Lisa Jimenez

3 source records from 2 feeds.

MBR-004605Verified3 records

Golden record

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

First namePRV: Lisa
Middle name—: —
Last namePRV: Jimenez
Date of birthPRV: 1985-04-16
GenderPRV: F
Member IDPRV: UHC-89522-53
SSNCLM: •••-••-8562
PhonePRV: 4492953475
EmailPRV: lisa.jimenez76@aol.com
AddressPRV: 8398 Indian School Rd
CityPRV: Los Angeles
StatePRV: CA
ZIPPRV: 90009
GroupCLM: GRP-2243
Plan—: —

Min confidence

0.99

Sources

CLM ×2PRV ×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-404741	CLM	2026-01-15	Lisa Jimenezflagged	1985-04-16	—	4492953475	—	Scored	1.00	—
CLM-404742	CLM	2026-01-24	Lisa Jimenezflagged	1985-04-16	UHC-89522-53	—	—	Rule	0.99	D1 member id + dob exact
PRV-21375	PRV	2026-10-11	Lisa Jimenezflagged	1985-04-16	UHC-89522-53	4492953475	8398 Indian School Rd, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-404741CLMPRV-21375PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404742CLMPRV-21375PRV0.99RuleD1 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-404741CLMCLM-404742CLM0.83Scoredweighted 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-404741 → UHC-89522-53 (Lisa Jimenez)
ACT-007467, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically75ac9a0e6a
scoring_agent, PRV-21375, identity id MBR-004605, confidence 1, method probabilistic, matched record CLM-404741, policy version 1
2026-10-19 19:54:38Record linked automatically9990364c29
matching_agent, CLM-404742, identity id MBR-004605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21375
2026-10-19 19:54:38Record linked automaticallyac09385349
scoring_agent, CLM-404741, identity id MBR-004605, confidence 1, method probabilistic, matched record PRV-21375, policy version 1
2026-10-19 19:52:08Record linked automatically88a297d78a
scoring_agent, PRV-21375, identity id MBR-004605, confidence 1, method probabilistic, matched record CLM-404741, policy version 1
2026-10-19 19:52:08Record linked automaticallyf7571788e7
matching_agent, CLM-404742, identity id MBR-004605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21375
2026-10-19 19:52:08Record linked automaticallyf27fd22f16
scoring_agent, CLM-404741, identity id MBR-004605, confidence 1, method probabilistic, matched record PRV-21375, policy version 1
2026-10-19 19:45:42Record linked automatically2623882a3f
scoring_agent, PRV-21375, identity id MBR-004605, confidence 1, method probabilistic, matched record CLM-404741, policy version 1
2026-10-19 19:45:42Record linked automaticallyd0836e6445
matching_agent, CLM-404742, identity id MBR-004605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21375
2026-10-19 19:45:42Record linked automaticallyfb9a8243bc
scoring_agent, CLM-404741, identity id MBR-004605, confidence 1, method probabilistic, matched record PRV-21375, policy version 1
2026-10-19 19:32:31Record linked automaticallyd385d2e4c6
scoring_agent, PRV-21375, identity id MBR-004605, confidence 1, method probabilistic, matched record CLM-404741, policy version 1
2026-10-19 19:32:31Record linked automatically6d5ab53da5
matching_agent, CLM-404742, identity id MBR-004605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21375
2026-10-19 19:32:31Record linked automatically27ffad6954
scoring_agent, CLM-404741, identity id MBR-004605, confidence 1, method probabilistic, matched record PRV-21375, policy version 1
2026-10-19 19:31:28Record linked automatically317d982de9
matching_agent, PRV-21375, identity id MBR-039554, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21376
2026-10-19 19:31:28Record linked automaticallye30fa2eaf9
scoring_agent, CLM-404741, identity id MBR-036712, confidence 1, method probabilistic, matched record CLM-404740, policy version 1
2026-10-19 19:31:28Record linked automaticallycddad0aef7
scoring_agent, CLM-404742, identity id MBR-032983, confidence 1, method probabilistic, matched record TPA-52116, 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-2026-001828	2025-12-12	Unity Cardiovascular Associates in network	93458	$7,980.00	$2,317.75	Approved	Approved
CLM-2026-023185	2026-01-12	Evergreen Diagnostic Imaging in network	74177, 77067, 70553	$4,229.00	$873.61	Approved	Approved