Identities/MBR-003618

Gold, golden identity

Omar J Mendez

5 source records from 3 feeds.

MBR-003618Verified5 records

Golden record

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

First nameENR: Omar
Middle nameENR: J
Last nameENR: Mendez
Date of birthENR: 1980-09-18
GenderPRV: M
Member IDENR: UHC-18365-70
SSNENR: •••-••-9803
PhoneENR: 8877150749
EmailPRV: omar.mendez96@icloud.com
AddressENR: 6109 Broadway
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85004
GroupENR: GRP-6352
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1PRV ×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-425263	CLM	2026-01-12	Omar Mendezflagged	1980-09-18	UHC-18365-70	—	6109 Broadway, Phoenix, AZ	Scored	1.00	—
CLM-425262	CLM	2026-03-31	Omar Mendezflagged	—	UHC-18365-70	8877150749	6109 Broadway, Phoenix, AZ	Scored	1.00	—
ENR-133047	ENR	2026-05-07	Omar Mendezflagged	1980-09-18	UHC-18365-70	8877150749	6109 Broadway, Phoenix, AZ	Scored	1.00	—
CLM-425264	CLM	2026-07-02	Omar Mendezflagged	1980-09-18	UHC-18365-70	—	6109 Broadway, Phoenix, AZ	Scored	1.00	—
PRV-27433	PRV	2026-09-18	Omar Mendezflagged	1980-09-18	—	8877150749	6109 Broadway, Phoenix, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425263CLMPRV-27433PRV1.00Scoredweighted 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-133047ENRPRV-27433PRV1.00Scoredweighted 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-425264CLMPRV-27433PRV1.00Scoredweighted 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-425262CLM PRV-27433PRV1.00Scoredweighted 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

▶CLM-425263CLMCLM-425264CLM0.99RuleD1 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-133047ENRCLM-425264CLM0.99RuleD1 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

▶CLM-425263CLMENR-133047ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425263CLMCLM-425262CLM 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425262CLM CLM-425264CLM0.96RuleD3 member id + nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425262CLM ENR-133047ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyd914720861
scoring_agent, PRV-27433, identity id MBR-003618, confidence 1, method probabilistic, matched record CLM-425263, policy version 1
2026-10-22 12:43:53Record linked automatically138f7514a6
scoring_agent, CLM-425264, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-22 12:43:53Record linked automatically4bebfcd490
scoring_agent, ENR-133047, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-22 12:43:53Record linked automaticallybad276a010
scoring_agent, CLM-425262, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-22 12:43:53Record linked automaticallybf78c20e6a
scoring_agent, CLM-425263, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:54:38Record linked automatically60a31a9960
scoring_agent, PRV-27433, identity id MBR-003618, confidence 1, method probabilistic, matched record CLM-425263, policy version 1
2026-10-19 19:54:38Record linked automaticallybb75d177b4
scoring_agent, CLM-425264, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:54:38Record linked automatically5e812e7108
scoring_agent, ENR-133047, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:54:38Record linked automaticallyff7a499e33
scoring_agent, CLM-425262, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:54:38Record linked automatically26846bb23d
scoring_agent, CLM-425263, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:52:08Record linked automatically8ae694c35b
scoring_agent, PRV-27433, identity id MBR-003618, confidence 1, method probabilistic, matched record CLM-425263, policy version 1
2026-10-19 19:52:08Record linked automaticallya018a75ad5
scoring_agent, CLM-425264, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:52:08Record linked automaticallyafc9a25330
scoring_agent, ENR-133047, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:52:08Record linked automatically244da149b4
scoring_agent, CLM-425262, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:52:08Record linked automatically0e602aa37c
scoring_agent, CLM-425263, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:45:42Record linked automatically4d2055933f
scoring_agent, PRV-27433, identity id MBR-003618, confidence 1, method probabilistic, matched record CLM-425263, policy version 1
2026-10-19 19:45:42Record linked automatically08680b0f08
scoring_agent, CLM-425264, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:45:42Record linked automatically9ccdadcd15
scoring_agent, ENR-133047, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:45:42Record linked automatically391781cdf1
scoring_agent, CLM-425262, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:45:42Record linked automatically1a40b592c3
scoring_agent, CLM-425263, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:32:31Record linked automatically7a1c855eae
scoring_agent, PRV-27433, identity id MBR-003618, confidence 1, method probabilistic, matched record CLM-425263, policy version 1
2026-10-19 19:32:31Record linked automaticallye4935e71e9
scoring_agent, CLM-425264, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:32:31Record linked automaticallyaea27961ad
scoring_agent, ENR-133047, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:32:31Record linked automaticallyf8c5079386
scoring_agent, CLM-425262, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:32:31Record linked automaticallyc0476dcba4
scoring_agent, CLM-425263, identity id MBR-003618, confidence 1, method probabilistic, matched record PRV-27433, policy version 1
2026-10-19 19:31:28Record linked automaticallye7c6e52b1e
scoring_agent, CLM-425262, identity id MBR-029896, confidence 1, method probabilistic, matched record CLM-425261, policy version 1
2026-10-19 19:31:28Record linked automatically614356940c
matching_agent, CLM-425263, identity id MBR-026374, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-133272
2026-10-19 19:31:28Record linked automaticallya3d9c731e6
scoring_agent, CLM-425264, identity id MBR-026374, confidence 1, method probabilistic, matched record TPA-61113, policy version 1
2026-10-19 19:31:28Record linked automaticallyf39008b5d7
matching_agent, PRV-27433, identity id MBR-015434, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133208
2026-10-19 19:31:28Record linked automaticallyf8ff162a70
scoring_agent, ENR-133047, identity id MBR-010952, confidence 1, method probabilistic, matched record CLM-425078, 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-2026-008493	2026-06-02	Valley Reference Lab in network	80053	$68.00	$0.00	Approved	Approved
CLM-2026-008368	2026-02-17	Desert Cardiovascular Associates in network	93458, 93306	$7,401.00	$1,163.15	Approved	Approved
CLM-2026-027542	2025-12-02	Heritage Community Hospital in network	99283	$1,072.00	$339.60	Approved	Approved