Identities/MBR-037610
Gold, golden identity

Raymond Maldonado

3 source records from 3 feeds.

MBR-037610Verified3 records

Golden record

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

First nameCLM
Raymond
Middle name—
—
Last nameENR
Maldonado
Date of birthCLM
1969-10-23
GenderENR
F
Member IDENR
UHC-59420-59
SSNTPA
•••-••-1909
PhoneENR
6079050488
Email—
—
AddressENR
4552 Market St
CityENR
Columbus
StateENR
OH
ZIPENR
43285
GroupENR
GRP-0444
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×1TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.96CLMCLM-432209TPATPA-64217ENRENR-142290IDMBR-037610
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-432209CLM2026-07-07Raymond Maldonadoflagged1969-10-23UHC-59420-59—4552 Market St, Columbus, OHScored1.00—
TPA-64217TPA2026-07-17Raymond Maldonadoflagged1969-10-23——4552 Market St, Columbus, OHScored1.00—
ENR-142290ENR2026-10-18Ray Maldonadoflagged—UHC-59420-5960790504884552 Market St, Columbus, OHRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432209CLMTPA-64217TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432209CLMENR-142290ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-64217TPAENR-142290ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Raymond Maldonado: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-001280, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically141aea61ab
    matching_agent, ENR-142290, identity id MBR-037610, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432209
  • 2026-10-19 19:54:39Record linked automaticallyc9d744ca06
    scoring_agent, TPA-64217, identity id MBR-037610, confidence 1, method probabilistic, matched record CLM-432209, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallya7db9ec32f
    scoring_agent, CLM-432209, identity id MBR-037610, confidence 1, method probabilistic, matched record TPA-64217, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydd22e8ba14
    matching_agent, ENR-142290, identity id MBR-037610, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432209
  • 2026-10-19 19:52:09Record linked automatically94c18be125
    scoring_agent, TPA-64217, identity id MBR-037610, confidence 1, method probabilistic, matched record CLM-432209, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye13c1dbc74
    scoring_agent, CLM-432209, identity id MBR-037610, confidence 1, method probabilistic, matched record TPA-64217, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf3d263294e
    matching_agent, ENR-142290, identity id MBR-037610, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432209
  • 2026-10-19 19:45:42Record linked automatically03a52947e6
    scoring_agent, TPA-64217, identity id MBR-037610, confidence 1, method probabilistic, matched record CLM-432209, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybd8f32d570
    scoring_agent, CLM-432209, identity id MBR-037610, confidence 1, method probabilistic, matched record TPA-64217, policy version 1
  • 2026-10-19 19:32:31Record linked automatically215304b9d8
    matching_agent, ENR-142290, identity id MBR-037610, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432209
  • 2026-10-19 19:32:31Record linked automatically6f874a6e01
    scoring_agent, TPA-64217, identity id MBR-037610, confidence 1, method probabilistic, matched record CLM-432209, policy version 1
  • 2026-10-19 19:32:31Record linked automatically53e62e6953
    scoring_agent, CLM-432209, identity id MBR-037610, confidence 1, method probabilistic, matched record TPA-64217, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4835f9434c
    matching_agent, ENR-142290, identity id MBR-031094, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-64030
  • 2026-10-19 19:31:28Record linked automaticallyfab57da229
    matching_agent, CLM-432209, identity id MBR-028252, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142461
  • 2026-10-19 19:31:28Record linked automaticallycf8e2715bb
    scoring_agent, TPA-64217, identity id MBR-011520, confidence 1, method probabilistic, matched record ENR-142837, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0114722026-05-23Northgate Cardiovascular Associates
in network
93458, 93015$7,261.00$3,368.66ApprovedApproved