Identities/MBR-026812
Gold, golden identity

Joan G Medina

4 source records from 2 feeds.

MBR-026812Verified4 records

Golden record

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

First nameENR
Joan
Middle nameCLM
G
Last nameENR
Medina
Date of birthENR
1968-02-10
GenderENR
M
Member IDENR
UHC-51846-88
SSNENR
•••-••-8635
PhoneCLM
4538790854
EmailENR
joan.medina@hotmail.com
AddressENR
4462 Oak St
CityENR
Orlando
StateENR
FL
ZIPENR
32890
GroupENR
GRP-1695
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.970.990.97CLMCLM-430431CLMCLM-430433ENRENR-139955CLMCLM-430432IDMBR-026812
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-430431CLM2026-04-20Joan Medinaflagged1968-02-10UHC-51846-884538790854—Rule0.99D1 member id + dob exact
CLM-430433CLM2026-04-20Joan Mdeinaflagged1968-02-10——4462 Oak St, Orlando, FLRule0.97D2 ssn4 + dob + last name
ENR-139955ENR2026-04-24Joan Medinaflagged1968-02-10UHC-51846-88—4462 Oak St, Orlando, FLRule0.99D1 member id + dob exact
CLM-430432CLM2026-06-09Joan Medinaflagged1968-02-10——4462 Oak St, Orlando, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-430431CLMENR-139955 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430433CLM CLM-430432CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-139955 ENRCLM-430432CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430433CLM ENR-139955 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430431CLMCLM-430432CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-430431CLMCLM-430433CLM 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-430432 → UHC-51846-88 (Joan Medina)
    ACT-001769, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-430433 → UHC-51846-88 (Joan Medina)
    ACT-002050, Claims processor
  • Care coordination outreachProposed
    Joan Medina: 3 claims, no attributed provider
    ACT-019345, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically416dbb323c
    matching_agent, CLM-430432, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430433
  • 2026-10-19 19:54:38Record linked automaticallyb6ede4ee6a
    matching_agent, ENR-139955, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430431
  • 2026-10-19 19:54:38Record linked automatically4652e2fd11
    matching_agent, CLM-430433, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139955
  • 2026-10-19 19:54:38Record linked automaticallye6083c121b
    matching_agent, CLM-430431, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139955
  • 2026-10-19 19:52:09Record linked automatically6946f0ad38
    matching_agent, CLM-430432, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430433
  • 2026-10-19 19:52:09Record linked automaticallyacf1ba02b8
    matching_agent, ENR-139955, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430431
  • 2026-10-19 19:52:09Record linked automaticallye2b43f43f3
    matching_agent, CLM-430433, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139955
  • 2026-10-19 19:52:09Record linked automatically774b7b0a13
    matching_agent, CLM-430431, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139955
  • 2026-10-19 19:45:42Record linked automatically1b69758b60
    matching_agent, CLM-430432, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430433
  • 2026-10-19 19:45:42Record linked automatically0544ee0681
    matching_agent, ENR-139955, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430431
  • 2026-10-19 19:45:42Record linked automaticallyc1af7b5a6c
    matching_agent, CLM-430433, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139955
  • 2026-10-19 19:45:42Record linked automaticallyf3330eb472
    matching_agent, CLM-430431, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139955
  • 2026-10-19 19:32:31Record linked automatically058e2be44f
    matching_agent, CLM-430432, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430433
  • 2026-10-19 19:32:31Record linked automatically1817b1acc4
    matching_agent, ENR-139955, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430431
  • 2026-10-19 19:32:31Record linked automaticallye97cbb6686
    matching_agent, CLM-430433, identity id MBR-026812, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-139955
  • 2026-10-19 19:32:31Record linked automatically716936fb78
    matching_agent, CLM-430431, identity id MBR-026812, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139955
  • 2026-10-19 19:31:28Record linked automatically1af7f8707b
    matching_agent, CLM-430433, identity id MBR-020237, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140142
  • 2026-10-19 19:31:28Record linked automaticallyb484d31401
    scoring_agent, CLM-430431, identity id MBR-013537, confidence 1, method probabilistic, matched record CLM-430432, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7e0aee4a56
    scoring_agent, CLM-430432, identity id MBR-013537, confidence 1, method probabilistic, matched record CLM-430431, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0017412026-05-21Cornerstone Internal Medicine Associates
in network
80053, 93000$159.00$72.54ApprovedApproved
CLM-2026-0223322026-04-03Canyon Skin Care Associates
in network
17110$176.00$34.12ApprovedApproved
CLM-2026-0027492026-03-09Mesa Medical Group
in network
99214, 80053, 99215$710.00$410.20ApprovedApproved