Identities/MBR-031396
Gold, golden identity

Albert Flores

2 source records from 2 feeds.

MBR-031396Verified2 records

Golden record

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

First nameENR
Albert
Middle name—
—
Last nameENR
Flores
Date of birthENR
1987-06-26
GenderENR
F
Member IDENR
UHC-98167-09
SSNENR
•••-••-7162
PhoneENR
4664958764
EmailENR
albert.flores@aol.com
AddressENR
7327 Palm Dr
CityENR
Denver
StateENR
CO
ZIPENR
80275
GroupENR
GRP-3145
PlanENR
MEDICARE-ADV-B
Min confidence
0.86
Sources
CLM ×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

0.860.86CLMCLM-427520ENRENR-136082IDMBR-031396
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-427520CLM2026-05-19Albert Floresflagged1988-06-26——7327 Palm Dr, Denver, COScored0.86—
ENR-136082ENR2026-09-16Albert Floresflagged1987-06-26UHC-98167-0946649587647327 Palm Dr, Denver, COScored0.86—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-427520CLMENR-136082ENR0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
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-427520 → UHC-98167-09 (Albert Flores)
    ACT-002313, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically97c1fcaf70
    scoring_agent, ENR-136082, identity id MBR-031396, confidence 0.86, method probabilistic, matched record CLM-427520, policy version 1
  • 2026-10-22 12:43:54Record linked automatically4993f448fd
    scoring_agent, CLM-427520, identity id MBR-031396, confidence 0.86, method probabilistic, matched record ENR-136082, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb045fd032b
    scoring_agent, ENR-136082, identity id MBR-031396, confidence 0.86, method probabilistic, matched record CLM-427520, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye7380e550b
    scoring_agent, CLM-427520, identity id MBR-031396, confidence 0.86, method probabilistic, matched record ENR-136082, policy version 1
  • 2026-10-19 19:52:09Record linked automatically09a39ba579
    scoring_agent, ENR-136082, identity id MBR-031396, confidence 0.86, method probabilistic, matched record CLM-427520, policy version 1
  • 2026-10-19 19:52:09Record linked automatically31b1ce8af1
    scoring_agent, CLM-427520, identity id MBR-031396, confidence 0.86, method probabilistic, matched record ENR-136082, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2c0fa6ee67
    scoring_agent, ENR-136082, identity id MBR-031396, confidence 0.86, method probabilistic, matched record CLM-427520, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyce6e1bbfee
    scoring_agent, CLM-427520, identity id MBR-031396, confidence 0.86, method probabilistic, matched record ENR-136082, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3629dafa22
    scoring_agent, ENR-136082, identity id MBR-031396, confidence 0.86, method probabilistic, matched record CLM-427520, policy version 1
  • 2026-10-19 19:32:31Record linked automatically86afaa93dd
    scoring_agent, CLM-427520, identity id MBR-031396, confidence 0.86, method probabilistic, matched record ENR-136082, policy version 1
  • 2026-10-19 19:31:28Record linked automatically810bf0e47f
    scoring_agent, CLM-427520, identity id MBR-029397, confidence 1, method probabilistic, matched record ENR-136420, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7c002abba5
    matching_agent, ENR-136082, identity id MBR-010034, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27991

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0036612026-04-08Mesa Dermatology Clinic
in network
17110, 11403, 99213$913.00$491.06ApprovedApproved