Identities/MBR-001204

Gold, golden identity

Jack C Espinoza

6 source records from 3 feeds.

MBR-001204Verified6 records

Golden record

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

First nameENR: Jack
Middle nameENR: C
Last nameENR: Espinoza
Date of birthENR: 2001-01-19
GenderENR: M
Member IDENR: UHC-29115-37
SSNENR: •••-••-8463
PhoneENR: 9372922043
EmailCLM: jack.espinoza@outlook.com
AddressCLM: 8268 Meadow Ln
CityENR: Las Vegas
StateENR: NV
ZIPENR: 89109
GroupENR: GRP-4527
PlanENR: SELECT-EPO

Min confidence

0.96

Sources

ENR ×1CLM ×4TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-137884	ENR	2026-01-04	Jack Espinozaflagged	2001-01-19	UHC-29115-37	9372922043	8268 Meadow Ln Apt 14, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-428891	CLM	2026-02-01	Jack Espinozaflagged	2001-01-19	UHC-29115-37	—	8268 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
TPA-62764	TPA	2026-03-18	Jack Espinozaflagged	—	UHC-29115-37	—	8268 Meadow Ln, Las Vegas, NV	Rule	0.96	D3 member id + name
CLM-428893	CLM	2026-06-23	Jack Espinozaflagged	2001-01-19	UHC-29115-37	—	8268 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-428894	CLM	2026-06-23	Jack Espinozaflagged	2001-01-19	UHC-29115-37	—	8268 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-428892	CLM	2026-09-05	Jack Espinozaflagged	2001-01-19	UHC-29115-37	—	8268 Meadow Ln, Las Vegas, NV	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶ENR-137884ENRCLM-428891CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137884ENRCLM-428892CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428891CLMCLM-428892CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428893CLMCLM-428892CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428894CLMCLM-428892CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-137884ENRCLM-428893CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428891CLMCLM-428893CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137884ENRCLM-428894CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428891CLMCLM-428894CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428893CLMCLM-428894CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62764TPACLM-428892CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62764TPACLM-428893CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62764TPACLM-428894CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137884ENRTPA-62764TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428891CLMTPA-62764TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Jack Espinoza: 8268 Meadow Ln Apt 14, Las Vegas → 8268 Meadow Ln, Las Vegas
ACT-010571, Outreach
Care coordination outreachProposed
Jack Espinoza: 4 claims, no attributed provider
ACT-017864, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically16f894c81e
matching_agent, CLM-428892, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:54:38Record linked automatically5437e92da4
matching_agent, CLM-428894, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:54:38Record linked automatically115c5eebd4
matching_agent, CLM-428893, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:54:38Record linked automatically7bef4a23ac
matching_agent, TPA-62764, identity id MBR-001204, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137884
2026-10-19 19:54:38Record linked automatically8d870b514b
matching_agent, CLM-428891, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:54:38Record linked automatically6ea3f8a653
matching_agent, ENR-137884, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428891
2026-10-19 19:52:08Record linked automatically972a213774
matching_agent, CLM-428892, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:52:08Record linked automaticallyc8ce679699
matching_agent, CLM-428894, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:52:08Record linked automaticallyda2a493157
matching_agent, CLM-428893, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:52:08Record linked automatically0a54edbdda
matching_agent, TPA-62764, identity id MBR-001204, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137884
2026-10-19 19:52:08Record linked automaticallyef17510a5a
matching_agent, CLM-428891, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:52:08Record linked automatically7c4e3f4193
matching_agent, ENR-137884, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428891
2026-10-19 19:45:41Record linked automatically17eeb2b3ef
matching_agent, CLM-428892, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:45:41Record linked automaticallyd6973df89b
matching_agent, CLM-428894, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:45:41Record linked automatically46336d2c8a
matching_agent, CLM-428893, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:45:41Record linked automatically8bd8c2e2a6
matching_agent, TPA-62764, identity id MBR-001204, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137884
2026-10-19 19:45:41Record linked automatically44908630f2
matching_agent, CLM-428891, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:45:41Record linked automatically4a7d009b3f
matching_agent, ENR-137884, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428891
2026-10-19 19:32:31Record linked automatically3231f61920
matching_agent, CLM-428892, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:32:31Record linked automatically78c21915d4
matching_agent, CLM-428894, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:32:31Record linked automatically5c7a01b148
matching_agent, CLM-428893, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:32:31Record linked automaticallyec7c357467
matching_agent, TPA-62764, identity id MBR-001204, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137884
2026-10-19 19:32:31Record linked automaticallybc30a0293e
matching_agent, CLM-428891, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137884
2026-10-19 19:32:31Record linked automatically122c4815df
matching_agent, ENR-137884, identity id MBR-001204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428891
2026-10-19 19:31:28Record linked automatically6afd934ead
scoring_agent, TPA-62764, identity id MBR-014029, confidence 1, method probabilistic, matched record ENR-138405, policy version 1
2026-10-19 19:31:28Record linked automatically0ccece0376
scoring_agent, CLM-428894, identity id MBR-012722, confidence 0.96, method probabilistic, matched record ENR-138153, policy version 1
2026-10-19 19:31:28Record linked automatically5613d5f886
matching_agent, CLM-428893, identity id MBR-005373, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28489
2026-10-19 19:31:28Record linked automaticallycba92d6200
matching_agent, CLM-428892, identity id MBR-005373, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28489
2026-10-19 19:31:28Record linked automatically23bd06ff5f
matching_agent, CLM-428891, identity id MBR-003148, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138148

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-2026-027451	2026-08-24	Pinecrest Primary Care Associates in network	90471	$25.00	—	Denied	Denied
CLM-2026-032484	2026-06-05	Summit Reference Lab out of network	83036, 80061	$79.00	—	Denied	Denied
CLM-2026-020948	2026-05-13	Meadow Primary Care Associates in network	99213, 99203, 36415	$431.00	$247.22	Approved	Approved
CLM-2026-013504	2026-01-07	Sunrise Behavioral Health in network	90791	$326.00	$162.12	Approved	Approved