Identities/MBR-027962

Gold, golden identity

Jacqueline F Flores

5 source records from 4 feeds.

MBR-027962Verified5 records

Golden record

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

First nameENR: Jacqueline
Middle nameENR: F
Last namePRV: Flores
Date of birthPRV: 1939-12-16
GenderENR: F
Member IDENR: UHC-03070-53
SSNENR: •••-••-8271
PhoneENR: 4285278069
EmailCLM: jacqueline.flores@outlook.com
AddressENR: 8553 Spring St
CityENR: Tampa
StateENR: FL
ZIPENR: 33668
GroupENR: GRP-6920
PlanENR: NAVIGATE-HMO

Min confidence

0.96

Sources

CLM ×2TPA ×1PRV ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-410864	CLM	2026-04-27	Jackie Floresflagged	1939-12-16	—	4285278069	—	Scored	1.00	—
TPA-54761	TPA	2026-07-02	Jacqueline Floresflagged	1939-12-16	UHC-03070-53	4285278069	8553 Spring St, Tampa, FL	Scored	1.00	—
PRV-23142	PRV	2026-08-13	Jacqueline Floresflagged	1939-12-16	UHC-03070-53	4285278069	4401 Union St, Las Vegas, NV	Scored	1.00	—
CLM-410865	CLM	2026-09-09	Jacqueline Floresflagged	1939-12-16	UHC-03070-53	4285278069	8553 Spring St, Tampa, FL	Scored	1.00	—
ENR-114244	ENR	2026-10-11	Jacqueline Florresflagged	1938-12-16	UHC-03070-53	4285278069	8553 Spring St, Tampa, FL	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶CLM-410864CLMCLM-410865CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410864CLMPRV-23142 PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410864CLMTPA-54761TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54761TPACLM-410865CLM0.99RuleD1 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

▶PRV-23142 PRVCLM-410865CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54761TPAPRV-23142 PRV0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54761TPAENR-114244ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-23142 PRVENR-114244ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410865CLMENR-114244ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-410864CLMENR-114244ENR0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	0.50	3	one_digit
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410864 → UHC-03070-53 (Jacqueline Flores)
ACT-008030, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye1cb9cf970
matching_agent, ENR-114244, identity id MBR-027962, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-54761
2026-10-22 12:43:54Record linked automaticallya0c12865e8
scoring_agent, CLM-410865, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-22 12:43:54Record linked automatically75e9920800
scoring_agent, PRV-23142, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-22 12:43:54Record linked automatically93972c58d0
scoring_agent, TPA-54761, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-22 12:43:54Record linked automatically8cdc5a179f
scoring_agent, CLM-410864, identity id MBR-027962, confidence 1, method probabilistic, matched record TPA-54761, policy version 1
2026-10-19 19:54:38Record linked automaticallyc3b967ed5d
matching_agent, ENR-114244, identity id MBR-027962, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-54761
2026-10-19 19:54:38Record linked automatically736d547352
scoring_agent, CLM-410865, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:54:38Record linked automatically01d359004e
scoring_agent, PRV-23142, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:54:38Record linked automaticallyf62ee2eca9
scoring_agent, TPA-54761, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb156344ec
scoring_agent, CLM-410864, identity id MBR-027962, confidence 1, method probabilistic, matched record TPA-54761, policy version 1
2026-10-19 19:52:09Record linked automatically801d6a3142
matching_agent, ENR-114244, identity id MBR-027962, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-54761
2026-10-19 19:52:09Record linked automatically2faf9b21d5
scoring_agent, CLM-410865, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:52:09Record linked automatically3a2db23479
scoring_agent, PRV-23142, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:52:09Record linked automaticallyd10d8e07d8
scoring_agent, TPA-54761, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:52:09Record linked automaticallyd29905b2d2
scoring_agent, CLM-410864, identity id MBR-027962, confidence 1, method probabilistic, matched record TPA-54761, policy version 1
2026-10-19 19:45:42Record linked automaticallyeef517c512
matching_agent, ENR-114244, identity id MBR-027962, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-54761
2026-10-19 19:45:42Record linked automatically4493285e71
scoring_agent, CLM-410865, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:45:42Record linked automaticallyf881313a74
scoring_agent, PRV-23142, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:45:42Record linked automatically474835c812
scoring_agent, TPA-54761, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:45:42Record linked automatically40da84a2a2
scoring_agent, CLM-410864, identity id MBR-027962, confidence 1, method probabilistic, matched record TPA-54761, policy version 1
2026-10-19 19:32:31Record linked automatically42944b6fc4
matching_agent, ENR-114244, identity id MBR-027962, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-54761
2026-10-19 19:32:31Record linked automatically6c619f1897
scoring_agent, CLM-410865, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:32:31Record linked automatically90afb01167
scoring_agent, PRV-23142, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:32:31Record linked automaticallyffeec0900d
scoring_agent, TPA-54761, identity id MBR-027962, confidence 1, method probabilistic, matched record CLM-410864, policy version 1
2026-10-19 19:32:31Record linked automatically159d2604d5
scoring_agent, CLM-410864, identity id MBR-027962, confidence 1, method probabilistic, matched record TPA-54761, policy version 1
2026-10-19 19:31:28Record linked automaticallydc32102d76
scoring_agent, PRV-23142, identity id MBR-023075, confidence 1, method probabilistic, matched record ENR-113948, policy version 1
2026-10-19 19:31:28Record linked automatically3d2d25596f
matching_agent, CLM-410865, identity id MBR-013007, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-114373

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-2026-001789	2026-09-02	Summit Regional Medical Center in network	99283, 99285	$2,586.00	$1,272.30	Approved	Approved
CLM-2026-025348	2026-03-20	Cornerstone Internal Medicine Associates in network	93000, 99214	$342.00	$172.04	Approved	Approved