Identities/MBR-002670

Gold, golden identity

Ronald B Espinoza

6 source records from 3 feeds.

MBR-002670Verified6 records

Golden record

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

First nameENR: Ronald
Middle nameCLM: B
Last nameENR: Espinoza
Date of birthENR: 1981-09-20
GenderENR: F
Member IDENR: UHC-88715-46
SSNENR: •••-••-2368
PhoneENR: 3695381020
EmailENR: ronald.espinoza20@hotmail.com
AddressENR: 763 Oak St
CityENR: Atlanta
StateENR: GA
ZIPENR: 30355
GroupENR: GRP-0358
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

ENR ×1CLM ×4PRV ×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-110344	ENR	2026-01-09	Ronald Espinozaflagged	1981-09-20	UHC-88715-46	3695381020	763 Oak St, Atlanta, GA	Scored	1.00	—
CLM-407859	CLM	2026-02-12	Ronald Espinozaflagged	1981-09-20	—	3695381020	763 Oak St, Atlanta, GA	Scored	1.00	—
CLM-407857	CLM	2026-03-22	Ronald Espinozaflagged	1981-09-20	—	—	763 Oak St, Atlanta, GA	Scored	1.00	—
PRV-22325	PRV	2026-06-16	Ronald Espinozaflagged	1981-09-20	UHC-88715-46	—	763 Oak St, Atlanta, GA	Scored	1.00	—
CLM-407858	CLM	2026-09-24	Ronnald Espinozaflagged	1981-09-20	UHC-88715-46	3695381020	—	Scored	0.99	—
CLM-407856	CLM	2026-10-08	Ronald Espinozaflagged	1981-09-20	—	3695381020	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-407859CLMCLM-407856CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407859CLMCLM-407857CLM1.00Scoredweighted 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

▶ENR-110344ENR CLM-407859CLM1.00Scoredweighted 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

▶CLM-407859CLMPRV-22325PRV1.00Scoredweighted 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-407857CLMPRV-22325PRV1.00Scoredweighted 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-407859CLMCLM-407858CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-110344ENR CLM-407858CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-22325PRVCLM-407858CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-110344ENR PRV-22325PRV0.99RuleD1 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-110344ENR CLM-407856CLM0.97RuleD2 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
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-407857CLMCLM-407856CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407858CLMCLM-407856CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-110344ENR CLM-407857CLM0.97RuleD2 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-407857CLMCLM-407858CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22325PRVCLM-407856CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-407859 → UHC-88715-46 (Ronald Espinoza)
ACT-001908, Claims processor
Orphan claim re-pointedExecuted
CLM-407857 → UHC-88715-46 (Ronald Espinoza)
ACT-004662, Claims processor
Orphan claim re-pointedExecuted
CLM-407856 → UHC-88715-46 (Ronald Espinoza)
ACT-005112, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya67dfa0f74
scoring_agent, CLM-407856, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:54:38Record linked automaticallyc4ba84787e
scoring_agent, CLM-407858, identity id MBR-002670, confidence 0.99, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:54:38Record linked automatically2863944946
scoring_agent, PRV-22325, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:54:38Record linked automaticallye7582a6ae0
scoring_agent, CLM-407857, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:54:38Record linked automatically1afe839ccf
scoring_agent, CLM-407859, identity id MBR-002670, confidence 1, method probabilistic, matched record ENR-110344, policy version 1
2026-10-19 19:54:38Record linked automaticallye16f3119b7
scoring_agent, ENR-110344, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:52:08Record linked automatically5ffc39174a
scoring_agent, CLM-407856, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:52:08Record linked automaticallyed0cbddc06
scoring_agent, CLM-407858, identity id MBR-002670, confidence 0.99, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:52:08Record linked automatically787b3e6452
scoring_agent, PRV-22325, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:52:08Record linked automatically081fcaa61d
scoring_agent, CLM-407857, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:52:08Record linked automaticallyaa14245771
scoring_agent, CLM-407859, identity id MBR-002670, confidence 1, method probabilistic, matched record ENR-110344, policy version 1
2026-10-19 19:52:08Record linked automatically589b050624
scoring_agent, ENR-110344, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:45:41Record linked automatically3dfed2401b
scoring_agent, CLM-407856, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:45:41Record linked automatically2a46ee136d
scoring_agent, CLM-407858, identity id MBR-002670, confidence 0.99, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:45:41Record linked automaticallyce53c01f7d
scoring_agent, PRV-22325, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:45:41Record linked automatically8dc1a29be5
scoring_agent, CLM-407857, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:45:41Record linked automaticallya8c4193cdc
scoring_agent, CLM-407859, identity id MBR-002670, confidence 1, method probabilistic, matched record ENR-110344, policy version 1
2026-10-19 19:45:41Record linked automatically01cbcc5a97
scoring_agent, ENR-110344, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:32:31Record linked automatically8d5b239461
scoring_agent, CLM-407856, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:32:31Record linked automaticallyde21409232
scoring_agent, CLM-407858, identity id MBR-002670, confidence 0.99, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:32:31Record linked automaticallyf5f15475f6
scoring_agent, PRV-22325, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:32:31Record linked automatically74c24acd87
scoring_agent, CLM-407857, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:32:31Record linked automatically0e241fa48d
scoring_agent, CLM-407859, identity id MBR-002670, confidence 1, method probabilistic, matched record ENR-110344, policy version 1
2026-10-19 19:32:31Record linked automatically5d89788b8d
scoring_agent, ENR-110344, identity id MBR-002670, confidence 1, method probabilistic, matched record CLM-407859, policy version 1
2026-10-19 19:31:28Record linked automaticallybe5e60439b
scoring_agent, CLM-407857, identity id MBR-036968, confidence 1, method probabilistic, matched record ENR-110270, policy version 1
2026-10-19 19:31:28Record linked automaticallyb505db077e
matching_agent, ENR-110344, identity id MBR-024133, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53464
2026-10-19 19:31:28Record linked automatically4039df9223
matching_agent, PRV-22325, identity id MBR-005856, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110298
2026-10-19 19:31:28Record linked automatically4cfdede1a6
scoring_agent, CLM-407858, identity id MBR-001033, confidence 1, method probabilistic, matched record TPA-53447, policy version 1
2026-10-19 19:31:28Record linked automaticallydf8b9235aa
matching_agent, CLM-407859, identity id MBR-001033, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407860

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-2026-014280	2026-09-10	Summit Reference Lab in network	80061, 83036, 85025	$177.00	$0.00	Approved	Approved
CLM-2026-031561	2026-09-06	Summit Cardiovascular Associates in network	93306, 93458	$6,738.00	$2,626.19	Approved	Approved
CLM-2026-012614	2026-02-25	Lakeside Orthopedic Specialists in network	73721	$1,389.00	$272.63	Approved	Approved
CLM-2026-002272	2026-01-26	Lakeside Skin Care Associates in network	11102, 99213	$426.00	$189.12	Approved	Approved