Identities/MBR-004978
Gold, golden identity

Kimberly T Cruz

4 source records from 2 feeds.

MBR-004978Verified4 records

Golden record

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

First nameCLM
Kimberly
Middle nameCLM
T
Last nameENR
Cruz
Date of birthENR
1967-03-18
GenderENR
F
Member IDENR
UHC-50312-75
SSNENR
•••-••-0370
PhoneENR
5488227857
Email—
—
AddressENR
8056 Camelback Rd
CityENR
Columbus
StateENR
OH
ZIPENR
43228
GroupENR
GRP-0455
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
ENR ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00ENRENR-104990CLMCLM-403842CLMCLM-403843CLMCLM-403844IDMBR-004978
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
ENR-104990ENR2026-01-16Kim Cruzflagged1967-03-18UHC-50312-7554882278578056 Camelback Rd, Columbus, OHScored1.00—
CLM-403842CLM2026-02-22Kimberly Cruzflagged1967-03-18UHC-50312-755488227857—Scored1.00—
CLM-403843CLM2026-07-30Kimberly Cruzflagged1967-03-18UHC-50312-7554882278578056 Camelback Rd, Columbus, OHScored1.00—
CLM-403844CLM2026-08-30Kimberly Cruzflagged1967-03-18—54882278578056 Camelback Rd, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-104990ENRCLM-403844CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403842CLMCLM-403844CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403843CLMCLM-403844CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-104990ENRCLM-403842CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-104990ENRCLM-403843CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403842CLMCLM-403843CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403844 → UHC-50312-75 (Kimberly Cruz)
    ACT-003341, Claims processor
  • Care coordination outreachProposed
    Kimberly Cruz: 3 claims, no attributed provider
    ACT-018164, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallya239ce62ed
    scoring_agent, CLM-403844, identity id MBR-004978, confidence 1, method probabilistic, matched record ENR-104990, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1a16feca20
    scoring_agent, CLM-403843, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyb2b897647d
    scoring_agent, CLM-403842, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyd84d530309
    scoring_agent, ENR-104990, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:54:38Record linked automatically43ee84444a
    scoring_agent, CLM-403844, identity id MBR-004978, confidence 1, method probabilistic, matched record ENR-104990, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfdc3b16fa1
    scoring_agent, CLM-403843, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:54:38Record linked automatically77c7dc9e17
    scoring_agent, CLM-403842, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb2795b138c
    scoring_agent, ENR-104990, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfe551d8499
    scoring_agent, CLM-403844, identity id MBR-004978, confidence 1, method probabilistic, matched record ENR-104990, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd384783c92
    scoring_agent, CLM-403843, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:52:08Record linked automatically04c3f8cf0d
    scoring_agent, CLM-403842, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya47f23980d
    scoring_agent, ENR-104990, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6bc235d433
    scoring_agent, CLM-403844, identity id MBR-004978, confidence 1, method probabilistic, matched record ENR-104990, policy version 1
  • 2026-10-19 19:45:42Record linked automatically67c8849e4e
    scoring_agent, CLM-403843, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2f66140a1e
    scoring_agent, CLM-403842, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0c42ea15d9
    scoring_agent, ENR-104990, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8cd77cb4f3
    scoring_agent, CLM-403844, identity id MBR-004978, confidence 1, method probabilistic, matched record ENR-104990, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc4a83bbd2d
    scoring_agent, CLM-403843, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf2f251509d
    scoring_agent, CLM-403842, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:32:31Record linked automatically84b15e3cc8
    scoring_agent, ENR-104990, identity id MBR-004978, confidence 1, method probabilistic, matched record CLM-403844, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb1561f5865
    matching_agent, CLM-403842, identity id MBR-020366, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105000
  • 2026-10-19 19:31:28Record linked automatically011a7e0d48
    matching_agent, ENR-104990, identity id MBR-016503, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104991
  • 2026-10-19 19:31:28Record linked automatically4f7c45f80a
    matching_agent, CLM-403843, identity id MBR-010709, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105004
  • 2026-10-19 19:31:28Record linked automatically302696cad2
    matching_agent, CLM-403844, identity id MBR-001255, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-105005

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0075722026-08-02Valley Primary Care Associates
out of network
99395, 99214$567.00$235.15ApprovedApproved
CLM-2026-0251972026-07-25Valley Regional Medical Center
in network
99283$834.00$208.70ApprovedApproved
CLM-2026-0228472026-01-21Riverside Diagnostic Imaging
in network
71046$225.00$0.00ApprovedApproved