Identities/MBR-030178

Gold, golden identity

Cynthia O Contreras

5 source records from 3 feeds.

MBR-030178Verified5 records

Golden record

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

First nameENR: Cynthia
Middle nameENR: O
Last nameENR: Contreras
Date of birthENR: 1978-03-06
GenderCLM: F
Member IDENR: UHC-50913-71
SSNENR: •••-••-7171
PhoneENR: 7867774387
EmailENR: cynthia.contreras46@proton.me
AddressENR: 4353 Washington St
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85043
GroupENR: GRP-5952
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×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-410011	CLM	2026-05-11	Cynthia Contrerasflagged	—	—	7867774387	4353 Washington St, Phoenix, AZ	Scored	1.00	—
ENR-113198	ENR	2026-05-16	Cynthia Contrerasflagged	1978-03-06	UHC-50913-71	7867774387	4353 Washington St, Phoenix, AZ	Scored	1.00	—
CLM-410010	CLM	2026-07-27	Cynthia Contrerasflagged	1978-03-06	UHC-50913-71	7867774387	4353 Washington St, Phoenix, AZ	Scored	1.00	—
TPA-54376	TPA	2026-09-17	Cynthia Contrerasflagged	1978-03-06	—	—	4353 Washington St, Phoenix, AZ	Scored	1.00	—
CLM-410009	CLM	2026-09-24	Cynthia Contrerasflagged	1978-03-06	—	7867774387	4353 Washington St, Phoenix, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-410011 CLMCLM-410009CLM 1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-113198ENRCLM-410009CLM 1.00Scoredweighted 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

▶CLM-410010CLMCLM-410009CLM 1.00Scoredweighted 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-54376TPACLM-410009CLM 1.00Scoredweighted 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

▶CLM-410011 CLMCLM-410010CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410011 CLMENR-113198ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-113198ENRTPA-54376TPA1.00Scoredweighted 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

▶CLM-410010CLMTPA-54376TPA1.00Scoredweighted 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

▶ENR-113198ENRCLM-410010CLM0.99RuleD1 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-410011 CLMTPA-54376TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410009 → UHC-50913-71 (Cynthia Contreras)
ACT-005297, Claims processor
Orphan claim re-pointedExecuted
CLM-410011 → UHC-50913-71 (Cynthia Contreras)
ACT-006166, Claims processor
Care coordination outreachProposed
Cynthia Contreras: 3 claims, no attributed provider
ACT-019447, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyc33d348b46
scoring_agent, CLM-410009, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-22 12:43:54Record linked automatically20bc75e839
scoring_agent, TPA-54376, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-22 12:43:54Record linked automatically3eb15a4b5d
scoring_agent, CLM-410010, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-22 12:43:54Record linked automatically1e890ba487
scoring_agent, ENR-113198, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-22 12:43:54Record linked automatically760e4386f4
scoring_agent, CLM-410011, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:54:38Record linked automaticallydfd8d988c9
scoring_agent, CLM-410009, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:54:38Record linked automaticallyed603eac07
scoring_agent, TPA-54376, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:54:38Record linked automaticallyc29f4b5fc4
scoring_agent, CLM-410010, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:54:38Record linked automatically8f365e36ec
scoring_agent, ENR-113198, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:54:38Record linked automatically0205368af7
scoring_agent, CLM-410011, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:52:09Record linked automatically2925ffcd39
scoring_agent, CLM-410009, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:52:09Record linked automatically162c441860
scoring_agent, TPA-54376, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:52:09Record linked automaticallybb02bf8111
scoring_agent, CLM-410010, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:52:09Record linked automatically0316651b6d
scoring_agent, ENR-113198, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:52:09Record linked automatically5f785fe6a9
scoring_agent, CLM-410011, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:45:42Record linked automaticallyb444dfb9f0
scoring_agent, CLM-410009, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:45:42Record linked automatically40268cdef6
scoring_agent, TPA-54376, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:45:42Record linked automaticallye8a5d9562f
scoring_agent, CLM-410010, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:45:42Record linked automatically1b0f3a3825
scoring_agent, ENR-113198, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:45:42Record linked automatically2cc3f93f5e
scoring_agent, CLM-410011, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:32:31Record linked automatically1ef728881a
scoring_agent, CLM-410009, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:32:31Record linked automatically8b7c7945f8
scoring_agent, TPA-54376, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:32:31Record linked automatically43e8dd2708
scoring_agent, CLM-410010, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:32:31Record linked automaticallycf855018b9
scoring_agent, ENR-113198, identity id MBR-030178, confidence 1, method probabilistic, matched record CLM-410011, policy version 1
2026-10-19 19:32:31Record linked automaticallyce37dd5d3b
scoring_agent, CLM-410011, identity id MBR-030178, confidence 1, method probabilistic, matched record ENR-113198, policy version 1
2026-10-19 19:31:28Record linked automaticallybd2dfa7b42
matching_agent, CLM-410011, identity id MBR-038136, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113232
2026-10-19 19:31:28Record linked automatically927743245a
scoring_agent, TPA-54376, identity id MBR-023119, confidence 0.94, method probabilistic, matched record ENR-112958, policy version 1
2026-10-19 19:31:28Record linked automaticallye8bd18d187
matching_agent, CLM-410010, identity id MBR-015419, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113230
2026-10-19 19:31:28Record linked automatically0b1d5bd567
matching_agent, ENR-113198, identity id MBR-009441, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409987
2026-10-19 19:31:28Record linked automatically5a22ff65d0
scoring_agent, CLM-410009, identity id MBR-006256, confidence 0.99, method probabilistic, matched record PRV-22980, 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-2026-015015	2026-08-31	Heritage Primary Care Associates in network	90471	$29.00	$0.00	Approved	Approved
CLM-2026-020631	2026-07-24	Sunrise GI Associates in network	43239, 88305	$1,591.00	$0.00	Approved	Approved
CLM-2026-018156	2026-04-25	Desert Medical Group in network	99213	$191.00	$98.42	Approved	Approved