Identities/MBR-026591
Gold, golden identity

David S Moreno

3 source records from 2 feeds.

MBR-026591Verified3 recordsOpen steward case

Golden record

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

First nameCLM
David
Middle nameCLM
S
Last nameCLM
Moreno
Date of birthENR
1968-02-28
GenderCLM
F
Member IDENR
UHC-71942-05
SSNENR
•••-••-2046
PhoneENR
9412640391
Email—
—
AddressCLM
7932 Willow Ct
CityCLM
Plano
StateCLM
TX
ZIPCLM
75047
GroupENR
GRP-6214
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.00CLMCLM-400983ENRENR-101285CLMCLM-400982IDMBR-026591
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-400983CLM2026-04-19David Morenoflagged1968-02-28——7932 Willow Ct # 668, Plano, TXScored1.00—
ENR-101285ENR2026-08-21Moreno Davidflagged1968-02-28UHC-71942-0594126403918613 Baseline Rd, Chandler, AZRule0.99D1 member id + dob exact
CLM-400982CLM2026-09-22David Morenoflagged1968-02-28UHC-71942-05—7932 Willow Ct, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400983CLMCLM-400982CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-101285ENRCLM-400982CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400983 → UHC-71942-05 (David Moreno)
    ACT-005105, Claims processor
  • Outreach address correctedProposed
    David Moreno: 8613 Baseline Rd, Chandler → 7932 Willow Ct, Plano
    ACT-012719, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically26437422ec
    scoring_agent, CLM-400982, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400983, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyeadbf1a100
    matching_agent, ENR-101285, identity id MBR-026591, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400982
  • 2026-10-19 19:54:38Record linked automatically360ce4560e
    scoring_agent, CLM-400983, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400982, policy version 1
  • 2026-10-19 19:52:09Record linked automatically865a158c03
    scoring_agent, CLM-400982, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400983, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7903fa990b
    matching_agent, ENR-101285, identity id MBR-026591, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400982
  • 2026-10-19 19:52:09Record linked automatically522bf22f9c
    scoring_agent, CLM-400983, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400982, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc6c47b018a
    scoring_agent, CLM-400982, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400983, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2a6d12d3a4
    matching_agent, ENR-101285, identity id MBR-026591, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400982
  • 2026-10-19 19:45:42Record linked automatically7d2200667d
    scoring_agent, CLM-400983, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400982, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3600f9c5b6
    scoring_agent, CLM-400982, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400983, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9c02635f16
    matching_agent, ENR-101285, identity id MBR-026591, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400982
  • 2026-10-19 19:32:31Record linked automatically4d6e9f8082
    scoring_agent, CLM-400983, identity id MBR-026591, confidence 1, method probabilistic, matched record CLM-400982, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycd2043c91b
    scoring_agent, CLM-400982, identity id MBR-023652, confidence 1, method probabilistic, matched record ENR-101352, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6bf1c3ad28
    matching_agent, ENR-101285, identity id MBR-020505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400926
  • 2026-10-19 19:31:28Record linked automatically569cc2d9b6
    scoring_agent, CLM-400983, identity id MBR-020403, confidence 1, method probabilistic, matched record TPA-50421, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0297362026-09-01Meadow Heart Institute
out of network
93458$8,820.00—DeniedDenied
CLM-2026-0142592026-03-29Summit Clinical Laboratories
in network
80053, 83036, 85025$157.00$0.00ApprovedApproved