Identities/MBR-003739
Gold, golden identity

Lucia Gomez

4 source records from 3 feeds.

MBR-003739Verified4 records

Golden record

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

First nameENR
Lucia
Middle name—
—
Last nameENR
Gomez
Date of birthENR
1997-02-02
GenderENR
F
Member IDENR
UHC-42126-16
SSNENR
•••-••-4463
PhoneENR
5283601314
EmailENR
lucia.gomez@aol.com
AddressENR
5088 Union St
CityENR
Gilbert
StateENR
AZ
ZIPENR
85255
GroupENR
GRP-9339
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
TPA ×1ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.000.991.000.96TPATPA-63560ENRENR-140310CLMCLM-430694CLMCLM-430693IDMBR-003739
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-63560TPA2026-01-12Lucia Gomezflagged1997-02-02UHC-42126-1652836013145088 Union St, Gilbert, AZScored1.00—
ENR-140310ENR2026-05-01Lucia Gomezflagged1997-02-02UHC-42126-1652836013145088 Union St, Gilbert, AZRule0.99D1 member id + dob exact
CLM-430694CLM2026-08-15Lucia Gomezflagged1997-02-02——5088 Union St, Gilbert, AZScored1.00—
CLM-430693CLM2026-10-13Lucia Goemzflagged—UHC-42126-1652836013145088 Union St, Gilbert, AZRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63560TPA CLM-430694CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63560TPA ENR-140310ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-140310ENR CLM-430694CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63560TPA CLM-430693CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-140310ENR CLM-430693CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430694CLMCLM-430693CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-430694 → UHC-42126-16 (Lucia Gomez)
    ACT-004409, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically30d54c3d5b
    matching_agent, CLM-430693, identity id MBR-003739, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63560
  • 2026-10-19 19:54:38Record linked automaticallyfc2fd89179
    scoring_agent, CLM-430694, identity id MBR-003739, confidence 1, method probabilistic, matched record TPA-63560, policy version 1
  • 2026-10-19 19:54:38Record linked automatically358b1f159c
    matching_agent, ENR-140310, identity id MBR-003739, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63560
  • 2026-10-19 19:54:38Record linked automaticallyfadd5f1229
    scoring_agent, TPA-63560, identity id MBR-003739, confidence 1, method probabilistic, matched record CLM-430694, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd2a3b577dc
    matching_agent, CLM-430693, identity id MBR-003739, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63560
  • 2026-10-19 19:52:08Record linked automatically5d54bd37dc
    scoring_agent, CLM-430694, identity id MBR-003739, confidence 1, method probabilistic, matched record TPA-63560, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf00f020fb1
    matching_agent, ENR-140310, identity id MBR-003739, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63560
  • 2026-10-19 19:52:08Record linked automaticallyc51d4b0593
    scoring_agent, TPA-63560, identity id MBR-003739, confidence 1, method probabilistic, matched record CLM-430694, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6a0bdf24ab
    matching_agent, CLM-430693, identity id MBR-003739, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63560
  • 2026-10-19 19:45:42Record linked automatically58d6d09e6b
    scoring_agent, CLM-430694, identity id MBR-003739, confidence 1, method probabilistic, matched record TPA-63560, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1fe7cf9d98
    matching_agent, ENR-140310, identity id MBR-003739, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63560
  • 2026-10-19 19:45:42Record linked automatically52a4473045
    scoring_agent, TPA-63560, identity id MBR-003739, confidence 1, method probabilistic, matched record CLM-430694, policy version 1
  • 2026-10-19 19:32:31Record linked automatically36331b45f7
    matching_agent, CLM-430693, identity id MBR-003739, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-63560
  • 2026-10-19 19:32:31Record linked automatically698c1f54d4
    scoring_agent, CLM-430694, identity id MBR-003739, confidence 1, method probabilistic, matched record TPA-63560, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya7f0070957
    matching_agent, ENR-140310, identity id MBR-003739, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63560
  • 2026-10-19 19:32:31Record linked automaticallyf4ee9fa4f3
    scoring_agent, TPA-63560, identity id MBR-003739, confidence 1, method probabilistic, matched record CLM-430694, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8ea90befed
    matching_agent, CLM-430694, identity id MBR-015892, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140491
  • 2026-10-19 19:31:28Record linked automatically21baae5a8c
    scoring_agent, TPA-63560, identity id MBR-000021, confidence 1, method probabilistic, matched record TPA-63559, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0280312026-03-20Meadow Heart Institute
in network
99214, 93224$630.00—DeniedDenied
CLM-2026-0117272026-07-20Mesa Internal Medicine Associates
in network
80053$65.00$10.30ApprovedApproved