Identities/MBR-030620

Gold, golden identity

Alice Mejia

4 source records from 1 feed.

MBR-030620Verified4 records

Golden record

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

First nameCLM: Alice
Middle name—: —
Last nameCLM: Mejia
Date of birthCLM: 1942-06-13
GenderCLM: F
Member IDCLM: UHC-60560-81
SSN—: —
PhoneCLM: 2824471224
Email—: —
AddressCLM: 649 Apache Blvd
CityCLM: Denver
StateCLM: CO
ZIPCLM: 80254
GroupCLM: GRP-3765
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4

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-424666	CLM	2026-05-14	Alice Mejiaflagged	1942-06-13	—	—	649 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-424665	CLM	2026-07-03	Alice Mejiaflagged	1942-06-13	UHC-60560-81	2824471224	649 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-424667	CLM	2026-07-06	Alice Mejiaflagged	1942-06-13	UHC-60560-81	2824471224	649 Apache Blvd, Denver, CO	Scored	1.00	—
CLM-424664	CLM	2026-08-29	Alice Mejiaflagged	1942-06-13	—	—	649 Apache Blvd, Denver, CO	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-424666CLMCLM-424664CLM1.00Scoredweighted 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-424665CLMCLM-424664CLM1.00Scoredweighted 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-424667CLMCLM-424664CLM1.00Scoredweighted 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-424666CLMCLM-424665CLM1.00Scoredweighted 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-424666CLMCLM-424667CLM1.00Scoredweighted 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-424665CLMCLM-424667CLM0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-424664 → UHC-60560-81 (Alice Mejia)
ACT-004733, Claims processor
Orphan claim re-pointedExecuted
CLM-424666 → UHC-60560-81 (Alice Mejia)
ACT-007022, Claims processor
Care coordination outreachProposed
Alice Mejia: 4 claims, no attributed provider
ACT-019452, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically4fbb74798c
scoring_agent, CLM-424664, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-22 12:43:54Record linked automatically7f5b8c09eb
scoring_agent, CLM-424667, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-22 12:43:54Record linked automatically14ce14fcdd
scoring_agent, CLM-424665, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-22 12:43:54Record linked automatically1e8a64207b
scoring_agent, CLM-424666, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424665, policy version 1
2026-10-19 19:54:38Record linked automatically9a44d0fa56
scoring_agent, CLM-424664, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0a70b97af
scoring_agent, CLM-424667, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:54:38Record linked automatically362cc6de1f
scoring_agent, CLM-424665, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:54:38Record linked automaticallye4ccb8a369
scoring_agent, CLM-424666, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424665, policy version 1
2026-10-19 19:52:09Record linked automaticallyc8783eb31d
scoring_agent, CLM-424664, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:52:09Record linked automaticallyd42fe16d21
scoring_agent, CLM-424667, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:52:09Record linked automatically34e3d4a000
scoring_agent, CLM-424665, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:52:09Record linked automatically3e54243f91
scoring_agent, CLM-424666, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424665, policy version 1
2026-10-19 19:45:42Record linked automaticallyc93f129a0e
scoring_agent, CLM-424664, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:45:42Record linked automatically83d7744acd
scoring_agent, CLM-424667, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:45:42Record linked automaticallyfdf1d52ac3
scoring_agent, CLM-424665, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:45:42Record linked automatically3bab5de813
scoring_agent, CLM-424666, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424665, policy version 1
2026-10-19 19:32:31Record linked automatically445c5aa9b6
scoring_agent, CLM-424664, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:32:31Record linked automaticallybfff103a74
scoring_agent, CLM-424667, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:32:31Record linked automatically55cd9cda76
scoring_agent, CLM-424665, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424666, policy version 1
2026-10-19 19:32:31Record linked automatically12f35762b4
scoring_agent, CLM-424666, identity id MBR-030620, confidence 1, method probabilistic, matched record CLM-424665, policy version 1
2026-10-19 19:31:28Record linked automaticallyf00721dd2f
matching_agent, CLM-424666, identity id MBR-025132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132445
2026-10-19 19:31:28Record linked automaticallyadc244b297
matching_agent, CLM-424665, identity id MBR-022276, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27266
2026-10-19 19:31:28Record linked automatically41d87fbb74
matching_agent, CLM-424667, identity id MBR-022223, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132448
2026-10-19 19:31:28Record linked automaticallyfac23df410
matching_agent, CLM-424664, identity id MBR-019323, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424663

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-2026-012884	2026-07-31	Valley Primary Care Associates out of network	36415, 99214, 99213	$528.00	—	Denied	Denied
CLM-2026-021730	2026-07-02	Sunrise Medical Group in network	93000, 99214, 80053	$473.00	$268.26	Approved	Approved
CLM-2026-005345	2026-05-26	Summit Clinical Laboratories in network	70553	$3,256.00	—	Needs review	Needs review
CLM-2026-021393	2026-04-16	Mesa Orthopedic Specialists in network	20610, 99213	$514.00	$243.68	Approved	Approved