Identities/MBR-005146
Gold, golden identity

Rachel G Lopez

4 source records from 2 feeds.

MBR-005146Verified4 records

Golden record

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

First nameENR
Rachel
Middle nameENR
G
Last nameENR
Lopez
Date of birthENR
1967-11-16
GenderCLM
M
Member IDENR
UHC-43524-49
SSNENR
•••-••-5626
PhoneENR
9042622815
Email—
—
AddressENR
9046 Meadow Ln
CityENR
Sacramento
StateENR
CA
ZIPENR
95842
GroupENR
GRP-0585
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.00CLMCLM-422494CLMCLM-422496ENRENR-129473CLMCLM-422495IDMBR-005146
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
CLM-422494CLM2026-01-17Rachel Lopezflagged1967-11-16—90426228159046 Meadow Ln, Sacramento, CAScored1.00—
CLM-422496CLM2026-03-10Rachel Lopezflagged1967-11-16UHC-43524-49——Rule0.99D1 member id + dob exact
ENR-129473ENR2026-09-28Rachel Lopezflagged1967-11-16UHC-43524-4990426228159046 Meadow Ln, Sacramento, CAScored1.00—
CLM-422495CLM2026-10-15Rachel Lopezflagged1967-11-16UHC-43524-4990426228159046 Meadow Ln, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422494CLMCLM-422495CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422494CLMENR-129473ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422496CLMCLM-422495CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129473ENRCLM-422495CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422496CLMENR-129473ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422494CLMCLM-422496CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Rachel Lopez: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000251, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-422494 → UHC-43524-49 (Rachel Lopez)
    ACT-007003, Claims processor
  • Care coordination outreachProposed
    Rachel Lopez: 3 claims, no attributed provider
    ACT-018180, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically220f4144c2
    scoring_agent, CLM-422495, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb17066ab91
    scoring_agent, ENR-129473, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye49d9c077c
    matching_agent, CLM-422496, identity id MBR-005146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129473
  • 2026-10-19 19:54:38Record linked automaticallya6275b3cc2
    scoring_agent, CLM-422494, identity id MBR-005146, confidence 1, method probabilistic, matched record ENR-129473, policy version 1
  • 2026-10-19 19:52:08Record linked automatically03aaec3fcf
    scoring_agent, CLM-422495, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:52:08Record linked automatically709969c459
    scoring_agent, ENR-129473, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5bc99b8ca0
    matching_agent, CLM-422496, identity id MBR-005146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129473
  • 2026-10-19 19:52:08Record linked automatically34b55aae8c
    scoring_agent, CLM-422494, identity id MBR-005146, confidence 1, method probabilistic, matched record ENR-129473, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1576600fec
    scoring_agent, CLM-422495, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeb830f9886
    scoring_agent, ENR-129473, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:45:42Record linked automatically54744e2cfd
    matching_agent, CLM-422496, identity id MBR-005146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129473
  • 2026-10-19 19:45:42Record linked automaticallye063f88263
    scoring_agent, CLM-422494, identity id MBR-005146, confidence 1, method probabilistic, matched record ENR-129473, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9c76dcc20e
    scoring_agent, CLM-422495, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf60cd835b4
    scoring_agent, ENR-129473, identity id MBR-005146, confidence 1, method probabilistic, matched record CLM-422494, policy version 1
  • 2026-10-19 19:32:31Record linked automatically34b3248c75
    matching_agent, CLM-422496, identity id MBR-005146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129473
  • 2026-10-19 19:32:31Record linked automatically03fe5f9385
    scoring_agent, CLM-422494, identity id MBR-005146, confidence 1, method probabilistic, matched record ENR-129473, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6ff9abf23d
    matching_agent, CLM-422494, identity id MBR-026779, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129600
  • 2026-10-19 19:31:28Record linked automatically5af475666e
    matching_agent, CLM-422496, identity id MBR-020685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129602
  • 2026-10-19 19:31:28Record linked automatically972f42d86d
    matching_agent, CLM-422495, identity id MBR-004684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129601

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0256502026-10-02Cornerstone Orthopedic Specialists
out of network
27447$35,527.00—DeniedDenied
CLM-2026-0273802026-01-29Heritage Community Hospital
in network
99285, 99283$3,083.00$1,345.65ApprovedApproved
CLM-2026-0213362025-12-31Lakeside Reference Lab
in network
87086$67.00$0.00ApprovedApproved