Ann J Espinoza

3 source records from 2 feeds.

MBR-003215Verified3 records

Golden record

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

First nameCLM: Ann
Middle nameCLM: J
Last nameCLM: Espinoza
Date of birthCLM: 1943-08-06
GenderCLM: F
Member IDCLM: UHC-65635-70
SSN—: —
PhoneCLM: 4807905379
Email—: —
AddressCLM: 2040 Desert Sky Blvd
CityCLM: Sacramento
StateCLM: CA
ZIPCLM: 95858
GroupCLM: GRP-7035
PlanCLM: SELECT-EPO

Min confidence

0.93

Sources

CLM ×2TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-431755	CLM	2026-01-11	Ann Espinozaflagged	1943-08-06	UHC-65635-70	4807905379	2040 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—
TPA-64008	TPA	2026-09-14	Ann Espinozaflagged	1943-08-06	—	4807905379	—	Scored	1.00	—
CLM-431756	CLM	2026-10-03	Ann Espinozaflagged	1943-08-06	—	—	2040 Desert Sky Blvd, Sacramento, CA	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431755CLMTPA-64008TPA 1.00Scoredweighted 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-431755CLMCLM-431756CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64008TPA CLM-431756CLM0.83Scoredweighted 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-431756 → UHC-65635-70 (Ann Espinoza)
ACT-006564, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically3860ee7ed0
scoring_agent, CLM-431756, identity id MBR-003215, confidence 0.93, method probabilistic, matched record CLM-431755, policy version 1
2026-10-22 12:43:53Record linked automaticallye34d42daf1
scoring_agent, TPA-64008, identity id MBR-003215, confidence 1, method probabilistic, matched record CLM-431755, policy version 1
2026-10-22 12:43:53Record linked automaticallyb790a7e539
scoring_agent, CLM-431755, identity id MBR-003215, confidence 1, method probabilistic, matched record TPA-64008, policy version 1
2026-10-19 19:54:38Record linked automatically3c92070f49
scoring_agent, CLM-431756, identity id MBR-003215, confidence 0.93, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:54:38Record linked automaticallycf23642334
scoring_agent, TPA-64008, identity id MBR-003215, confidence 1, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:54:38Record linked automatically57b6da7537
scoring_agent, CLM-431755, identity id MBR-003215, confidence 1, method probabilistic, matched record TPA-64008, policy version 1
2026-10-19 19:52:08Record linked automaticallydc7ff35915
scoring_agent, CLM-431756, identity id MBR-003215, confidence 0.93, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:52:08Record linked automatically47fffa9621
scoring_agent, TPA-64008, identity id MBR-003215, confidence 1, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:52:08Record linked automaticallyb045f25a89
scoring_agent, CLM-431755, identity id MBR-003215, confidence 1, method probabilistic, matched record TPA-64008, policy version 1
2026-10-19 19:45:41Record linked automaticallyc921f327f9
scoring_agent, CLM-431756, identity id MBR-003215, confidence 0.93, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:45:41Record linked automaticallyf9ae475992
scoring_agent, TPA-64008, identity id MBR-003215, confidence 1, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:45:41Record linked automatically3c459a0761
scoring_agent, CLM-431755, identity id MBR-003215, confidence 1, method probabilistic, matched record TPA-64008, policy version 1
2026-10-19 19:32:31Record linked automatically79d7fbf9c4
scoring_agent, CLM-431756, identity id MBR-003215, confidence 0.93, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:32:31Record linked automatically9d32a5cfc8
scoring_agent, TPA-64008, identity id MBR-003215, confidence 1, method probabilistic, matched record CLM-431755, policy version 1
2026-10-19 19:32:31Record linked automaticallyb33049fe3a
scoring_agent, CLM-431755, identity id MBR-003215, confidence 1, method probabilistic, matched record TPA-64008, policy version 1
2026-10-19 19:31:28Record linked automatically24b8481295
matching_agent, CLM-431756, identity id MBR-016338, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141934
2026-10-19 19:31:28Record linked automatically026214d0ca
matching_agent, CLM-431755, identity id MBR-013795, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141931
2026-10-19 19:31:28Record linked automaticallybebd0fe3d9
scoring_agent, TPA-64008, identity id MBR-006729, confidence 0.99, method probabilistic, matched record ENR-142227, 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-2026-019703	2026-08-28	Riverside Digestive Health Center in network	43239	$1,478.00	$235.56	Approved	Approved
CLM-2026-017820	2025-12-21	Cornerstone Internal Medicine Associates in network	99232	$196.00	$0.00	Approved	Approved