Identities/MBR-004988

Gold, golden identity

Roger G Martinez

5 source records from 2 feeds.

MBR-004988Verified5 records

Golden record

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

First nameCLM: Roger
Middle nameCLM: G
Last nameCLM: Martinez
Date of birthCLM: 1990-03-15
GenderCLM: F
Member IDCLM: UHC-40330-54
SSN—: —
PhoneCLM: 5044255946
Email—: —
AddressCLM: 6998 Cedar Ln # 605
CityCLM: Phoenix
StateCLM: AZ
ZIPCLM: 85049
GroupCLM: GRP-9256
PlanCLM: SELECT-EPO

Min confidence

0.99

Sources

CLM ×4TPA ×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-432492	CLM	2026-01-16	Roger Martinezflagged	1990-03-15	UHC-40330-54	5044255946	6998 Cedar Ln, Phoenix, AZ	Scored	1.00	—
TPA-64324	TPA	2026-02-24	Roger Martinezflagged	1990-03-15	—	—	6998 Cedar Ln, Phoenix, AZ	Scored	1.00	—
CLM-432493	CLM	2026-04-30	Roger Martinzeflagged	1990-03-15	UHC-40330-54	5044255946	6998 Cedar Ln, Phoenix, AZ	Scored	0.99	—
CLM-432491	CLM	2026-05-26	Roger Martinezflagged	1990-03-15	UHC-40330-54	5044255946	6998 Cedar Ln # 605, Phoenix, AZ	Scored	1.00	—
CLM-432490	CLM	2026-08-12	Roger Martinezflagged	1990-03-15	UHC-40330-54	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-64324TPACLM-432491CLM1.00Scoredweighted 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-432492CLMTPA-64324TPA1.00Scoredweighted 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

▶TPA-64324TPACLM-432493CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432492CLMCLM-432490CLM0.99RuleD1 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-432493CLMCLM-432490CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432491CLMCLM-432490CLM0.99RuleD1 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-432492CLMCLM-432491CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-432493CLMCLM-432491CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-432492CLMCLM-432493CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-64324TPACLM-432490CLM0.83Scoredweighted 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

Care coordination outreachProposed
Roger Martinez: 4 claims, no attributed provider
ACT-018166, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically85d06d3a38
matching_agent, CLM-432490, identity id MBR-004988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432492
2026-10-22 12:43:53Record linked automatically8bdfc87ee0
scoring_agent, CLM-432491, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-22 12:43:53Record linked automatically58f65dec6e
scoring_agent, CLM-432493, identity id MBR-004988, confidence 0.99, method probabilistic, matched record TPA-64324, policy version 1
2026-10-22 12:43:53Record linked automatically37b47c6764
scoring_agent, TPA-64324, identity id MBR-004988, confidence 1, method probabilistic, matched record CLM-432492, policy version 1
2026-10-22 12:43:53Record linked automaticallya2507ad239
scoring_agent, CLM-432492, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:54:38Record linked automatically27e4882c72
matching_agent, CLM-432490, identity id MBR-004988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432492
2026-10-19 19:54:38Record linked automatically158d41f9e2
scoring_agent, CLM-432491, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:54:38Record linked automatically68d708aef8
scoring_agent, CLM-432493, identity id MBR-004988, confidence 0.99, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:54:38Record linked automatically1cf7bb4989
scoring_agent, TPA-64324, identity id MBR-004988, confidence 1, method probabilistic, matched record CLM-432492, policy version 1
2026-10-19 19:54:38Record linked automatically91d58346a3
scoring_agent, CLM-432492, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:52:08Record linked automatically8e13cf9963
matching_agent, CLM-432490, identity id MBR-004988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432492
2026-10-19 19:52:08Record linked automatically0d0ed60db4
scoring_agent, CLM-432491, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:52:08Record linked automatically9dc274d869
scoring_agent, CLM-432493, identity id MBR-004988, confidence 0.99, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:52:08Record linked automaticallyc4392350d0
scoring_agent, TPA-64324, identity id MBR-004988, confidence 1, method probabilistic, matched record CLM-432492, policy version 1
2026-10-19 19:52:08Record linked automaticallye7459eb949
scoring_agent, CLM-432492, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:45:42Record linked automatically702f0f1708
matching_agent, CLM-432490, identity id MBR-004988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432492
2026-10-19 19:45:42Record linked automaticallyfe3ec4aff2
scoring_agent, CLM-432491, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:45:42Record linked automaticallyc6c38c6c58
scoring_agent, CLM-432493, identity id MBR-004988, confidence 0.99, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:45:42Record linked automatically6efd7a71b7
scoring_agent, TPA-64324, identity id MBR-004988, confidence 1, method probabilistic, matched record CLM-432492, policy version 1
2026-10-19 19:45:42Record linked automatically317955d90c
scoring_agent, CLM-432492, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:32:31Record linked automaticallye26334cd7e
matching_agent, CLM-432490, identity id MBR-004988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432492
2026-10-19 19:32:31Record linked automatically7202be73d3
scoring_agent, CLM-432491, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:32:31Record linked automaticallyfc8b067d40
scoring_agent, CLM-432493, identity id MBR-004988, confidence 0.99, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:32:31Record linked automaticallyec38db85df
scoring_agent, TPA-64324, identity id MBR-004988, confidence 1, method probabilistic, matched record CLM-432492, policy version 1
2026-10-19 19:32:31Record linked automatically10b89dbb16
scoring_agent, CLM-432492, identity id MBR-004988, confidence 1, method probabilistic, matched record TPA-64324, policy version 1
2026-10-19 19:31:28Record linked automatically8093c2eb3d
matching_agent, CLM-432493, identity id MBR-034010, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142827
2026-10-19 19:31:28Record linked automatically3e963a8621
matching_agent, TPA-64324, identity id MBR-022687, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432757
2026-10-19 19:31:28Record linked automatically180a4f4aa0
scoring_agent, CLM-432491, identity id MBR-016781, confidence 1, method probabilistic, matched record TPA-64213, policy version 1
2026-10-19 19:31:28Record linked automatically75cebe17b4
scoring_agent, CLM-432490, identity id MBR-001156, confidence 1, method probabilistic, matched record PRV-29477, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-007428	2026-08-07	Northgate Cardiovascular Associates in network	93306, 93015	$2,148.00	$722.22	Approved	Approved
CLM-2026-010891	2025-10-29	Pinecrest Regional Medical Center in network	99283	$970.00	—	Denied	Denied
CLM-2026-025512	2026-04-05	Mesa Physical Therapy in network	97110, 97161, 97014	$624.00	$356.88	Approved	Approved
CLM-2026-024487	2025-12-15	Summit Digestive Health Center in network	45378	$1,740.00	$565.13	Approved	Approved