Identities/MBR-001091
Gold, golden identity

Mateo B Espinoza

5 source records from 3 feeds.

MBR-001091Verified5 recordsOpen steward case

Golden record

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

First nameENR
Mateo
Middle nameENR
B
Last nameENR
Espinoza
Date of birthENR
1979-03-21
GenderENR
F
Member IDENR
UHC-22304-73
SSNENR
•••-••-6501
PhoneENR
7177346822
Email—
—
AddressENR
2755 Central Ave
CityENR
Austin
StateENR
TX
ZIPENR
78798
GroupENR
GRP-9574
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×2CLM ×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

0.990.990.970.990.97ENRENR-100760ENRENR-100761CLMCLM-400559TPATPA-50253CLMCLM-400560IDMBR-001091
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-100760ENR2026-01-04Mateo Espinozaflagged1979-03-21UHC-22304-7371773468222755 Central Ave Apt 18, Austin, TXRule0.99D1 member id + dob exact
ENR-100761ENR2026-05-27Mateo Espinozaflagged1979-03-21UHC-22304-7371773468222755 Central Ave, Austin, TXRule0.99D1 member id + dob exact
CLM-400559CLM2026-06-01Mateo Espinozaflagged1979-03-21—71773468222755 Central Ave, Austin, TXRule0.97D2 ssn4 + dob + last name
TPA-50253TPA2026-06-09Mateo Espinozaflagged1979-03-21UHC-22304-7371773468222755 Central Ave, Austin, TXRule0.99D1 member id + dob exact
CLM-400560CLM2026-08-21Mateo Espinozaflagged1979-03-21——2755 Central Ave, Austin, TXRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-100760ENRENR-100761ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-100760ENRTPA-50253TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-100761ENRTPA-50253TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-100760ENRCLM-400559 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100761ENRCLM-400559 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-100760ENRCLM-400560CLM0.97RuleD2 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-100761ENRCLM-400560CLM0.97RuleD2 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-400559 CLMCLM-400560CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-50253TPACLM-400560CLM0.97RuleD2 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-400559 CLMTPA-50253TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400559 → UHC-22304-73 (Mateo Espinoza)
    ACT-002473, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-400560 → UHC-22304-73 (Mateo Espinoza)
    ACT-009268, Claims processor
  • Outreach address correctedProposed
    Mateo Espinoza: 2755 Central Ave Apt 18, Austin → 2755 Central Ave, Austin
    ACT-010561, Outreach
  • Duplicate member record retiredExecuted
    Mateo Espinoza: 2 enrollment records collapsed into UHC-22304-73
    ACT-021856, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8b1ff132d3
    matching_agent, CLM-400560, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:54:38Record linked automatically86de1dd7f3
    matching_agent, TPA-50253, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:54:38Record linked automatically63d7f9433a
    matching_agent, CLM-400559, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:54:38Record linked automatically5024ac7d85
    matching_agent, ENR-100761, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:54:38Record linked automaticallyded862e830
    matching_agent, ENR-100760, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100761
  • 2026-10-19 19:52:08Record linked automaticallyd624f9a732
    matching_agent, CLM-400560, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:52:08Record linked automaticallycc596e5d96
    matching_agent, TPA-50253, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:52:08Record linked automatically564a57d54d
    matching_agent, CLM-400559, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:52:08Record linked automatically439f8f9d55
    matching_agent, ENR-100761, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:52:08Record linked automaticallydc51729924
    matching_agent, ENR-100760, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100761
  • 2026-10-19 19:45:41Record linked automatically1f644e16ab
    matching_agent, CLM-400560, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:45:41Record linked automatically9b97966d88
    matching_agent, TPA-50253, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:45:41Record linked automatically5a1d0927b9
    matching_agent, CLM-400559, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:45:41Record linked automaticallyc46c0ea2a1
    matching_agent, ENR-100761, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:45:41Record linked automatically295040eee2
    matching_agent, ENR-100760, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100761
  • 2026-10-19 19:32:31Record linked automaticallyf47082fcfd
    matching_agent, CLM-400560, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:32:31Record linked automatically420f146ac3
    matching_agent, TPA-50253, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:32:31Record linked automatically10fd071056
    matching_agent, CLM-400559, identity id MBR-001091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100760
  • 2026-10-19 19:32:31Record linked automaticallyde4be464b6
    matching_agent, ENR-100761, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100760
  • 2026-10-19 19:32:31Record linked automaticallya612f4b6ef
    matching_agent, ENR-100760, identity id MBR-001091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100761
  • 2026-10-19 19:31:28Record linked automatically3d03a10013
    matching_agent, ENR-100760, identity id MBR-026497, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400504
  • 2026-10-19 19:31:28Record linked automatically2b3760441c
    scoring_agent, CLM-400560, identity id MBR-020510, confidence 1, method probabilistic, matched record PRV-20167, policy version 1
  • 2026-10-19 19:31:28Record linked automatically82ca6234e7
    scoring_agent, TPA-50253, identity id MBR-006287, confidence 1, method probabilistic, matched record ENR-100852, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4e08036f19
    matching_agent, CLM-400559, identity id MBR-005543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-50247
  • 2026-10-19 19:31:28Record linked automatically0c2c211d69
    matching_agent, ENR-100761, identity id MBR-005262, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20155

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0301922026-07-27Meadow Reference Lab
out of network
80061$77.00$0.00ApprovedApproved
CLM-2026-0042712026-04-24Canyon Community Hospital
out of network
71046, 99285$2,135.00—DeniedDenied
CLM-2026-0042702026-04-24Canyon Community Hospital
out of network
71046, 99285$2,135.00$883.80ApprovedApproved