Amber Contreras

3 source records from 1 feed.

MBR-037778Verified3 records

Golden record

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

First nameCLM: Amber
Middle name—: —
Last nameCLM: Contreras
Date of birthCLM: 1960-03-11
GenderCLM: F
Member IDCLM: UHC-34873-58
SSN—: —
Phone—: —
Email—: —
AddressCLM: 1434 Pine Dr
CityCLM: Plano
StateCLM: TX
ZIPCLM: 75002
Group—: —
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3

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-425328	CLM	2026-07-08	Amber Contrerasflagged	1960-03-11	—	—	1434 Pine Dr, Plano, TX	Scored	1.00	—
CLM-425329	CLM	2026-07-08	Amber Contrerasflagged	1960-03-11	—	—	1434 Pine Dr, Plano, TX	Scored	1.00	—
CLM-425330	CLM	2026-07-20	Amber Contrerasflagged	1960-03-11	UHC-34873-58	—	1434 Pine Dr, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425328CLM CLM-425329CLM 1.00Scoredweighted 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-425328CLM CLM-425330CLM1.00Scoredweighted 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-425329CLM CLM-425330CLM1.00Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425328 → UHC-34873-58 (Amber Contreras)
ACT-005712, Claims processor
Orphan claim re-pointedExecuted
CLM-425329 → UHC-34873-58 (Amber Contreras)
ACT-005985, Claims processor
Care coordination outreachProposed
Amber Contreras: 3 claims, no attributed provider
ACT-019561, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automaticallyd679616582
scoring_agent, CLM-425330, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-22 12:43:55Record linked automatically68923324ab
scoring_agent, CLM-425329, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-22 12:43:55Record linked automatically66f383b1d8
scoring_agent, CLM-425328, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425329, policy version 1
2026-10-19 19:54:39Record linked automatically4d189894ec
scoring_agent, CLM-425330, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:54:39Record linked automaticallyc94f2f42b1
scoring_agent, CLM-425329, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:54:39Record linked automatically0ea1a10b9f
scoring_agent, CLM-425328, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425329, policy version 1
2026-10-19 19:52:09Record linked automatically60f30176a1
scoring_agent, CLM-425330, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:52:09Record linked automatically9ef1dce8fd
scoring_agent, CLM-425329, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:52:09Record linked automatically9b58d08e15
scoring_agent, CLM-425328, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425329, policy version 1
2026-10-19 19:45:42Record linked automatically6c787e3e3a
scoring_agent, CLM-425330, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:45:42Record linked automaticallyf7b7e4bca6
scoring_agent, CLM-425329, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:45:42Record linked automaticallyaa25d1a2d4
scoring_agent, CLM-425328, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425329, policy version 1
2026-10-19 19:32:31Record linked automatically1af69924ef
scoring_agent, CLM-425330, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:32:31Record linked automatically59a0f273ee
scoring_agent, CLM-425329, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425328, policy version 1
2026-10-19 19:32:31Record linked automaticallydadaa4ba0d
scoring_agent, CLM-425328, identity id MBR-037778, confidence 1, method probabilistic, matched record CLM-425329, policy version 1
2026-10-19 19:31:28Record linked automaticallye96f7edf42
matching_agent, CLM-425330, identity id MBR-031457, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425331
2026-10-19 19:31:28Record linked automatically4937044ba3
scoring_agent, CLM-425329, identity id MBR-031315, confidence 0.93, method probabilistic, matched record ENR-133346, policy version 1
2026-10-19 19:31:28Record linked automaticallydf49432d41
matching_agent, CLM-425328, identity id MBR-005734, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133345

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-2026-001331	2026-07-07	Valley Primary Care Associates in network	99395, 99203	$463.00	$247.06	Approved	Approved
CLM-2026-017464	2026-06-29	Sunrise Medical Group in network	99232	$181.00	—	Denied	Denied
CLM-2026-017463	2026-06-29	Sunrise Medical Group in network	99232	$181.00	$0.00	Approved	Approved
CLM-2026-016514	2026-06-27	Mesa Internal Medicine Associates in network	80053	$53.00	$0.00	Approved	Approved