Identities/MBR-001042
Gold, golden identity

Omar Lopez

4 source records from 2 feeds.

MBR-001042Verified4 records

Golden record

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

First nameENR
Omar
Middle name—
—
Last nameENR
Lopez
Date of birthENR
1969-11-17
GenderENR
F
Member IDENR
UHC-67709-81
SSNENR
•••-••-9744
PhoneENR
8007005328
EmailENR
omar.lopez@outlook.com
AddressENR
7192 Maple Ave
CityENR
Columbus
StateENR
OH
ZIPENR
43285
GroupENR
GRP-0515
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.97ENRENR-127032ENRENR-127033CLMCLM-420545CLMCLM-420544IDMBR-001042
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-127032ENR2026-01-04Omar Lopezflagged1969-11-17UHC-67709-8180070053287192 Maple Ave, Columbus, OHRule0.99D1 member id + dob exact
ENR-127033ENR2026-01-04Omar Lopezflagged1969-11-17UHC-67709-8180070053287192 Maple Ave, Columbus, OHRule0.99D1 member id + dob exact
CLM-420545CLM2026-02-17Omar Lopezflagged1969-11-17UHC-67709-818007005328—Rule0.99D1 member id + dob exact
CLM-420544CLM2026-08-24Omar Lopezflagged1969-11-17——7192 Maple Ave, Columbus, OHRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-127032ENRCLM-420545CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-127033ENRCLM-420545CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-127032ENRENR-127033ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-127032ENRCLM-420544CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-127033ENRCLM-420544CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420545CLMCLM-420544CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420544 → UHC-67709-81 (Omar Lopez)
    ACT-006024, Claims processor
  • Duplicate member record retiredExecuted
    Omar Lopez: 2 enrollment records collapsed into UHC-67709-81
    ACT-021852, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8279799e77
    matching_agent, CLM-420544, identity id MBR-001042, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127032
  • 2026-10-19 19:54:38Record linked automatically4d33d64ba0
    matching_agent, CLM-420545, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:54:38Record linked automaticallya211795899
    matching_agent, ENR-127033, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:54:38Record linked automaticallybefa675b08
    matching_agent, ENR-127032, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127033
  • 2026-10-19 19:52:08Record linked automatically167a7c3544
    matching_agent, CLM-420544, identity id MBR-001042, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127032
  • 2026-10-19 19:52:08Record linked automatically1721760c51
    matching_agent, CLM-420545, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:52:08Record linked automatically71605359e2
    matching_agent, ENR-127033, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:52:08Record linked automaticallya0fd0beedb
    matching_agent, ENR-127032, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127033
  • 2026-10-19 19:45:41Record linked automaticallyd103a6a584
    matching_agent, CLM-420544, identity id MBR-001042, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127032
  • 2026-10-19 19:45:41Record linked automaticallyf21b6a9448
    matching_agent, CLM-420545, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:45:41Record linked automatically19c4f65c65
    matching_agent, ENR-127033, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:45:41Record linked automaticallyc0f19ef883
    matching_agent, ENR-127032, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127033
  • 2026-10-19 19:32:31Record linked automaticallye0419b40eb
    matching_agent, CLM-420544, identity id MBR-001042, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127032
  • 2026-10-19 19:32:31Record linked automaticallyc49be877f8
    matching_agent, CLM-420545, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:32:31Record linked automaticallyaab8fe6792
    matching_agent, ENR-127033, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127032
  • 2026-10-19 19:32:31Record linked automatically6c5e745984
    matching_agent, ENR-127032, identity id MBR-001042, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127033
  • 2026-10-19 19:31:28Record linked automatically6ea609206e
    scoring_agent, CLM-420545, identity id MBR-034003, confidence 0.93, method probabilistic, matched record ENR-126977, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0176412026-08-08Valley Clinical Laboratories
out of network
85025, 87086, 83036$139.00$0.00ApprovedApproved
CLM-2026-0185552026-01-03Harbor Diagnostic Imaging
in network
70553, 77067$2,512.00$709.64ApprovedApproved