Identities/MBR-005039
Gold, golden identity

Ann S Lopez

3 source records from 2 feeds.

MBR-005039Verified3 records

Golden record

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

First nameENR
Ann
Middle nameENR
S
Last nameENR
Lopez
Date of birthENR
1940-11-23
GenderCLM
F
Member IDENR
UHC-75662-02
SSNENR
•••-••-7435
PhoneENR
8609596207
EmailENR
ann.lopez@outlook.com
AddressENR
61 Sunset Blvd
CityENR
Plano
StateENR
TX
ZIPENR
75061
GroupENR
GRP-9447
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.00ENRENR-101580CLMCLM-401226CLMCLM-401225IDMBR-005039
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-101580ENR2026-01-16Ann Lopezflagged1940-11-23UHC-75662-02860959620761 Sunset Blvd, Plano, TXRule0.99D1 member id + dob exact
CLM-401226CLM2026-08-13Ann Lopezflagged1940-11-23UHC-75662-02860959620761 Sunset Blvd, Plano, TXScored1.00—
CLM-401225CLM2026-09-05Ann Lopezflagged1940-11-23—860959620761 Sunset Blvd, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401226CLMCLM-401225CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-101580ENRCLM-401226CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-101580ENRCLM-401225CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Ann Lopez: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000245, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-401225 → UHC-75662-02 (Ann Lopez)
    ACT-003293, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc15047d8e1
    scoring_agent, CLM-401225, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401226, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7046855991
    scoring_agent, CLM-401226, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401225, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycf062e0757
    matching_agent, ENR-101580, identity id MBR-005039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401226
  • 2026-10-19 19:52:08Record linked automatically3ac2e57cbc
    scoring_agent, CLM-401225, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401226, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3f5bd403d4
    scoring_agent, CLM-401226, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401225, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc73a630d84
    matching_agent, ENR-101580, identity id MBR-005039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401226
  • 2026-10-19 19:45:42Record linked automatically0ac59930a7
    scoring_agent, CLM-401225, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401226, policy version 1
  • 2026-10-19 19:45:42Record linked automatically463604b365
    scoring_agent, CLM-401226, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401225, policy version 1
  • 2026-10-19 19:45:42Record linked automatically51edc06b90
    matching_agent, ENR-101580, identity id MBR-005039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401226
  • 2026-10-19 19:32:31Record linked automaticallya14f605937
    scoring_agent, CLM-401225, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401226, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc908fe8f7e
    scoring_agent, CLM-401226, identity id MBR-005039, confidence 1, method probabilistic, matched record CLM-401225, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf868c89da4
    matching_agent, ENR-101580, identity id MBR-005039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401226
  • 2026-10-19 19:31:28Record linked automatically14e7c78f26
    matching_agent, CLM-401225, identity id MBR-040052, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101669
  • 2026-10-19 19:31:28Record linked automaticallyc9ea7f9b3e
    matching_agent, CLM-401226, identity id MBR-033588, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101675
  • 2026-10-19 19:31:28Record linked automaticallya8bae2ca6c
    matching_agent, ENR-101580, identity id MBR-022819, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401147

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0074252026-08-17Harbor Primary Care Associates
in network
99395, 99203$422.00$241.64ApprovedApproved
CLM-2026-0228522026-07-29Pinecrest Primary Care Associates
in network
99213, 99214$414.00$236.68ApprovedApproved