Identities/MBR-004980

Gold, golden identity

Shirley S Munoz

5 source records from 2 feeds.

MBR-004980Verified5 records

Golden record

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

First nameENR: Shirley
Middle nameENR: S
Last nameENR: Munoz
Date of birthENR: 1962-10-06
GenderENR: F
Member IDENR: UHC-28956-10
SSNENR: •••-••-3132
PhoneENR: 5358922463
Email—: —
AddressENR: 9750 Sage Ct
CityENR: Fresno
StateENR: CA
ZIPENR: 93795
GroupENR: GRP-6092
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

ENR ×2CLM ×3

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
ENR-132330	ENR	2026-01-16	Shirley Munoozflagged	1962-10-06	UHC-28956-10	5358922463	9750 Sage Ct, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-424760	CLM	2026-03-17	Shirley Munozflagged	1962-10-06	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-424762	CLM	2026-06-30	Shirley Munozflagged	1962-10-06	UHC-28956-10	5358922463	9750 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-424761	CLM	2026-09-23	Shirley Munozflagged	1962-10-06	—	—	9750 Sage Ct, Fresno, CA	Scored	1.00	—
ENR-132331	ENR	2026-09-23	Shirrley Munozflagged	1962-10-06	UHC-28956-10	5358922463	9750 Sage Ct, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-424762CLMCLM-424761CLM1.00Scoredweighted 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

▶ENR-132330ENR CLM-424762CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-132330ENR ENR-132331ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-424762CLMENR-132331ENR 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-132330ENR CLM-424760CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424760CLMCLM-424762CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424760CLMENR-132331ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424761CLMENR-132331ENR 0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-132330ENR CLM-424761CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424760CLMCLM-424761CLM0.83Scoredweighted 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-424760 → UHC-28956-10 (Shirley Munoz)
ACT-004624, Claims processor
Orphan claim re-pointedExecuted
CLM-424761 → UHC-28956-10 (Shirley Munoz)
ACT-009998, Claims processor
Care coordination outreachProposed
Shirley Munoz: 3 claims, no attributed provider
ACT-018165, Next-best-action
Duplicate member record retiredExecuted
Shirley Munoz: 2 enrollment records collapsed into UHC-28956-10
ACT-022471, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically152a348f95
matching_agent, ENR-132331, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132330
2026-10-22 12:43:53Record linked automaticallyb124c4cc44
scoring_agent, CLM-424761, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424762, policy version 1
2026-10-22 12:43:53Record linked automatically652d6afe0e
scoring_agent, CLM-424762, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424761, policy version 1
2026-10-22 12:43:53Record linked automatically070204a523
matching_agent, CLM-424760, identity id MBR-004980, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132330
2026-10-22 12:43:53Record linked automaticallyc3438b20f1
matching_agent, ENR-132330, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424762
2026-10-19 19:54:38Record linked automaticallyf462362dd7
matching_agent, ENR-132331, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132330
2026-10-19 19:54:38Record linked automaticallyc6c020b1a8
scoring_agent, CLM-424761, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424762, policy version 1
2026-10-19 19:54:38Record linked automatically22f84c87cc
scoring_agent, CLM-424762, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424761, policy version 1
2026-10-19 19:54:38Record linked automaticallyba13c1e989
matching_agent, CLM-424760, identity id MBR-004980, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132330
2026-10-19 19:54:38Record linked automatically24f127a947
matching_agent, ENR-132330, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424762
2026-10-19 19:52:08Record linked automatically7e14d8e13c
matching_agent, ENR-132331, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132330
2026-10-19 19:52:08Record linked automatically11deafb32e
scoring_agent, CLM-424761, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424762, policy version 1
2026-10-19 19:52:08Record linked automatically73b50e7d2a
scoring_agent, CLM-424762, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424761, policy version 1
2026-10-19 19:52:08Record linked automatically7806e90faa
matching_agent, CLM-424760, identity id MBR-004980, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132330
2026-10-19 19:52:08Record linked automatically1a90244dd3
matching_agent, ENR-132330, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424762
2026-10-19 19:45:42Record linked automaticallyb6f3505418
matching_agent, ENR-132331, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132330
2026-10-19 19:45:42Record linked automaticallya40a291c9b
scoring_agent, CLM-424761, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424762, policy version 1
2026-10-19 19:45:42Record linked automatically2b34b97b8f
scoring_agent, CLM-424762, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424761, policy version 1
2026-10-19 19:45:42Record linked automatically4399e98123
matching_agent, CLM-424760, identity id MBR-004980, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132330
2026-10-19 19:45:42Record linked automaticallyca83fd6de1
matching_agent, ENR-132330, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424762
2026-10-19 19:32:31Record linked automatically0a8b22fbf5
matching_agent, ENR-132331, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132330
2026-10-19 19:32:31Record linked automatically157374691b
scoring_agent, CLM-424761, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424762, policy version 1
2026-10-19 19:32:31Record linked automaticallyaac3302bdb
scoring_agent, CLM-424762, identity id MBR-004980, confidence 1, method probabilistic, matched record CLM-424761, policy version 1
2026-10-19 19:32:31Record linked automaticallyd2f05e60e3
matching_agent, CLM-424760, identity id MBR-004980, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132330
2026-10-19 19:32:31Record linked automatically7c7f9994ed
matching_agent, ENR-132330, identity id MBR-004980, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424762
2026-10-19 19:31:28Record linked automatically60081d6e37
matching_agent, CLM-424762, identity id MBR-019751, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132571
2026-10-19 19:31:28Record linked automatically65e8e0677b
scoring_agent, ENR-132331, identity id MBR-007924, confidence 1, method probabilistic, matched record CLM-424552, policy version 1
2026-10-19 19:31:28Record linked automatically23feafd7f0
scoring_agent, CLM-424760, identity id MBR-007090, confidence 1, method probabilistic, matched record ENR-132569, 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-2026-032955	2026-09-04	Valley Rehabilitation Center in network	97110, 97161	$461.00	$255.82	Approved	Approved
CLM-2026-024690	2026-05-22	Sunrise Heart Institute in network	93015	$540.00	$44.87	Approved	Approved
CLM-2026-012483	2026-02-25	Summit Clinical Laboratories in network	83036	$51.00	$0.00	Approved	Approved