Identities/MBR-002084
Gold, golden identity

Albert Cruz

4 source records from 2 feeds.

MBR-002084Verified4 records

Golden record

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

First nameCLM
Albert
Middle name—
—
Last nameCLM
Cruz
Date of birthCLM
1993-09-19
GenderCLM
M
Member IDCLM
UHC-86254-80
SSNCLM
•••-••-5241
PhoneCLM
2665082073
Email—
—
AddressCLM
1079 Lake View Rd
CityCLM
Gilbert
StateCLM
AZ
ZIPCLM
85238
GroupCLM
GRP-8289
PlanCLM
MEDICARE-ADV-A
Min confidence
0.99
Sources
TPA ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.99TPATPA-62696CLMCLM-428717CLMCLM-428719CLMCLM-428718IDMBR-002084
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
TPA-62696TPA2026-01-07Albert Cruzflagged1992-09-19——1079 Lake View Rd, Gilbert, AZScored1.00—
CLM-428717CLM2026-06-06Albert Cruzflagged1992-09-19UHC-86254-80—1079 Lake View Rd, Gilbert, AZScored1.00—
CLM-428719CLM2026-08-11Albert Cruzflagged1993-09-19UHC-86254-8026650820731079 Lake View Rd, Gilbert, AZRule0.99D1 member id + dob exact
CLM-428718CLM2026-08-11Albert Cruzflagged1993-09-19UHC-86254-8026650820731079 Lake View Rd, Gilbert, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-62696TPACLM-428717CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428719CLMCLM-428718CLM0.99RuleD1 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
▶CLM-428717CLMCLM-428718CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428717CLMCLM-428719CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62696TPACLM-428718CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-62696TPACLM-428719CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Albert Cruz: 3 claims, no attributed provider
    ACT-017933, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically249b805bb7
    matching_agent, CLM-428718, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428719
  • 2026-10-19 19:54:38Record linked automatically799bc9e859
    matching_agent, CLM-428719, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428718
  • 2026-10-19 19:54:38Record linked automatically23ef819ab9
    scoring_agent, CLM-428717, identity id MBR-002084, confidence 1, method probabilistic, matched record TPA-62696, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyef1993c4eb
    scoring_agent, TPA-62696, identity id MBR-002084, confidence 1, method probabilistic, matched record CLM-428717, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb307012503
    matching_agent, CLM-428718, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428719
  • 2026-10-19 19:52:08Record linked automatically8e2535cdb2
    matching_agent, CLM-428719, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428718
  • 2026-10-19 19:52:08Record linked automatically5d110c4c1d
    scoring_agent, CLM-428717, identity id MBR-002084, confidence 1, method probabilistic, matched record TPA-62696, policy version 1
  • 2026-10-19 19:52:08Record linked automatically001d0c39db
    scoring_agent, TPA-62696, identity id MBR-002084, confidence 1, method probabilistic, matched record CLM-428717, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyf4043c35a1
    matching_agent, CLM-428718, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428719
  • 2026-10-19 19:45:41Record linked automaticallyc2fad591cd
    matching_agent, CLM-428719, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428718
  • 2026-10-19 19:45:41Record linked automaticallyd0e95d94b5
    scoring_agent, CLM-428717, identity id MBR-002084, confidence 1, method probabilistic, matched record TPA-62696, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyecb376e652
    scoring_agent, TPA-62696, identity id MBR-002084, confidence 1, method probabilistic, matched record CLM-428717, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf511f5c9b0
    matching_agent, CLM-428718, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428719
  • 2026-10-19 19:32:31Record linked automaticallyfc15ab9e8d
    matching_agent, CLM-428719, identity id MBR-002084, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428718
  • 2026-10-19 19:32:31Record linked automatically915a1fbc9b
    scoring_agent, CLM-428717, identity id MBR-002084, confidence 1, method probabilistic, matched record TPA-62696, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb45a3c791f
    scoring_agent, TPA-62696, identity id MBR-002084, confidence 1, method probabilistic, matched record CLM-428717, policy version 1
  • 2026-10-19 19:31:28Record linked automatically546e51ca7b
    matching_agent, CLM-428718, identity id MBR-029661, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-62613
  • 2026-10-19 19:31:28Record linked automaticallyd8c8039074
    scoring_agent, CLM-428719, identity id MBR-010476, confidence 1, method probabilistic, matched record ENR-137944, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya357004290
    matching_agent, CLM-428717, identity id MBR-009190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137939
  • 2026-10-19 19:31:28Record linked automatically2a0a62dd94
    matching_agent, TPA-62696, identity id MBR-008978, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28491

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0040842026-07-30Valley Reference Lab
in network
80053, 80061$125.00$0.00ApprovedApproved
CLM-2026-0005242026-07-31Heritage Rehabilitation Center
in network
97110, 97140$293.00$156.66ApprovedApproved
CLM-2026-0314662026-05-27Heritage Clinical Laboratories
in network
80053$85.00$0.00ApprovedApproved