Identities/MBR-003690

Gold, golden identity

Larry I Mendoza

6 source records from 2 feeds.

MBR-003690Verified6 records

Golden record

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

First nameCLM: Larry
Middle nameCLM: I
Last nameCLM: Mendoza
Date of birthCLM: 1972-11-08
GenderCLM: M
Member IDCLM: UHC-94891-67
SSNCLM: •••-••-5149
PhoneCLM: 5943435727
Email—: —
AddressCLM: 3521 Maple Ave
CityCLM: Charlotte
StateCLM: NC
ZIPCLM: 28203
GroupCLM: GRP-3272
PlanCLM: NAVIGATE-HMO

Min confidence

0.94

Sources

CLM ×5TPA ×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
CLM-415996	CLM	2026-01-12	Larry Mendozaflagged	1972-11-08	—	5943435727	3521 Maple Ave, Charlotte, NC	Scored	0.94	—
TPA-57000	TPA	2026-01-30	Larry Mendozaflagged	1972-11-08	—	5943435727	3521 Maple Ave # 694, Charlotte, NC	Scored	1.00	—
CLM-415999	CLM	2026-03-07	Larry Mendozaflagged	1972-11-08	UHC-94891-67	—	—	Rule	0.99	D1 member id + dob exact
CLM-415997	CLM	2026-04-29	Larry Mendozaflagged	1972-11-08	UHC-94891-67	—	—	Rule	0.99	D1 member id + dob exact
CLM-416000	CLM	2026-05-16	Larry Mendozaflagged	1972-11-08	UHC-94891-67	—	3521 Maple Ave, Charlotte, NC	Scored	1.00	—
CLM-415998	CLM	2026-09-19	Larry Mendozaflagged	1972-11-08	UHC-94891-67	5943435727	3521 Maple Ave, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57000TPACLM-415998CLM1.00Scoredweighted 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

▶TPA-57000TPACLM-416000CLM1.00Scoredweighted 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-415999CLMCLM-415997CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415999CLMCLM-415998CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415997CLMCLM-415998CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416000CLMCLM-415998CLM0.99RuleD1 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-415999CLMCLM-416000CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415997CLMCLM-416000CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415996CLMCLM-415998CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415996CLMTPA-57000TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415996CLMCLM-416000CLM0.93Scoredweighted 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

▶CLM-415996CLMCLM-415997CLM0.83Scoredweighted 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

▶TPA-57000TPACLM-415997CLM0.83Scoredweighted 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

▶CLM-415996CLMCLM-415999CLM0.83Scoredweighted 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

▶TPA-57000TPACLM-415999CLM0.83Scoredweighted 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-415996 → UHC-94891-67 (Larry Mendoza)
ACT-009442, Claims processor
Care coordination outreachProposed
Larry Mendoza: 5 claims, no attributed provider
ACT-018049, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya7572241be
scoring_agent, CLM-415998, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:54:38Record linked automaticallyf51747ae23
scoring_agent, CLM-416000, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:54:38Record linked automaticallyde78aec735
matching_agent, CLM-415997, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415999
2026-10-19 19:54:38Record linked automatically297aae48ee
matching_agent, CLM-415999, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415997
2026-10-19 19:54:38Record linked automatically78703f908c
scoring_agent, TPA-57000, identity id MBR-003690, confidence 1, method probabilistic, matched record CLM-416000, policy version 1
2026-10-19 19:54:38Record linked automatically2655767d57
scoring_agent, CLM-415996, identity id MBR-003690, confidence 0.94, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:52:08Record linked automaticallycc8c4fd5fc
scoring_agent, CLM-415998, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:52:08Record linked automatically1ee2144b00
scoring_agent, CLM-416000, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:52:08Record linked automatically0996e0716b
matching_agent, CLM-415997, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415999
2026-10-19 19:52:08Record linked automatically3eb58928f8
matching_agent, CLM-415999, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415997
2026-10-19 19:52:08Record linked automatically526ccff1a6
scoring_agent, TPA-57000, identity id MBR-003690, confidence 1, method probabilistic, matched record CLM-416000, policy version 1
2026-10-19 19:52:08Record linked automaticallyb7d278b312
scoring_agent, CLM-415996, identity id MBR-003690, confidence 0.94, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:45:42Record linked automaticallycb4ac5fa75
scoring_agent, CLM-415998, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:45:42Record linked automatically58919b074c
scoring_agent, CLM-416000, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:45:42Record linked automaticallybe0922152b
matching_agent, CLM-415997, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415999
2026-10-19 19:45:42Record linked automatically1ab20738f4
matching_agent, CLM-415999, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415997
2026-10-19 19:45:42Record linked automatically7769769dc3
scoring_agent, TPA-57000, identity id MBR-003690, confidence 1, method probabilistic, matched record CLM-416000, policy version 1
2026-10-19 19:45:42Record linked automatically84c2248f0b
scoring_agent, CLM-415996, identity id MBR-003690, confidence 0.94, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:32:31Record linked automatically1b3f0a2799
scoring_agent, CLM-415998, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:32:31Record linked automatically1691acb8e4
scoring_agent, CLM-416000, identity id MBR-003690, confidence 1, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:32:31Record linked automaticallya38674755e
matching_agent, CLM-415997, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415999
2026-10-19 19:32:31Record linked automatically0184788f68
matching_agent, CLM-415999, identity id MBR-003690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415997
2026-10-19 19:32:31Record linked automatically3d6c458d70
scoring_agent, TPA-57000, identity id MBR-003690, confidence 1, method probabilistic, matched record CLM-416000, policy version 1
2026-10-19 19:32:31Record linked automatically2ba24b84dd
scoring_agent, CLM-415996, identity id MBR-003690, confidence 0.94, method probabilistic, matched record TPA-57000, policy version 1
2026-10-19 19:31:28Record linked automaticallyb476cd07c3
scoring_agent, CLM-415998, identity id MBR-041875, confidence 1, method probabilistic, matched record TPA-56947, policy version 1
2026-10-19 19:31:28Record linked automaticallyc5b12e16b9
matching_agent, CLM-415999, identity id MBR-028356, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24691
2026-10-19 19:31:28Record linked automaticallycccdec2737
scoring_agent, TPA-57000, identity id MBR-020908, confidence 1, method probabilistic, matched record CLM-416122, policy version 1
2026-10-19 19:31:28Record linked automaticallyd8503c95fb
matching_agent, CLM-416000, identity id MBR-019243, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416001
2026-10-19 19:31:28Record linked automatically86b69aa6e8
matching_agent, CLM-415997, identity id MBR-013328, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120922
2026-10-19 19:31:28Record linked automatically1d16a1ac60
matching_agent, CLM-415996, identity id MBR-003865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56945

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-2026-028421	2026-09-06	Desert Imaging Center in network	71046	$141.00	$0.00	Approved	Approved
CLM-2026-011213	2026-04-01	Desert Medical Group in network	99232	$258.00	$1.45	Approved	Approved
CLM-2026-019076	2026-04-26	Northgate Cardiovascular Associates in network	93458	$7,991.00	$3,829.28	Approved	Approved
CLM-2026-024124	2026-02-26	Desert Medical Group in network	99203	$201.00	$99.62	Approved	Approved
CLM-2026-030924	2025-12-08	Lakeside Internal Medicine Associates in network	99214	$232.00	$118.84	Approved	Approved