.93, method probabilistic, matched record CLM-404241, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye76f87b9b2
    matching_agent, CLM-404241, identity id MBR-015251, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105536
  • 2026-10-19 19:31:28Record linked automatically2d11c71692
    matching_agent, CLM-404242, identity id MBR-008440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105539
  • 2026-10-19 19:31:28Record linked automatically8ac6be9e12
    matching_agent, CLM-404240, identity id MBR-004353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51899

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0341872026-06-21Meadow Family Practice
in network
99203, 99214$414.00$231.68ApprovedApproved
CLM-2026-0253092026-03-28Unity Reference Lab
in network
85025, 80061$132.00$0.00ApprovedApproved
CLM-2026-0319052026-03-26Canyon Medical Group
in network
99215, 99214$504.00—Needs reviewNeeds review