Identities/MBR-026915
Gold, golden identity

Joseph R Contreras

4 source records from 2 feeds.

MBR-026915Verified4 records

Golden record

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

First nameENR
Joseph
Middle nameCLM
R
Last nameENR
Contreras
Date of birthENR
1980-06-14
GenderENR
M
Member IDENR
UHC-21100-34
SSNENR
•••-••-4560
PhoneCLM
6353507071
EmailENR
joseph.contreras21@aol.com
AddressENR
5165 Lincoln Way
CityENR
Tampa
StateENR
FL
ZIPENR
33637
GroupENR
GRP-0294
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.961.000.99CLMCLM-424968CLMCLM-424966ENRENR-132638CLMCLM-424967IDMBR-026915
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-424968CLM2026-04-20Joseph Contrerasflagged1980-06-14—63535070715165 Lincoln Way, Tampa, FLScored1.00—
CLM-424966CLM2026-04-23Joseph Contrerasflagged—UHC-21100-34—5165 Lincoln Way, Tampa, FLRule0.96D3 member id + name
ENR-132638ENR2026-05-02Joseph Contrerasflagged1980-06-14UHC-21100-34—5165 Lincoln Way, Tampa, FLScored1.00—
CLM-424967CLM2026-08-22Joseh Contrerasflagged1980-06-14UHC-21100-346353507071—Scored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424968CLMENR-132638ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424968CLMCLM-424967CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132638ENRCLM-424967CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424966CLMCLM-424967CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424966CLMENR-132638ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424968CLMCLM-424966CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424968 → UHC-21100-34 (Joseph Contreras)
    ACT-006982, Claims processor
  • Care coordination outreachProposed
    Joseph Contreras: 3 claims, no attributed provider
    ACT-019347, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7890b3d897
    scoring_agent, CLM-424967, identity id MBR-026915, confidence 0.99, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd78d003cf6
    scoring_agent, ENR-132638, identity id MBR-026915, confidence 1, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-22 12:43:54Record linked automatically9ea1c44fd1
    matching_agent, CLM-424966, identity id MBR-026915, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132638
  • 2026-10-22 12:43:54Record linked automatically087bc4c121
    scoring_agent, CLM-424968, identity id MBR-026915, confidence 1, method probabilistic, matched record ENR-132638, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9c77282068
    scoring_agent, CLM-424967, identity id MBR-026915, confidence 0.99, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:54:38Record linked automatically84d34410ae
    scoring_agent, ENR-132638, identity id MBR-026915, confidence 1, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:54:38Record linked automatically583a12cedb
    matching_agent, CLM-424966, identity id MBR-026915, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132638
  • 2026-10-19 19:54:38Record linked automatically2302bfea61
    scoring_agent, CLM-424968, identity id MBR-026915, confidence 1, method probabilistic, matched record ENR-132638, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8b2f3be143
    scoring_agent, CLM-424967, identity id MBR-026915, confidence 0.99, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3d9f1eafae
    scoring_agent, ENR-132638, identity id MBR-026915, confidence 1, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6cbbf423b2
    matching_agent, CLM-424966, identity id MBR-026915, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132638
  • 2026-10-19 19:52:09Record linked automaticallye2ee21c164
    scoring_agent, CLM-424968, identity id MBR-026915, confidence 1, method probabilistic, matched record ENR-132638, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye327effd6b
    scoring_agent, CLM-424967, identity id MBR-026915, confidence 0.99, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8f37f28df7
    scoring_agent, ENR-132638, identity id MBR-026915, confidence 1, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5d54064f46
    matching_agent, CLM-424966, identity id MBR-026915, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132638
  • 2026-10-19 19:45:42Record linked automaticallyc6dc34077a
    scoring_agent, CLM-424968, identity id MBR-026915, confidence 1, method probabilistic, matched record ENR-132638, policy version 1
  • 2026-10-19 19:32:31Record linked automatically67f59eb6d3
    scoring_agent, CLM-424967, identity id MBR-026915, confidence 0.99, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:32:31Record linked automatically40017ad426
    scoring_agent, ENR-132638, identity id MBR-026915, confidence 1, method probabilistic, matched record CLM-424968, policy version 1
  • 2026-10-19 19:32:31Record linked automatically11b12d08c7
    matching_agent, CLM-424966, identity id MBR-026915, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132638
  • 2026-10-19 19:32:31Record linked automaticallyd60b2357dc
    scoring_agent, CLM-424968, identity id MBR-026915, confidence 1, method probabilistic, matched record ENR-132638, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye3d0aabb62
    matching_agent, CLM-424967, identity id MBR-041820, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132873
  • 2026-10-19 19:31:28Record linked automatically74632186e7
    scoring_agent, CLM-424966, identity id MBR-028093, confidence 1, method probabilistic, matched record CLM-424965, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyffac10d45a
    scoring_agent, ENR-132638, identity id MBR-008829, confidence 0.98, method probabilistic, matched record CLM-424804, policy version 1
  • 2026-10-19 19:31:28Record linked automatically781f55539c
    matching_agent, CLM-424968, identity id MBR-000595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132879

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0270162026-08-03Sunrise Medical Group
out of network
99232$245.00$0.00ApprovedApproved
CLM-2026-0320372026-03-19Desert Heart Institute
in network
93224, 99214$663.00$361.06ApprovedApproved
CLM-2026-0212572026-03-30Sunrise Medical Group
in network
99213$147.00$51.14ApprovedApproved