Identities/MBR-026904

Gold, golden identity

Alan O Maldonado

5 source records from 4 feeds.

MBR-026904Verified5 records

Golden record

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

First nameENR: Alan
Middle nameENR: O
Last nameENR: Maldonado
Date of birthENR: 1940-09-18
GenderENR: M
Member IDENR: UHC-40405-98
SSNCLM: •••-••-8456
PhoneENR: 9648640740
EmailENR: alan.maldonado32@proton.me
AddressENR: 3947 Willow Ct # 239
CityENR: Fresno
StateENR: CA
ZIPENR: 93760
GroupENR: GRP-8927
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

TPA ×1PRV ×1CLM ×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

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-57105	TPA	2026-04-20	Alan Maldonadoflagged	1940-09-18	—	9648640740	3947 Willow Ct, Fresno, CA	Scored	1.00	—
PRV-24814	PRV	2026-05-31	Alan Maldonadoflagged	1940-09-18	UHC-40405-98	9648640740	3947 Willow Ct, Fresno, CA	Scored	1.00	—
CLM-416214	CLM	2026-08-30	Aan Maldonadoflagged	1940-09-18	UHC-40405-98	—	3947 Willow Ct, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-416215	CLM	2026-09-29	Alan Maldonadoflagged	1940-09-18	UHC-40405-98	9648640740	3947 Willow Ct # 416, Fresno, CA	Scored	1.00	—
ENR-121350	ENR	2026-10-12	Alan Maldonadoflagged	1940-09-18	UHC-40405-98	9648640740	3947 Willow Ct # 239, Fresno, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-57105TPACLM-416215CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-57105TPAENR-121350ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-57105TPAPRV-24814PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24814PRVCLM-416214CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24814PRVCLM-416215CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-416214CLMCLM-416215CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24814PRVENR-121350ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-416214CLMENR-121350ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416215CLMENR-121350ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-57105TPACLM-416214CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc8628da6a3
scoring_agent, ENR-121350, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:54:38Record linked automatically5a7bbafc60
scoring_agent, CLM-416215, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:54:38Record linked automaticallya378e6ba18
matching_agent, CLM-416214, identity id MBR-026904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24814
2026-10-19 19:54:38Record linked automaticallya63ed8d512
scoring_agent, PRV-24814, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:54:38Record linked automatically2f4032d914
scoring_agent, TPA-57105, identity id MBR-026904, confidence 1, method probabilistic, matched record PRV-24814, policy version 1
2026-10-19 19:52:09Record linked automatically2604e4afd7
scoring_agent, ENR-121350, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:52:09Record linked automaticallyd63120c8a6
scoring_agent, CLM-416215, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:52:09Record linked automaticallyb1ca25327d
matching_agent, CLM-416214, identity id MBR-026904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24814
2026-10-19 19:52:09Record linked automaticallye8c332613e
scoring_agent, PRV-24814, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:52:09Record linked automatically63726dcb14
scoring_agent, TPA-57105, identity id MBR-026904, confidence 1, method probabilistic, matched record PRV-24814, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb9b03d167
scoring_agent, ENR-121350, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:45:42Record linked automaticallyee735d9a3f
scoring_agent, CLM-416215, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:45:42Record linked automatically635dfaf98a
matching_agent, CLM-416214, identity id MBR-026904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24814
2026-10-19 19:45:42Record linked automaticallyb17e331817
scoring_agent, PRV-24814, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:45:42Record linked automaticallyd7a6dd55c2
scoring_agent, TPA-57105, identity id MBR-026904, confidence 1, method probabilistic, matched record PRV-24814, policy version 1
2026-10-19 19:32:31Record linked automatically499e4c9145
scoring_agent, ENR-121350, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:32:31Record linked automaticallya3113d5dc4
scoring_agent, CLM-416215, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:32:31Record linked automaticallyc8b3e93892
matching_agent, CLM-416214, identity id MBR-026904, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24814
2026-10-19 19:32:31Record linked automatically57dbecfc63
scoring_agent, PRV-24814, identity id MBR-026904, confidence 1, method probabilistic, matched record TPA-57105, policy version 1
2026-10-19 19:32:31Record linked automatically63b830631b
scoring_agent, TPA-57105, identity id MBR-026904, confidence 1, method probabilistic, matched record PRV-24814, policy version 1
2026-10-19 19:31:28Record linked automatically3cf417bd48
scoring_agent, TPA-57105, identity id MBR-034894, confidence 1, method probabilistic, matched record ENR-121380, policy version 1
2026-10-19 19:31:28Record linked automatically75109f66b3
scoring_agent, PRV-24814, identity id MBR-026060, confidence 1, method probabilistic, matched record ENR-121524, policy version 1
2026-10-19 19:31:28Record linked automatically226c9f12f0
scoring_agent, ENR-121350, identity id MBR-025409, confidence 1, method probabilistic, matched record CLM-416298, policy version 1
2026-10-19 19:31:28Record linked automaticallye8ed447596
scoring_agent, CLM-416215, identity id MBR-014967, confidence 0.99, method probabilistic, matched record TPA-57054, policy version 1
2026-10-19 19:31:28Record linked automaticallyf02a01c283
scoring_agent, CLM-416214, identity id MBR-014967, confidence 1, method probabilistic, matched record PRV-24744, 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-2026-034301	2026-08-16	Pinecrest Behavioral Health in network	90834, 90837, 90791	$757.00	—	Needs review	Needs review
CLM-2026-034300	2026-08-16	Pinecrest Behavioral Health in network	90834, 90837, 90791	$757.00	$394.34	Approved	Approved
CLM-2026-012506	2026-07-27	Lakeside Internal Medicine Associates in network	99214, 93000	$345.00	$188.90	Approved	Approved