Identities/MBR-001968

Gold, golden identity

Arthur I Espinoza

5 source records from 4 feeds.

MBR-001968Verified5 records

Golden record

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

First nameENR: Arthur
Middle nameENR: I
Last nameENR: Espinoza
Date of birthENR: 1991-10-23
GenderENR: F
Member IDENR: UHC-03984-93
SSNENR: •••-••-6875
PhoneENR: 5154727968
EmailENR: arthur.espinoza@proton.me
AddressENR: 2783 Market St
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85284
GroupENR: GRP-8025
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×2PRV ×1TPA ×1ENR ×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
CLM-420179	CLM	2026-01-07	Arthur Espinozaflagged	1991-10-23	—	5154727968	2783 Market St, Gilbert, AZ	Scored	1.00	—
PRV-25982	PRV	2026-02-10	Arthur Espinozaflagged	1991-10-23	—	5154727968	2783 Market St # 919, Gilbert, AZ	Scored	1.00	—
TPA-58883	TPA	2026-03-23	Arthur Espinozaflagged	1991-10-23	—	—	2783 Market St, Gilbert, AZ	Scored	1.00	—
CLM-420180	CLM	2026-05-29	Arthur Espinozaflagged	1991-10-23	UHC-03984-93	5154727968	2783 Market St, Gilbert, AZ	Scored	1.00	—
ENR-126557	ENR	2026-09-11	Arthur Espinozaflagged	1991-10-23	UHC-03984-93	5154727968	2783 Market St, Gilbert, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-25982PRVCLM-420180CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-25982PRVENR-126557 ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420179CLMPRV-25982PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-25982PRVTPA-58883TPA1.00Scoredweighted 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-420180CLMENR-126557 ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-420179CLMCLM-420180CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-58883TPACLM-420180CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420179CLMENR-126557 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-58883TPAENR-126557 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420179CLMTPA-58883TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420179 → UHC-03984-93 (Arthur Espinoza)
ACT-004297, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd49321be83
scoring_agent, ENR-126557, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:54:38Record linked automaticallycbd5cd18fe
scoring_agent, CLM-420180, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:54:38Record linked automaticallye612f4a12d
scoring_agent, TPA-58883, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:54:38Record linked automatically5eceee4d79
scoring_agent, PRV-25982, identity id MBR-001968, confidence 1, method probabilistic, matched record CLM-420179, policy version 1
2026-10-19 19:54:38Record linked automatically05e0c1770d
scoring_agent, CLM-420179, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:52:08Record linked automaticallye77dbbd130
scoring_agent, ENR-126557, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:52:08Record linked automatically5ca709fb7a
scoring_agent, CLM-420180, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:52:08Record linked automatically375a1dc847
scoring_agent, TPA-58883, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:52:08Record linked automatically0a5d80271a
scoring_agent, PRV-25982, identity id MBR-001968, confidence 1, method probabilistic, matched record CLM-420179, policy version 1
2026-10-19 19:52:08Record linked automaticallyd50f5f80ff
scoring_agent, CLM-420179, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:45:41Record linked automaticallyf67faeaf6d
scoring_agent, ENR-126557, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:45:41Record linked automatically525554f2a0
scoring_agent, CLM-420180, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:45:41Record linked automaticallyde8f6530eb
scoring_agent, TPA-58883, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:45:41Record linked automatically2471d185b9
scoring_agent, PRV-25982, identity id MBR-001968, confidence 1, method probabilistic, matched record CLM-420179, policy version 1
2026-10-19 19:45:41Record linked automaticallya74e35fc2f
scoring_agent, CLM-420179, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:32:31Record linked automaticallyb11f0eec64
scoring_agent, ENR-126557, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:32:31Record linked automaticallyf0d4139cf3
scoring_agent, CLM-420180, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:32:31Record linked automaticallye6d8b78dd0
scoring_agent, TPA-58883, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:32:31Record linked automatically0177c19a4c
scoring_agent, PRV-25982, identity id MBR-001968, confidence 1, method probabilistic, matched record CLM-420179, policy version 1
2026-10-19 19:32:31Record linked automatically6dcc8206e1
scoring_agent, CLM-420179, identity id MBR-001968, confidence 1, method probabilistic, matched record PRV-25982, policy version 1
2026-10-19 19:31:28Record linked automatically7db3f4fa72
scoring_agent, TPA-58883, identity id MBR-009654, confidence 0.99, method probabilistic, matched record ENR-126744, policy version 1
2026-10-19 19:31:28Record linked automatically426f74c767
matching_agent, CLM-420180, identity id MBR-003916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25911
2026-10-19 19:31:28Record linked automaticallyb1bfb72f7d
matching_agent, CLM-420179, identity id MBR-003916, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25911
2026-10-19 19:31:28Record linked automatically8c6d77b3a0
scoring_agent, PRV-25982, identity id MBR-000844, confidence 1, method probabilistic, matched record ENR-126824, policy version 1

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-2026-015476	2026-05-09	Pinecrest Regional Medical Center out of network	99285, 96374	$2,373.00	—	Needs review	Needs review
CLM-2026-011337	2025-11-26	Meadow Imaging Center in network	77067, 76700	$578.00	$0.00	Approved	Approved