Identities/MBR-004865

Gold, golden identity

Joyce F Reyes

5 source records from 3 feeds.

MBR-004865Verified5 records

Golden record

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

First nameENR: Joyce
Middle nameENR: F
Last nameENR: Reyes
Date of birthENR: 2008-12-04
GenderENR: M
Member IDENR: UHC-28639-46
SSNENR: •••-••-0209
PhoneENR: 5382203546
EmailENR: joyce.reyes86@proton.me
AddressENR: 1156 Broadway
CityENR: Dallas
StateENR: TX
ZIP—: —
GroupENR: GRP-8009
PlanENR: CORE-HMO

Min confidence

0.97

Sources

CLM ×2ENR ×2TPA ×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-413953	CLM	2026-01-16	Joyce Reyesflagged	2008-12-04	—	5382203546	1156 Broadway, Dallas, TX	Scored	1.00	—
CLM-413952	CLM	2026-01-22	Joyce Reyesflagged	2008-12-04	UHC-28639-46	—	1156 Broadway, Dallas, TX	Scored	1.00	—
ENR-118246	ENR	2026-04-25	Joyce Reyesflagged	2008-12-04	UHC-28639-46	5382203546	1156 Broadway, Dallas, TX	Scored	1.00	—
ENR-118245	ENR	2026-06-23	Joyce Reyesflagged	2008-12-04	UHC-28639-46	5382203546	1156 Broadway, Dallas, TX	Rule	0.99	D1 member id + dob exact
TPA-56152	TPA	2026-07-12	Joyce Reyesflagged	2008-12-04	—	—	1156 Broadway, Dallas, TX	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-413953CLMCLM-413952CLM1.00Scoredweighted 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-413953CLMENR-118246ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413952CLMENR-118245ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-118246ENRENR-118245ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-413952CLMENR-118246ENR0.99RuleD1 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

▶ENR-118246ENRTPA-56152TPA0.97RuleD2 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
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-118245ENRTPA-56152TPA0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413953CLMENR-118245ENR0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-413953CLMTPA-56152TPA0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-413952CLMTPA-56152TPA0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-413953 → UHC-28639-46 (Joyce Reyes)
ACT-003516, Claims processor
Duplicate member record retiredExecuted
Joyce Reyes: 2 enrollment records collapsed into UHC-28639-46
ACT-022454, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyeb6e41aba8
matching_agent, TPA-56152, identity id MBR-004865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118246
2026-10-22 12:43:53Record linked automaticallyc1b5176ce8
matching_agent, ENR-118245, identity id MBR-004865, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413952
2026-10-22 12:43:53Record linked automaticallyd5e9253b64
scoring_agent, ENR-118246, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-22 12:43:53Record linked automatically4fdd98eafd
scoring_agent, CLM-413952, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-22 12:43:53Record linked automaticallya7ab4aba63
scoring_agent, CLM-413953, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413952, policy version 1
2026-10-19 19:54:38Record linked automaticallyccbcd0d683
matching_agent, TPA-56152, identity id MBR-004865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118246
2026-10-19 19:54:38Record linked automatically5a0c16ac43
matching_agent, ENR-118245, identity id MBR-004865, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413952
2026-10-19 19:54:38Record linked automatically8c63116e58
scoring_agent, ENR-118246, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:54:38Record linked automatically71cedfaf49
scoring_agent, CLM-413952, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:54:38Record linked automaticallyfab20b1854
scoring_agent, CLM-413953, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413952, policy version 1
2026-10-19 19:52:08Record linked automatically15be9f8f3c
matching_agent, TPA-56152, identity id MBR-004865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118246
2026-10-19 19:52:08Record linked automatically2f16ca301e
matching_agent, ENR-118245, identity id MBR-004865, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413952
2026-10-19 19:52:08Record linked automatically8a1bf49d0a
scoring_agent, ENR-118246, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:52:08Record linked automaticallycc91142bbc
scoring_agent, CLM-413952, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:52:08Record linked automatically4ed72ffa0a
scoring_agent, CLM-413953, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413952, policy version 1
2026-10-19 19:45:42Record linked automaticallybf83a358cc
matching_agent, TPA-56152, identity id MBR-004865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118246
2026-10-19 19:45:42Record linked automatically3fdaa8cbc7
matching_agent, ENR-118245, identity id MBR-004865, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413952
2026-10-19 19:45:42Record linked automatically9a4aa08506
scoring_agent, ENR-118246, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:45:42Record linked automatically314731cd09
scoring_agent, CLM-413952, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:45:42Record linked automatically1d7654c845
scoring_agent, CLM-413953, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413952, policy version 1
2026-10-19 19:32:31Record linked automaticallyd98070c6bb
matching_agent, TPA-56152, identity id MBR-004865, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118246
2026-10-19 19:32:31Record linked automaticallyb8f5abf4e4
matching_agent, ENR-118245, identity id MBR-004865, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413952
2026-10-19 19:32:31Record linked automatically49ad27c042
scoring_agent, ENR-118246, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:32:31Record linked automatically43828aa005
scoring_agent, CLM-413952, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413953, policy version 1
2026-10-19 19:32:31Record linked automatically7f752e1dc1
scoring_agent, CLM-413953, identity id MBR-004865, confidence 1, method probabilistic, matched record CLM-413952, policy version 1
2026-10-19 19:31:28Record linked automatically48dd502059
matching_agent, ENR-118246, identity id MBR-023314, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118245
2026-10-19 19:31:28Record linked automatically9f97a3a6f7
matching_agent, ENR-118245, identity id MBR-023314, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118246
2026-10-19 19:31:28Record linked automaticallydfeeee104e
matching_agent, CLM-413953, identity id MBR-012202, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118343
2026-10-19 19:31:28Record linked automatically040dfb3720
scoring_agent, TPA-56152, identity id MBR-006071, confidence 1, method probabilistic, matched record TPA-56151, policy version 1
2026-10-19 19:31:28Record linked automatically89d81716e2
matching_agent, CLM-413952, identity id MBR-001042, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118337

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-2026-027230	2025-12-20	Riverside GI Associates in network	45378	$2,036.00	—	Denied	Denied
CLM-2026-008248	2026-01-02	Lakeside Medical Group out of network	99214, 90471	$319.00	—	Denied	Denied