Identities/MBR-001214
Gold, golden identity

Jose Mejia

4 source records from 2 feeds.

MBR-001214Verified4 records

Golden record

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

First nameENR
Jose
Middle name—
—
Last nameENR
Mejia
Date of birthENR
1978-12-13
GenderENR
F
Member IDENR
UHC-36493-03
SSNENR
•••-••-7498
PhoneENR
9849050168
EmailENR
jose.mejia@icloud.com
AddressENR
4197 Indian School Rd
CityENR
Fresno
StateENR
CA
ZIPENR
93711
GroupENR
GRP-1847
PlanENR
MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-420116ENRENR-126483CLMCLM-420118CLMCLM-420117IDMBR-001214
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-420116CLM2026-01-04Jose Mejiaflagged1978-12-13—98490501684197 Indian School Rd, Fresno, CAScored1.00—
ENR-126483ENR2026-02-04Jose Mejiaflagged1978-12-13UHC-36493-0398490501684197 Indian School Rd, Fresno, CAScored1.00—
CLM-420118CLM2026-03-28Jose Mejiaflagged1978-12-13UHC-36493-0398490501684197 Indian School Rd, Fresno, CAScored1.00—
CLM-420117CLM2026-05-20Jose Mejiaflagged1978-12-13UHC-36493-03—4197 Indian School Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-420116CLMCLM-420117CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420116CLMCLM-420118CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420116CLMENR-126483ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126483ENRCLM-420117CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-420118CLMCLM-420117CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126483ENRCLM-420118CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420116 → UHC-36493-03 (Jose Mejia)
    ACT-007018, Claims processor
  • Care coordination outreachProposed
    Jose Mejia: 3 claims, no attributed provider
    ACT-017866, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically727ef0ace2
    scoring_agent, CLM-420117, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8f19e0ae56
    scoring_agent, CLM-420118, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye5a97a955c
    scoring_agent, ENR-126483, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyef93e6b549
    scoring_agent, CLM-420116, identity id MBR-001214, confidence 1, method probabilistic, matched record ENR-126483, policy version 1
  • 2026-10-19 19:52:08Record linked automatically14a7b692b6
    scoring_agent, CLM-420117, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6fefee2c52
    scoring_agent, CLM-420118, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfcf88c0fec
    scoring_agent, ENR-126483, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8e21b14d3c
    scoring_agent, CLM-420116, identity id MBR-001214, confidence 1, method probabilistic, matched record ENR-126483, policy version 1
  • 2026-10-19 19:45:41Record linked automatically3a04d49336
    scoring_agent, CLM-420117, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:45:41Record linked automatically8b53a93b34
    scoring_agent, CLM-420118, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallye1c995b1dc
    scoring_agent, ENR-126483, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:45:41Record linked automatically6c0d3f5d50
    scoring_agent, CLM-420116, identity id MBR-001214, confidence 1, method probabilistic, matched record ENR-126483, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8658ffde3f
    scoring_agent, CLM-420117, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5033975d7e
    scoring_agent, CLM-420118, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:32:31Record linked automatically343983120e
    scoring_agent, ENR-126483, identity id MBR-001214, confidence 1, method probabilistic, matched record CLM-420116, policy version 1
  • 2026-10-19 19:32:31Record linked automatically49c3d60a3e
    scoring_agent, CLM-420116, identity id MBR-001214, confidence 1, method probabilistic, matched record ENR-126483, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya13f8bccfe
    scoring_agent, ENR-126483, identity id MBR-012046, confidence 1, method probabilistic, matched record CLM-420176, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyebbec42aa6
    matching_agent, CLM-420117, identity id MBR-010732, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126411
  • 2026-10-19 19:31:28Record linked automatically1dbe7ead00
    matching_agent, CLM-420118, identity id MBR-010732, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126411
  • 2026-10-19 19:31:28Record linked automatically75ea7ff0aa
    scoring_agent, CLM-420116, identity id MBR-005593, confidence 1, method probabilistic, matched record ENR-126407, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0050242026-05-13Desert Internal Medicine Associates
in network
80053$65.00$10.30ApprovedApproved
CLM-2026-0211362026-03-07Sunrise Clinical Laboratories
in network
83036, 80053$167.00—Needs reviewNeeds review
CLM-2026-0213842025-12-01Mesa Orthopedic Specialists
out of network
27447$34,233.00—Needs reviewNeeds review