Identities/MBR-004111

Gold, golden identity

Donald V Rojas

5 source records from 4 feeds.

MBR-004111Verified5 records

Golden record

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

First nameENR: Donald
Middle nameENR: V
Last nameENR: Rojas
Date of birthENR: 1981-02-18
GenderPRV: M
Member IDENR: UHC-71744-36
SSNENR: •••-••-2364
PhoneENR: 6118929310
EmailENR: donald.rojas@outlook.com
AddressENR: 3130 Grand Ave
CityENR: Charlotte
StateENR: NC
ZIPENR: 28277
GroupENR: GRP-1995
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

ENR ×1PRV ×2TPA ×1CLM ×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
ENR-128489	ENR	2026-01-13	Donald Rojasflagged	1981-02-18	UHC-71744-36	6118929310	3130 Grand Ave, Charlotte, NC	Scored	1.00	—
PRV-26415	PRV	2026-01-22	Donald Rojasflagged	1981-02-18	UHC-71744-36	6118929310	3130 Grand Ave, Charlotte, NC	Scored	1.00	—
PRV-26416	PRV	2026-05-27	Donald Rojasflagged	1981-02-18	—	6118929310	3130 Grand Ave # 896, Charlotte, NC	Scored	1.00	—
TPA-59560	TPA	2026-09-07	Donald Rojasflagged	1981-02-18	—	6118929310	3130 Grand Ave, Charlotte, NC	Scored	1.00	—
CLM-421765	CLM	2026-09-13	Don Rojasflagged	1981-02-18	UHC-71744-36	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-128489 ENRPRV-26416PRV1.00Scoredweighted 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

▶PRV-26415PRVPRV-26416PRV1.00Scoredweighted 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

▶PRV-26415PRVTPA-59560TPA1.00Scoredweighted 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

▶PRV-26416PRVTPA-59560TPA1.00Scoredweighted 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

▶ENR-128489 ENRCLM-421765CLM0.99RuleD1 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
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26415PRVCLM-421765CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128489 ENRPRV-26415PRV0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-128489 ENRTPA-59560TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-26416PRVCLM-421765CLM0.83Scoredweighted 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-59560TPACLM-421765CLM0.83Scoredweighted 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

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

2026-10-19 19:54:38Record linked automatically3fdad39d2c
matching_agent, CLM-421765, identity id MBR-004111, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128489
2026-10-19 19:54:38Record linked automatically689a873c61
scoring_agent, TPA-59560, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26415, policy version 1
2026-10-19 19:54:38Record linked automatically921ae39187
scoring_agent, PRV-26416, identity id MBR-004111, confidence 1, method probabilistic, matched record ENR-128489, policy version 1
2026-10-19 19:54:38Record linked automatically3dc089cfa7
scoring_agent, PRV-26415, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:54:38Record linked automatically0acc339e5e
scoring_agent, ENR-128489, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:52:08Record linked automaticallye6ec987c0d
matching_agent, CLM-421765, identity id MBR-004111, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128489
2026-10-19 19:52:08Record linked automaticallycc19c0a9d2
scoring_agent, TPA-59560, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26415, policy version 1
2026-10-19 19:52:08Record linked automatically34058612cc
scoring_agent, PRV-26416, identity id MBR-004111, confidence 1, method probabilistic, matched record ENR-128489, policy version 1
2026-10-19 19:52:08Record linked automatically65dd304596
scoring_agent, PRV-26415, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:52:08Record linked automatically46f8237d31
scoring_agent, ENR-128489, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:45:42Record linked automatically26e12e0585
matching_agent, CLM-421765, identity id MBR-004111, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128489
2026-10-19 19:45:42Record linked automatically26a857597c
scoring_agent, TPA-59560, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26415, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd78141713
scoring_agent, PRV-26416, identity id MBR-004111, confidence 1, method probabilistic, matched record ENR-128489, policy version 1
2026-10-19 19:45:42Record linked automatically93c1cb346c
scoring_agent, PRV-26415, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:45:42Record linked automaticallya3f2a8dfbe
scoring_agent, ENR-128489, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:32:31Record linked automatically02c61c2970
matching_agent, CLM-421765, identity id MBR-004111, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128489
2026-10-19 19:32:31Record linked automaticallyc05720eac8
scoring_agent, TPA-59560, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26415, policy version 1
2026-10-19 19:32:31Record linked automaticallyee0e43c68e
scoring_agent, PRV-26416, identity id MBR-004111, confidence 1, method probabilistic, matched record ENR-128489, policy version 1
2026-10-19 19:32:31Record linked automaticallye55b94639b
scoring_agent, PRV-26415, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:32:31Record linked automatically5072a74c05
scoring_agent, ENR-128489, identity id MBR-004111, confidence 1, method probabilistic, matched record PRV-26416, policy version 1
2026-10-19 19:31:28Record linked automaticallybf293f242f
matching_agent, PRV-26416, identity id MBR-044506, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128681
2026-10-19 19:31:28Record linked automatically7f1abd1c15
scoring_agent, TPA-59560, identity id MBR-004584, confidence 1, method probabilistic, matched record CLM-421846, policy version 1
2026-10-19 19:31:28Record linked automaticallyb1c23e563e
scoring_agent, PRV-26415, identity id MBR-004149, confidence 1, method probabilistic, matched record TPA-59539, policy version 1
2026-10-19 19:31:28Record linked automaticallyca9359b346
scoring_agent, CLM-421765, identity id MBR-000721, confidence 1, method probabilistic, matched record CLM-421764, policy version 1
2026-10-19 19:31:28Record linked automatically9a78b28e42
matching_agent, ENR-128489, identity id MBR-000516, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421685

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-004051	2026-08-01	Unity Community Hospital in network	96374, 99283	$850.00	$338.80	Approved	Approved