Identities/MBR-036503
Gold, golden identity

Jean Contreras

3 source records from 3 feeds.

MBR-036503Verified3 records

Golden record

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

First nameENR
Jean
Middle name—
—
Last nameENR
Contreras
Date of birthCLM
1943-06-21
GenderENR
M
Member IDENR
UHC-29251-65
SSNENR
•••-••-2924
PhoneENR
2555930153
EmailENR
jean.contreras19@outlook.com
AddressENR
3730 Hillcrest Rd
CityENR
San Antonio
StateENR
TX
ZIPENR
78202
GroupENR
GRP-8349
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
ENR ×1TPA ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.961.001.00ENRENR-104223TPATPA-51410CLMCLM-403254IDMBR-036503
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
ENR-104223ENR2026-06-28Jean Contrerasflagged—UHC-29251-6525559301533730 Hillcrest Rd, San Antonio, TXRule0.96D3 member id + name
TPA-51410TPA2026-10-03Jean Contrerasflagged1943-06-21UHC-29251-6525559301533730 Hillcrest Rd, San Antonio, TXScored1.00—
CLM-403254CLM2026-10-07Jean Contrerasflagged1943-06-21—2555930153—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-51410TPACLM-403254CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104223ENR TPA-51410TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-104223ENR CLM-403254CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403254 → UHC-29251-65 (Jean Contreras)
    ACT-009530, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically67b715b6e2
    scoring_agent, CLM-403254, identity id MBR-036503, confidence 1, method probabilistic, matched record TPA-51410, policy version 1
  • 2026-10-19 19:54:39Record linked automatically65ba3f2104
    scoring_agent, TPA-51410, identity id MBR-036503, confidence 1, method probabilistic, matched record CLM-403254, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9cadad1f43
    matching_agent, ENR-104223, identity id MBR-036503, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-51410
  • 2026-10-19 19:52:09Record linked automaticallyca59112217
    scoring_agent, CLM-403254, identity id MBR-036503, confidence 1, method probabilistic, matched record TPA-51410, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyad3d8aedb8
    scoring_agent, TPA-51410, identity id MBR-036503, confidence 1, method probabilistic, matched record CLM-403254, policy version 1
  • 2026-10-19 19:52:09Record linked automatically49b262a276
    matching_agent, ENR-104223, identity id MBR-036503, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-51410
  • 2026-10-19 19:45:42Record linked automatically55c3169abd
    scoring_agent, CLM-403254, identity id MBR-036503, confidence 1, method probabilistic, matched record TPA-51410, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7f84f63992
    scoring_agent, TPA-51410, identity id MBR-036503, confidence 1, method probabilistic, matched record CLM-403254, policy version 1
  • 2026-10-19 19:45:42Record linked automatically43d9b0be57
    matching_agent, ENR-104223, identity id MBR-036503, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-51410
  • 2026-10-19 19:32:31Record linked automatically3725603e1b
    scoring_agent, CLM-403254, identity id MBR-036503, confidence 1, method probabilistic, matched record TPA-51410, policy version 1
  • 2026-10-19 19:32:31Record linked automatically996c27b105
    scoring_agent, TPA-51410, identity id MBR-036503, confidence 1, method probabilistic, matched record CLM-403254, policy version 1
  • 2026-10-19 19:32:31Record linked automatically39870ab15e
    matching_agent, ENR-104223, identity id MBR-036503, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-51410
  • 2026-10-19 19:31:28Record linked automatically8d304ef1fb
    matching_agent, TPA-51410, identity id MBR-016521, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104065
  • 2026-10-19 19:31:28Record linked automaticallyd8a23fc894
    matching_agent, CLM-403254, identity id MBR-012295, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20992

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0312342026-08-29Riverside Community Hospital
in network
70553$2,827.00—Needs reviewNeeds review