Identities/MBR-007268

Gold, golden identity

Daniel X Jimenez

6 source records from 3 feeds.

MBR-007268Verified6 records

Golden record

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

First nameENR: Daniel
Middle nameENR: X
Last nameENR: Jimenez
Date of birthENR: 1959-01-18
GenderENR: F
Member IDENR: UHC-38087-84
SSNENR: •••-••-2568
PhoneENR: 2503385724
EmailENR: daniel.jimenez66@hotmail.com
AddressENR: 5471 Sage Ct
CityENR: Eden Prairie
StateENR: MN
ZIPENR: 55340
GroupENR: GRP-4943
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

PRV ×1CLM ×3ENR ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
PRV-25039	PRV	2026-01-24	Dan Jimenezflagged	1959-01-18	UHC-38087-84	2503385724	—	Scored	1.00	—
CLM-417000	CLM	2026-02-13	Daniel Jimenezflagged	1959-01-18	—	—	5471 Sage Ct, Eden Prairie, MN	Scored	1.00	—
ENR-122373	ENR	2026-04-21	Daniel Jimenezflagged	1959-01-18	UHC-38087-84	2503385724	5471 Sage Ct, Eden Prairie, MN	Scored	1.00	—
CLM-416999	CLM	2026-05-16	Daniel Jimenezflagged	1959-01-18	—	2503385724	5471 Sage Ct, Eden Prairie, MN	Scored	1.00	—
ENR-122372	ENR	2026-09-02	Daniel Jimenezflagged	1959-01-18	UHC-38087-84	2503385724	5471 Sage Ct # 324, Eden Prairie, MN	Scored	1.00	—
CLM-417001	CLM	2026-09-29	Daniel Jimenezflagged	1959-01-18	—	2503385724	5471 Sage Ct, Eden Prairie, MN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-25039PRVCLM-416999CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417000CLMCLM-416999CLM 1.00Scoredweighted 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-122373ENRCLM-416999CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-25039PRVCLM-417001CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417000CLMCLM-417001CLM1.00Scoredweighted 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-416999CLM CLM-417001CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417000CLMENR-122372ENR1.00Scoredweighted 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-416999CLM ENR-122372ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417000CLMENR-122373ENR1.00Scoredweighted 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

▶PRV-25039PRVENR-122372ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122373ENRENR-122372ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-25039PRVENR-122373ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122373ENRCLM-417001CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-122372ENRCLM-417001CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-25039PRVCLM-417000CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-416999 → UHC-38087-84 (Daniel Jimenez)
ACT-004408, Claims processor
Orphan claim re-pointedExecuted
CLM-417001 → UHC-38087-84 (Daniel Jimenez)
ACT-004664, Claims processor
Orphan claim re-pointedExecuted
CLM-417000 → UHC-38087-84 (Daniel Jimenez)
ACT-009138, Claims processor
Outreach address correctedProposed
Daniel Jimenez: 5471 Sage Ct # 324, Eden Prairie → 5471 Sage Ct, Eden Prairie
ACT-011117, Outreach
Duplicate member record retiredExecuted
Daniel Jimenez: 2 enrollment records collapsed into UHC-38087-84
ACT-022818, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5a7db10096
scoring_agent, CLM-417001, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:54:38Record linked automatically1e99eeaa7a
scoring_agent, ENR-122372, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:54:38Record linked automatically05492336a9
scoring_agent, CLM-416999, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:54:38Record linked automatically18e7cb95b2
scoring_agent, ENR-122373, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:54:38Record linked automaticallyfbd3309fb9
scoring_agent, CLM-417000, identity id MBR-007268, confidence 1, method probabilistic, matched record ENR-122373, policy version 1
2026-10-19 19:54:38Record linked automatically2f7592ee30
scoring_agent, PRV-25039, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-416999, policy version 1
2026-10-19 19:52:09Record linked automatically0997700788
scoring_agent, CLM-417001, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc536f0ddb
scoring_agent, ENR-122372, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:52:09Record linked automatically17a6e23173
scoring_agent, CLM-416999, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:52:09Record linked automatically7e9caaadd5
scoring_agent, ENR-122373, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:52:09Record linked automaticallyabce2d951e
scoring_agent, CLM-417000, identity id MBR-007268, confidence 1, method probabilistic, matched record ENR-122373, policy version 1
2026-10-19 19:52:09Record linked automatically1e43d3c478
scoring_agent, PRV-25039, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-416999, policy version 1
2026-10-19 19:45:42Record linked automatically6cb46706dc
scoring_agent, CLM-417001, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:45:42Record linked automatically0073a7e1ac
scoring_agent, ENR-122372, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:45:42Record linked automatically459951cfa9
scoring_agent, CLM-416999, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:45:42Record linked automaticallyaebdbd33b1
scoring_agent, ENR-122373, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:45:42Record linked automaticallyf62816dad1
scoring_agent, CLM-417000, identity id MBR-007268, confidence 1, method probabilistic, matched record ENR-122373, policy version 1
2026-10-19 19:45:42Record linked automatically25e3f0ed1b
scoring_agent, PRV-25039, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-416999, policy version 1
2026-10-19 19:32:31Record linked automatically48b114dd05
scoring_agent, CLM-417001, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4fba7fafa
scoring_agent, ENR-122372, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:32:31Record linked automatically6f01a71220
scoring_agent, CLM-416999, identity id MBR-007268, confidence 1, method probabilistic, matched record PRV-25039, policy version 1
2026-10-19 19:32:31Record linked automaticallyfa6144eca9
scoring_agent, ENR-122373, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-417000, policy version 1
2026-10-19 19:32:31Record linked automatically312ad568aa
scoring_agent, CLM-417000, identity id MBR-007268, confidence 1, method probabilistic, matched record ENR-122373, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5851ee488
scoring_agent, PRV-25039, identity id MBR-007268, confidence 1, method probabilistic, matched record CLM-416999, policy version 1
2026-10-19 19:31:28Record linked automatically4bfe9d8663
matching_agent, PRV-25039, identity id MBR-034772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122562
2026-10-19 19:31:28Record linked automaticallybf9ec6abba
scoring_agent, CLM-417000, identity id MBR-031134, confidence 1, method probabilistic, matched record TPA-57419, policy version 1
2026-10-19 19:31:28Record linked automatically692fc2740e
matching_agent, CLM-416999, identity id MBR-031134, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122228
2026-10-19 19:31:28Record linked automatically3674c9f0a9
matching_agent, ENR-122372, identity id MBR-001516, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417108

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-2026-012616	2026-09-23	Valley Rehabilitation Center in network	97110	$138.00	$60.56	Approved	Approved
CLM-2026-011726	2026-04-19	Canyon Internal Medicine Associates out of network	99214	$306.00	—	Denied	Denied
CLM-2026-029605	2026-01-22	Desert Primary Care Associates in network	99214	$315.00	$170.30	Approved	Approved