Identities/MBR-026445

Gold, golden identity

Adam P Alvarado

4 source records from 4 feeds.

MBR-026445Verified4 records

Golden record

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

First nameENR: Adam
Middle nameENR: P
Last nameENR: Alvarado
Date of birthENR: 1941-02-23
GenderENR: M
Member IDENR: UHC-25176-33
SSNPRV: •••-••-5518
PhoneENR: 5938996010
EmailPRV: adam.alvarado@hotmail.com
AddressPRV: 1044 Main St
CityPRV: Los Angeles
StatePRV: CA
ZIP—: —
GroupENR: GRP-4484
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

TPA ×1ENR ×1CLM ×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-55141	TPA	2026-04-18	Adam Alvaradoflagged	1941-02-23	—	5938996010	—	Scored	1.00	—
ENR-115336	ENR	2026-06-29	Adam Alvaradoflagged	1941-02-23	UHC-25176-33	5938996010	—	Scored	1.00	—
CLM-411644	CLM	2026-07-20	Adam Alvaradoflagged	1941-02-23	—	5938996010	1044 Main St, Los Angeles, CA	Scored	1.00	—
PRV-23357	PRV	2026-09-28	Adam Alvaradoflagged	1941-02-23	UHC-25176-33	—	1044 Main St, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-55141TPACLM-411644CLM1.00Scoredweighted 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

▶ENR-115336 ENRCLM-411644CLM1.00Scoredweighted 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-55141TPAENR-115336 ENR1.00Scoredweighted 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-411644CLMPRV-23357PRV1.00Scoredweighted 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

▶ENR-115336 ENRPRV-23357PRV0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55141TPAPRV-23357PRV0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-411644 → UHC-25176-33 (Adam Alvarado)
ACT-002580, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically529dc704ed
scoring_agent, PRV-23357, identity id MBR-026445, confidence 1, method probabilistic, matched record CLM-411644, policy version 1
2026-10-19 19:54:38Record linked automatically3330064b9a
scoring_agent, CLM-411644, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:54:38Record linked automatically5a90aeb1e9
scoring_agent, ENR-115336, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:54:38Record linked automatically08cae8ece3
scoring_agent, TPA-55141, identity id MBR-026445, confidence 1, method probabilistic, matched record ENR-115336, policy version 1
2026-10-19 19:52:09Record linked automaticallyb0dfacde4d
scoring_agent, PRV-23357, identity id MBR-026445, confidence 1, method probabilistic, matched record CLM-411644, policy version 1
2026-10-19 19:52:09Record linked automaticallyadd3204baf
scoring_agent, CLM-411644, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:52:09Record linked automatically764306de63
scoring_agent, ENR-115336, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:52:09Record linked automaticallye8840f13e3
scoring_agent, TPA-55141, identity id MBR-026445, confidence 1, method probabilistic, matched record ENR-115336, policy version 1
2026-10-19 19:45:42Record linked automatically171482af71
scoring_agent, PRV-23357, identity id MBR-026445, confidence 1, method probabilistic, matched record CLM-411644, policy version 1
2026-10-19 19:45:42Record linked automaticallyf6f1b5c382
scoring_agent, CLM-411644, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:45:42Record linked automatically896993168e
scoring_agent, ENR-115336, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:45:42Record linked automatically33d5e0faea
scoring_agent, TPA-55141, identity id MBR-026445, confidence 1, method probabilistic, matched record ENR-115336, policy version 1
2026-10-19 19:32:31Record linked automaticallyc79e61300c
scoring_agent, PRV-23357, identity id MBR-026445, confidence 1, method probabilistic, matched record CLM-411644, policy version 1
2026-10-19 19:32:31Record linked automaticallydc77a2bece
scoring_agent, CLM-411644, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:32:31Record linked automaticallya40aec4504
scoring_agent, ENR-115336, identity id MBR-026445, confidence 1, method probabilistic, matched record TPA-55141, policy version 1
2026-10-19 19:32:31Record linked automaticallyc55184f3d6
scoring_agent, TPA-55141, identity id MBR-026445, confidence 1, method probabilistic, matched record ENR-115336, policy version 1
2026-10-19 19:31:28Record linked automaticallya89d9aa614
scoring_agent, PRV-23357, identity id MBR-031609, confidence 1, method probabilistic, matched record CLM-411287, policy version 1
2026-10-19 19:31:28Record linked automaticallyc1096d96ea
matching_agent, CLM-411644, identity id MBR-023388, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411645
2026-10-19 19:31:28Record linked automatically0b12475677
scoring_agent, ENR-115336, identity id MBR-019059, confidence 1, method probabilistic, matched record CLM-411549, policy version 1
2026-10-19 19:31:28Record linked automatically29bd4c2092
scoring_agent, TPA-55141, identity id MBR-014211, confidence 1, method probabilistic, matched record PRV-23435, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-004709	2026-07-18	Evergreen Digestive Health Center in network	43239, 45378	$4,251.00	$1,510.27	Approved	Approved