Identities/MBR-003392

Gold, golden identity

Timothy Lopez

6 source records from 4 feeds.

MBR-003392Verified6 records

Golden record

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

First nameENR: Timothy
Middle name—: —
Last nameENR: Lopez
Date of birthENR: 1946-01-15
GenderENR: M
Member IDENR: UHC-58975-81
SSNENR: •••-••-5496
PhoneENR: 5136726619
EmailCLM: timothy.lopez@icloud.com
AddressCLM: 9308 Meadow Ln # 186
CityENR: Nashville
StateENR: TN
ZIPENR: 37271
GroupENR: GRP-8535
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

TPA ×1ENR ×1CLM ×2PRV ×2

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
TPA-52203	TPA	2026-01-11	Timothy Lopezflagged	1946-01-15	—	5136726619	—	Scored	1.00	—
ENR-106643	ENR	2026-01-31	Timothy Lopezflagged	1946-01-15	UHC-58975-81	5136726619	9308 Meadow Ln, Nashville, TN	Rule	0.99	D1 member id + dob exact
CLM-405049	CLM	2026-03-22	Timothy Lopezflagged	—	UHC-58975-81	5136726619	9308 Meadow Ln, Nashville, TN	Scored	1.00	—
PRV-21460	PRV	2026-04-04	Tim Lopezflagged	1946-01-15	UHC-58975-81	5136726619	9308 Meadow Ln, Nashville, TN	Scored	1.00	—
PRV-21459	PRV	2026-04-19	Timothy Lopezflagged	1945-01-15	—	5136726619	9308 Meadow Ln, Nashville, TN	Scored	1.00	—
CLM-405048	CLM	2026-04-27	Tim Lopezflagged	1946-01-15	UHC-58975-81	—	9308 Meadow Ln # 186, Nashville, TN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-405049CLMPRV-21459PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52203TPAPRV-21460PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-106643ENRCLM-405048CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21460PRVCLM-405048CLM0.99RuleD1 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-106643ENRPRV-21460PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52203TPAENR-106643ENR0.97RuleD2 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405049CLMCLM-405048CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106643ENRCLM-405049CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405049CLMPRV-21460PRV0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-106643ENRPRV-21459PRV0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21460PRVPRV-21459PRV0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52203TPACLM-405048CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-52203TPACLM-405049CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶PRV-21459PRVCLM-405048CLM0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52203TPAPRV-21459PRV0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Timothy Lopez: 9308 Meadow Ln, Nashville → 9308 Meadow Ln # 186, Nashville
ACT-010776, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically003ca7a852
matching_agent, CLM-405048, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106643
2026-10-19 19:54:38Record linked automatically05b7ac27c2
scoring_agent, PRV-21459, identity id MBR-003392, confidence 1, method probabilistic, matched record CLM-405049, policy version 1
2026-10-19 19:54:38Record linked automaticallya94b8a210a
scoring_agent, PRV-21460, identity id MBR-003392, confidence 1, method probabilistic, matched record TPA-52203, policy version 1
2026-10-19 19:54:38Record linked automatically3046b33673
scoring_agent, CLM-405049, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21459, policy version 1
2026-10-19 19:54:38Record linked automaticallyb16c14951c
matching_agent, ENR-106643, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21460
2026-10-19 19:54:38Record linked automatically79f6c74604
scoring_agent, TPA-52203, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21460, policy version 1
2026-10-19 19:52:08Record linked automatically28e96bce1b
matching_agent, CLM-405048, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106643
2026-10-19 19:52:08Record linked automaticallybf86dd78e6
scoring_agent, PRV-21459, identity id MBR-003392, confidence 1, method probabilistic, matched record CLM-405049, policy version 1
2026-10-19 19:52:08Record linked automaticallyb0f8abfa76
scoring_agent, PRV-21460, identity id MBR-003392, confidence 1, method probabilistic, matched record TPA-52203, policy version 1
2026-10-19 19:52:08Record linked automatically0cbfc8161e
scoring_agent, CLM-405049, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21459, policy version 1
2026-10-19 19:52:08Record linked automatically3873c2f1e2
matching_agent, ENR-106643, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21460
2026-10-19 19:52:08Record linked automatically2b84ba6ffa
scoring_agent, TPA-52203, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21460, policy version 1
2026-10-19 19:45:41Record linked automaticallyfb2136f71a
matching_agent, CLM-405048, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106643
2026-10-19 19:45:41Record linked automaticallyd49c6ede9c
scoring_agent, PRV-21459, identity id MBR-003392, confidence 1, method probabilistic, matched record CLM-405049, policy version 1
2026-10-19 19:45:41Record linked automatically1a4897ea4a
scoring_agent, PRV-21460, identity id MBR-003392, confidence 1, method probabilistic, matched record TPA-52203, policy version 1
2026-10-19 19:45:41Record linked automatically912adb6e20
scoring_agent, CLM-405049, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21459, policy version 1
2026-10-19 19:45:41Record linked automaticallyd9be82b66d
matching_agent, ENR-106643, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21460
2026-10-19 19:45:41Record linked automatically5cee9220de
scoring_agent, TPA-52203, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21460, policy version 1
2026-10-19 19:32:31Record linked automaticallyc79997b928
matching_agent, CLM-405048, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106643
2026-10-19 19:32:31Record linked automatically96a7978493
scoring_agent, PRV-21459, identity id MBR-003392, confidence 1, method probabilistic, matched record CLM-405049, policy version 1
2026-10-19 19:32:31Record linked automatically1559cb02dd
scoring_agent, PRV-21460, identity id MBR-003392, confidence 1, method probabilistic, matched record TPA-52203, policy version 1
2026-10-19 19:32:31Record linked automatically037e6be25f
scoring_agent, CLM-405049, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21459, policy version 1
2026-10-19 19:32:31Record linked automaticallyd9e207530f
matching_agent, ENR-106643, identity id MBR-003392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21460
2026-10-19 19:32:31Record linked automatically086c73e919
scoring_agent, TPA-52203, identity id MBR-003392, confidence 1, method probabilistic, matched record PRV-21460, policy version 1
2026-10-19 19:31:28Record linked automatically61b2186c67
matching_agent, CLM-405049, identity id MBR-028860, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106615
2026-10-19 19:31:28Record linked automatically14deec7e4d
scoring_agent, PRV-21459, identity id MBR-021693, confidence 1, method probabilistic, matched record ENR-106437, policy version 1
2026-10-19 19:31:28Record linked automaticallyc2aaf7a044
scoring_agent, ENR-106643, identity id MBR-018675, confidence 0.86, method probabilistic, matched record TPA-52275, policy version 1
2026-10-19 19:31:28Record linked automatically747f9cc934
matching_agent, CLM-405048, identity id MBR-014843, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106614
2026-10-19 19:31:28Record linked automaticallyc5c3f05bb5
matching_agent, PRV-21460, identity id MBR-009696, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106439
2026-10-19 19:31:28Record linked automatically55b43c125f
scoring_agent, TPA-52203, identity id MBR-004843, confidence 1, method probabilistic, matched record CLM-404930, 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-2026-002399	2026-04-08	Meadow Primary Care Associates in network	90471, 99203	$285.00	$155.62	Approved	Approved
CLM-2026-021765	2026-03-05	Canyon Reference Lab in network	80053, 80061, 83036	$185.00	$0.00	Approved	Approved