Janet I Cruz

4 source records from 3 feeds.

MBR-004760Verified4 recordsOpen steward case

Golden record

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

First nameENR: Janet
Middle nameENR: I
Last nameENR: Cruz
Date of birthCLM: 1955-06-17
GenderENR: M
Member IDENR: UHC-94131-80
SSNENR: •••-••-4598
PhoneENR: 7995542291
EmailENR: janet.cruz17@gmail.com
AddressENR: 6842 Oak St
CityENR: Chandler
StateENR: AZ
ZIPENR: 85244
GroupENR: GRP-1879
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×2ENR ×1TPA ×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-416809	CLM	2026-01-15	Janet Cruzflagged	1955-06-17	—	7995542291	6842 Oak St, Chandler, AZ	Scored	1.00	—
ENR-122067	ENR	2026-02-23	Janet Cruzflagged	—	UHC-94131-80	7995542291	6842 Oak St, Chandler, AZ	Scored	1.00	—
CLM-416808	CLM	2026-09-01	Janet Cruzflagged	1955-06-17	UHC-94131-80	7995542291	—	Scored	1.00	—
TPA-57408	TPA	2026-09-28	Janet Cruzflagged	—	—	—	6842 Oak St, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-416809CLMCLM-416808CLM1.00Scoredweighted 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

▶ENR-122067ENRTPA-57408TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122067ENRCLM-416808CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-416809CLMENR-122067ENR0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416808CLMTPA-57408TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-416809 → UHC-94131-80 (Janet Cruz)
ACT-009930, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically19b634c608
scoring_agent, TPA-57408, identity id MBR-004760, confidence 1, method probabilistic, matched record ENR-122067, policy version 1
2026-10-22 12:43:53Record linked automaticallydd8f2307be
scoring_agent, CLM-416808, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416809, policy version 1
2026-10-22 12:43:53Record linked automatically0fa6b68ca5
scoring_agent, ENR-122067, identity id MBR-004760, confidence 1, method probabilistic, matched record TPA-57408, policy version 1
2026-10-22 12:43:53Record linked automatically90f5993db4
scoring_agent, CLM-416809, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416808, policy version 1
2026-10-19 19:54:38Record linked automatically641ad723cb
scoring_agent, TPA-57408, identity id MBR-004760, confidence 1, method probabilistic, matched record ENR-122067, policy version 1
2026-10-19 19:54:38Record linked automaticallydeb024a181
scoring_agent, CLM-416808, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416809, policy version 1
2026-10-19 19:54:38Record linked automaticallyda62187571
scoring_agent, ENR-122067, identity id MBR-004760, confidence 1, method probabilistic, matched record TPA-57408, policy version 1
2026-10-19 19:54:38Record linked automaticallycb1a940c58
scoring_agent, CLM-416809, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416808, policy version 1
2026-10-19 19:52:08Record linked automaticallya35852f32b
scoring_agent, TPA-57408, identity id MBR-004760, confidence 1, method probabilistic, matched record ENR-122067, policy version 1
2026-10-19 19:52:08Record linked automaticallyb9b39e109e
scoring_agent, CLM-416808, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416809, policy version 1
2026-10-19 19:52:08Record linked automaticallyacfd572b59
scoring_agent, ENR-122067, identity id MBR-004760, confidence 1, method probabilistic, matched record TPA-57408, policy version 1
2026-10-19 19:52:08Record linked automaticallyd0eed363a5
scoring_agent, CLM-416809, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416808, policy version 1
2026-10-19 19:45:42Record linked automatically8ddc6172aa
scoring_agent, TPA-57408, identity id MBR-004760, confidence 1, method probabilistic, matched record ENR-122067, policy version 1
2026-10-19 19:45:42Record linked automatically58552060fb
scoring_agent, CLM-416808, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416809, policy version 1
2026-10-19 19:45:42Record linked automatically89b88369f2
scoring_agent, ENR-122067, identity id MBR-004760, confidence 1, method probabilistic, matched record TPA-57408, policy version 1
2026-10-19 19:45:42Record linked automatically91d1f2c602
scoring_agent, CLM-416809, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416808, policy version 1
2026-10-19 19:32:31Record linked automatically669ebf17be
scoring_agent, TPA-57408, identity id MBR-004760, confidence 1, method probabilistic, matched record ENR-122067, policy version 1
2026-10-19 19:32:31Record linked automatically3ce7b40cf5
scoring_agent, CLM-416808, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416809, policy version 1
2026-10-19 19:32:31Record linked automatically2274547e74
scoring_agent, ENR-122067, identity id MBR-004760, confidence 1, method probabilistic, matched record TPA-57408, policy version 1
2026-10-19 19:32:31Record linked automaticallya0dd7d86c3
scoring_agent, CLM-416809, identity id MBR-004760, confidence 1, method probabilistic, matched record CLM-416808, policy version 1
2026-10-19 19:31:28Record linked automaticallyc7ba95d3c0
matching_agent, TPA-57408, identity id MBR-038088, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122179
2026-10-19 19:31:28Record linked automaticallya471db53c4
matching_agent, CLM-416809, identity id MBR-033223, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121998
2026-10-19 19:31:28Record linked automaticallyfa29988dc0
matching_agent, ENR-122067, identity id MBR-014936, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416877
2026-10-19 19:31:28Record linked automatically3146ab4cfa
matching_agent, CLM-416808, identity id MBR-007946, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121994

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-2026-022558	2026-08-10	Sunrise Dermatology Clinic out of network	17110, 99213	$477.00	$164.65	Approved	Approved
CLM-2026-032731	2025-12-17	Valley Medical Group in network	80053	$75.00	$26.50	Approved	Approved