Identities/MBR-027302
Gold, golden identity

James M Maldonado

6 source records from 3 feeds.

MBR-027302Verified6 records

Golden record

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

First nameENR
James
Middle nameENR
M
Last nameENR
Maldonado
Date of birthENR
1954-08-19
GenderENR
F
Member IDENR
UHC-48927-65
SSNENR
•••-••-9415
PhoneENR
2759874401
EmailENR
james.maldonado37@icloud.com
AddressENR
9382 Mountain View Dr
CityENR
Mesa
StateENR
AZ
ZIPENR
85272
GroupENR
GRP-9467
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.991.001.00CLMCLM-421655ENRENR-128350PRVPRV-26379CLMCLM-421656CLMCLM-421654CLMCLM-421653IDMBR-027302
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-421655CLM2026-04-23James Maldonadoflagged1954-08-19UHC-48927-6527598744019382 Mountain View Dr, Mesa, AZScored1.00—
ENR-128350ENR2026-05-18James Maldonadoflagged1954-08-19UHC-48927-6527598744019382 Mountain View Dr, Mesa, AZRule0.99D1 member id + dob exact
PRV-26379PRV2026-06-19James Maldonadoflagged1954-08-19UHC-48927-6527598744019382 Mountain View Dr, Mesa, AZScored1.00—
CLM-421656CLM2026-08-11Jim Maldonadoflagged1954-08-19UHC-48927-65—9382 Mountain View Dr, Mesa, AZRule0.99D1 member id + dob exact
CLM-421654CLM2026-08-13Jimmy Maldonadoflagged1954-08-19UHC-48927-65—9382 Mountain View Dr, Mesa, AZScored1.00—
CLM-421653CLM2026-09-21Jim Maldonadoflagged1954-08-19—27598744019382 Mountain View Dr, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421655CLMCLM-421653 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-26379PRVCLM-421653 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421654CLMCLM-421653 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-421655CLMCLM-421654CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-128350ENRCLM-421654CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-26379PRVCLM-421654CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421656CLMCLM-421654CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421655CLMCLM-421656CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-128350ENRCLM-421656CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶PRV-26379PRVCLM-421656CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421655CLMENR-128350ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421655CLMPRV-26379PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-128350ENRPRV-26379PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-128350ENRCLM-421653 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421656CLMCLM-421653 CLM0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421653 → UHC-48927-65 (James Maldonado)
    ACT-009162, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically904700e67b
    scoring_agent, CLM-421653, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421655, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfeb6266122
    scoring_agent, CLM-421654, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:54:38Record linked automatically501e4c50bc
    matching_agent, CLM-421656, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:54:38Record linked automatically86443a4789
    scoring_agent, PRV-26379, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye4aef3dd50
    matching_agent, ENR-128350, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:54:38Record linked automaticallydb330c7dd8
    scoring_agent, CLM-421655, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:52:09Record linked automatically91b8211c3f
    scoring_agent, CLM-421653, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421655, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye684aa3b2c
    scoring_agent, CLM-421654, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya9e460ba7d
    matching_agent, CLM-421656, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:52:09Record linked automatically6fbb860a36
    scoring_agent, PRV-26379, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:52:09Record linked automatically328aa022d0
    matching_agent, ENR-128350, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:52:09Record linked automatically36d7ed41fc
    scoring_agent, CLM-421655, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3a15ac2f56
    scoring_agent, CLM-421653, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421655, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7b65869713
    scoring_agent, CLM-421654, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6f17c637a2
    matching_agent, CLM-421656, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:45:42Record linked automatically4566afb823
    scoring_agent, PRV-26379, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7e55d4f2ad
    matching_agent, ENR-128350, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:45:42Record linked automatically260bff7a71
    scoring_agent, CLM-421655, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybfca96faaa
    scoring_agent, CLM-421653, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421655, policy version 1
  • 2026-10-19 19:32:31Record linked automatically14023b35c4
    scoring_agent, CLM-421654, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:32:31Record linked automatically06dde4d0d3
    matching_agent, CLM-421656, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:32:31Record linked automatically48b9c93a4a
    scoring_agent, PRV-26379, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:32:31Record linked automatically47d1c3bf43
    matching_agent, ENR-128350, identity id MBR-027302, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421655
  • 2026-10-19 19:32:31Record linked automaticallye2870de8fe
    scoring_agent, CLM-421655, identity id MBR-027302, confidence 1, method probabilistic, matched record CLM-421653, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycadb3b4856
    matching_agent, CLM-421656, identity id MBR-044383, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-128459
  • 2026-10-19 19:31:28Record linked automatically99a03f7109
    scoring_agent, PRV-26379, identity id MBR-035612, confidence 1, method probabilistic, matched record CLM-421726, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf6d2994d5c
    matching_agent, CLM-421654, identity id MBR-035415, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421653
  • 2026-10-19 19:31:28Record linked automaticallye7921b49b7
    scoring_agent, CLM-421653, identity id MBR-035415, confidence 1, method probabilistic, matched record PRV-26357, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye1c71566c0
    matching_agent, ENR-128350, identity id MBR-030977, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421567
  • 2026-10-19 19:31:28Record linked automatically49f53d1856
    matching_agent, CLM-421655, identity id MBR-017156, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128458

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0297092026-08-19Meadow Cardiovascular Associates
in network
93015$572.00—DeniedDenied
CLM-2026-0297082026-08-19Meadow Cardiovascular Associates
in network
93015$572.00$43.97ApprovedApproved
CLM-2026-0278212026-07-04Harbor Medical Group
in network
99395, 99214, 99203$724.00$428.88ApprovedApproved
CLM-2026-0054452026-07-04Canyon Medical Group
in network
80053, 99214$363.00$205.06ApprovedApproved
CLM-2026-0152322026-03-11Valley Medical Group
in network
99213, 99214$528.00$307.36ApprovedApproved