Andrea Medina

4 source records from 3 feeds.

MBR-033426Verified4 records

Golden record

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

First nameENR: Andrea
Middle name—: —
Last nameENR: Medina
Date of birthENR: 1987-08-16
GenderENR: M
Member IDENR: UHC-75366-47
SSNENR: •••-••-1487
PhoneENR: 6122241128
Email—: —
AddressENR: 4090 Church St
CityENR: Tucson
StateENR: AZ
ZIPENR: 85757
GroupENR: GRP-6311
PlanENR: CORE-HMO

Min confidence

1.00

Sources

ENR ×1CLM ×2TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-105621	ENR	2026-06-03	Andrea Medinaflagged	1987-08-16	UHC-75366-47	6122241128	4090 Church St, Tucson, AZ	Scored	1.00	—
CLM-404274	CLM	2026-06-10	Andrea Medinaflagged	1987-08-16	—	6122241128	—	Scored	1.00	—
TPA-51867	TPA	2026-08-05	Andrea Medinaflagged	1987-08-16	—	6122241128	4090 Church St, Tucson, AZ	Scored	1.00	—
CLM-404275	CLM	2026-08-24	Andrea Medinaflagged	1987-08-16	—	—	4090 Church St, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51867TPACLM-404275CLM1.00Scoredweighted 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-105621ENRTPA-51867TPA1.00Scoredweighted 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-404274CLMTPA-51867TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-105621ENRCLM-404274CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-105621ENRCLM-404275CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404274CLMCLM-404275CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404275 → UHC-75366-47 (Andrea Medina)
ACT-001526, Claims processor
Orphan claim re-pointedExecuted
CLM-404274 → UHC-75366-47 (Andrea Medina)
ACT-008841, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd1402fd1f3
scoring_agent, CLM-404275, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:54:38Record linked automatically48a06ce11b
scoring_agent, TPA-51867, identity id MBR-033426, confidence 1, method probabilistic, matched record ENR-105621, policy version 1
2026-10-19 19:54:38Record linked automatically61160397c4
scoring_agent, CLM-404274, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:54:38Record linked automatically78275e721a
scoring_agent, ENR-105621, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:52:09Record linked automaticallyc319cd0c1d
scoring_agent, CLM-404275, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:52:09Record linked automatically8d0002c768
scoring_agent, TPA-51867, identity id MBR-033426, confidence 1, method probabilistic, matched record ENR-105621, policy version 1
2026-10-19 19:52:09Record linked automatically8c366ac57f
scoring_agent, CLM-404274, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:52:09Record linked automatically9e443a9555
scoring_agent, ENR-105621, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:45:42Record linked automatically96204db9d7
scoring_agent, CLM-404275, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:45:42Record linked automatically3986a2f785
scoring_agent, TPA-51867, identity id MBR-033426, confidence 1, method probabilistic, matched record ENR-105621, policy version 1
2026-10-19 19:45:42Record linked automaticallya2540836f8
scoring_agent, CLM-404274, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:45:42Record linked automatically9737b390b6
scoring_agent, ENR-105621, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:32:31Record linked automatically310ce2bd27
scoring_agent, CLM-404275, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:32:31Record linked automatically67489f2341
scoring_agent, TPA-51867, identity id MBR-033426, confidence 1, method probabilistic, matched record ENR-105621, policy version 1
2026-10-19 19:32:31Record linked automaticallya24f575f00
scoring_agent, CLM-404274, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:32:31Record linked automatically3de39e87bf
scoring_agent, ENR-105621, identity id MBR-033426, confidence 1, method probabilistic, matched record TPA-51867, policy version 1
2026-10-19 19:31:28Record linked automatically961c53dc8b
matching_agent, TPA-51867, identity id MBR-006304, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105415
2026-10-19 19:31:28Record linked automatically54b30a1e55
scoring_agent, CLM-404275, identity id MBR-001950, confidence 1, method probabilistic, matched record TPA-51907, policy version 1
2026-10-19 19:31:28Record linked automaticallye974818011
matching_agent, CLM-404274, identity id MBR-001950, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105585

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-2026-000809	2026-08-01	Summit Digestive Health Center in network	99214	$278.00	$112.36	Approved	Approved
CLM-2026-028410	2026-06-01	Heritage Primary Care Associates in network	99395, 99203	$479.00	—	Needs review	Needs review