Identities/MBR-026852

Gold, golden identity

Mei Maldonado

6 source records from 4 feeds.

MBR-026852Verified6 recordsOpen steward case

Golden record

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

First nameENR: Mei
Middle name—: —
Last nameENR: Maldonado
Date of birthENR: 1945-11-02
GenderENR: F
Member IDENR: UHC-86595-66
SSNENR: •••-••-9797
PhoneENR: 6324522021
EmailENR: mei.maldonado@hotmail.com
AddressPRV: 7457 Park Pl
CityPRV: Houston
StatePRV: TX
ZIPPRV: 77082
GroupENR: GRP-8903
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1CLM ×3PRV ×1ENR ×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-61339	TPA	2026-04-20	Mei Maldonadoflagged	1945-11-02	—	—	7457 Park Pl, Houston, TX	Scored	1.00	—
CLM-425691	CLM	2026-06-28	Mei Maldonadoflagged	1945-11-02	—	6324522021	—	Scored	1.00	—
PRV-27563	PRV	2026-07-05	Mei Maldonadoflagged	1945-11-02	UHC-86595-66	—	7457 Park Pl, Houston, TX	Scored	1.00	—
ENR-133611	ENR	2026-07-20	Mei Maldonadoflagged	1945-11-02	UHC-86595-66	6324522021	—	Scored	1.00	—
CLM-425692	CLM	2026-08-19	Mei Maldonadoflagged	1945-11-02	UHC-86595-66	—	7457 Park Pl, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-425693	CLM	2026-09-07	Mei Maldonadoflagged	1945-11-02	—	6324522021	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425691CLMCLM-425693CLM1.00Scoredweighted 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-425691CLMENR-133611 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

▶TPA-61339TPAPRV-27563PRV1.00Scoredweighted 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

▶PRV-27563PRVCLM-425692CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-133611 ENRCLM-425692CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27563PRVENR-133611 ENR0.99RuleD1 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-61339TPACLM-425692CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61339TPACLM-425693CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-133611 ENRCLM-425693CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425692CLMCLM-425693CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61339TPAENR-133611 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61339TPACLM-425691CLM0.83Scoredweighted 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

▶CLM-425691CLMCLM-425692CLM0.83Scoredweighted 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

▶PRV-27563PRVCLM-425693CLM0.83Scoredweighted 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

▶CLM-425691CLMPRV-27563PRV0.83Scoredweighted 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-425691 → UHC-86595-66 (Mei Maldonado)
ACT-004287, Claims processor
Orphan claim re-pointedExecuted
CLM-425693 → UHC-86595-66 (Mei Maldonado)
ACT-010067, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye320a3a7bc
scoring_agent, CLM-425693, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:54:38Record linked automatically7e1cb0dda5
matching_agent, CLM-425692, identity id MBR-026852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27563
2026-10-19 19:54:38Record linked automaticallyb4a6ffdb9b
scoring_agent, ENR-133611, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:54:38Record linked automatically08ead70bb7
scoring_agent, PRV-27563, identity id MBR-026852, confidence 1, method probabilistic, matched record TPA-61339, policy version 1
2026-10-19 19:54:38Record linked automaticallyb99831b63d
scoring_agent, CLM-425691, identity id MBR-026852, confidence 1, method probabilistic, matched record ENR-133611, policy version 1
2026-10-19 19:54:38Record linked automatically7c5f572545
scoring_agent, TPA-61339, identity id MBR-026852, confidence 1, method probabilistic, matched record PRV-27563, policy version 1
2026-10-19 19:52:09Record linked automatically4d79e00542
scoring_agent, CLM-425693, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:52:09Record linked automatically203525f4fd
matching_agent, CLM-425692, identity id MBR-026852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27563
2026-10-19 19:52:09Record linked automatically979a8bed55
scoring_agent, ENR-133611, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:52:09Record linked automaticallybd94dec704
scoring_agent, PRV-27563, identity id MBR-026852, confidence 1, method probabilistic, matched record TPA-61339, policy version 1
2026-10-19 19:52:09Record linked automaticallya988434b29
scoring_agent, CLM-425691, identity id MBR-026852, confidence 1, method probabilistic, matched record ENR-133611, policy version 1
2026-10-19 19:52:09Record linked automatically017a6061f3
scoring_agent, TPA-61339, identity id MBR-026852, confidence 1, method probabilistic, matched record PRV-27563, policy version 1
2026-10-19 19:45:42Record linked automatically00e9350418
scoring_agent, CLM-425693, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:45:42Record linked automatically7fd895f3cb
matching_agent, CLM-425692, identity id MBR-026852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27563
2026-10-19 19:45:42Record linked automatically66aa94f9f7
scoring_agent, ENR-133611, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:45:42Record linked automatically10bec59d98
scoring_agent, PRV-27563, identity id MBR-026852, confidence 1, method probabilistic, matched record TPA-61339, policy version 1
2026-10-19 19:45:42Record linked automatically44855b591d
scoring_agent, CLM-425691, identity id MBR-026852, confidence 1, method probabilistic, matched record ENR-133611, policy version 1
2026-10-19 19:45:42Record linked automatically9115305785
scoring_agent, TPA-61339, identity id MBR-026852, confidence 1, method probabilistic, matched record PRV-27563, policy version 1
2026-10-19 19:32:31Record linked automatically82f59eecf1
scoring_agent, CLM-425693, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:32:31Record linked automaticallyd34b934e54
matching_agent, CLM-425692, identity id MBR-026852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27563
2026-10-19 19:32:31Record linked automatically79001fe655
scoring_agent, ENR-133611, identity id MBR-026852, confidence 1, method probabilistic, matched record CLM-425691, policy version 1
2026-10-19 19:32:31Record linked automatically6868ccf2f5
scoring_agent, PRV-27563, identity id MBR-026852, confidence 1, method probabilistic, matched record TPA-61339, policy version 1
2026-10-19 19:32:31Record linked automatically1f9a61d348
scoring_agent, CLM-425691, identity id MBR-026852, confidence 1, method probabilistic, matched record ENR-133611, policy version 1
2026-10-19 19:32:31Record linked automatically43ee4c332a
scoring_agent, TPA-61339, identity id MBR-026852, confidence 1, method probabilistic, matched record PRV-27563, policy version 1
2026-10-19 19:31:28Record linked automatically47366db376
matching_agent, CLM-425693, identity id MBR-035052, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133914
2026-10-19 19:31:28Record linked automaticallyb95ba16ee4
matching_agent, CLM-425691, identity id MBR-029607, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425690
2026-10-19 19:31:28Record linked automatically3888f1b4f4
scoring_agent, TPA-61339, identity id MBR-016627, confidence 0.99, method probabilistic, matched record CLM-425739, policy version 1
2026-10-19 19:31:28Record linked automaticallyb59367e0c7
scoring_agent, PRV-27563, identity id MBR-010628, confidence 1, method probabilistic, matched record ENR-133812, policy version 1
2026-10-19 19:31:28Record linked automatically74519a00d6
matching_agent, CLM-425692, identity id MBR-007109, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133913

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033214	2026-08-27	Cornerstone Diabetes Center in network	99215	$346.00	$154.52	Approved	Approved
CLM-2026-020211	2026-08-15	Summit Digestive Health Center in network	88305	$217.00	$0.00	Approved	Approved
CLM-2026-011298	2026-05-18	Sunrise Internal Medicine Associates in network	80053	$77.00	$7.74	Approved	Approved