Identities/MBR-007330
Gold, golden identity

Doris T Mendez

5 source records from 3 feeds.

MBR-007330Verified5 records

Golden record

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

First nameENR
Doris
Middle nameENR
T
Last nameENR
Mendez
Date of birthENR
1997-11-25
GenderENR
F
Member IDENR
UHC-89129-89
SSNENR
•••-••-5726
PhoneENR
3709817702
EmailTPA
doris.mendez89@yahoo.com
AddressENR
4014 Harbor Blvd
CityENR
Miami
StateENR
FL
ZIPENR
33178
GroupENR
GRP-7243
PlanENR
NAVIGATE-HMO
Min confidence
0.93
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.930.990.990.99CLMCLM-431042TPATPA-63717CLMCLM-431043CLMCLM-431044ENRENR-140770IDMBR-007330
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-431042CLM2026-01-24Doris Mendezflagged1997-11-25UHC-89129-8937098177024014 Harbor Blvd Apt 40, Miami, FLRule0.99D1 member id + dob exact
TPA-63717TPA2026-04-26Doris Mendezflagged1997-11-25——4014 Harbor Blvd, Miami, FLScored0.93—
CLM-431043CLM2026-05-23Doris Mendezflagged1997-11-25UHC-89129-89—4014 Harbor Blvd, Miami, FLRule0.99D1 member id + dob exact
CLM-431044CLM2026-06-12Doris Mendezflagged1997-11-25UHC-89129-89—4014 Harbor Blvd, Miami, FLRule0.99D1 member id + dob exact
ENR-140770ENR2026-06-25Doris Mendezflagged1997-11-25UHC-89129-8937098177024014 Harbor Blvd, Miami, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431042CLMCLM-431043CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431042CLMCLM-431044CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431043CLM CLM-431044CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431042CLMENR-140770ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-431043CLM ENR-140770ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431044CLMENR-140770ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-63717TPACLM-431043CLM 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63717TPACLM-431044CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63717TPAENR-140770ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431042CLMTPA-63717TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Doris Mendez: 3 claims, no attributed provider
    ACT-018357, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyab96ad5ed5
    matching_agent, ENR-140770, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:54:38Record linked automatically1f99a7fa8f
    matching_agent, CLM-431044, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:54:38Record linked automatically06eb8bcab5
    matching_agent, CLM-431043, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:54:38Record linked automaticallyfce7f6e5bf
    scoring_agent, TPA-63717, identity id MBR-007330, confidence 0.93, method probabilistic, matched record CLM-431042, policy version 1
  • 2026-10-19 19:54:38Record linked automatically393286aa5c
    matching_agent, CLM-431042, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431043
  • 2026-10-19 19:52:09Record linked automaticallyc91a671996
    matching_agent, ENR-140770, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:52:09Record linked automaticallydbb4bde48d
    matching_agent, CLM-431044, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:52:09Record linked automatically2855506aee
    matching_agent, CLM-431043, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:52:09Record linked automaticallyb36b6ca97d
    scoring_agent, TPA-63717, identity id MBR-007330, confidence 0.93, method probabilistic, matched record CLM-431042, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd0896ad79a
    matching_agent, CLM-431042, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431043
  • 2026-10-19 19:45:42Record linked automatically3619ef324d
    matching_agent, ENR-140770, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:45:42Record linked automaticallyc6a7adddae
    matching_agent, CLM-431044, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:45:42Record linked automatically069e8e2a08
    matching_agent, CLM-431043, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:45:42Record linked automatically957748f0b2
    scoring_agent, TPA-63717, identity id MBR-007330, confidence 0.93, method probabilistic, matched record CLM-431042, policy version 1
  • 2026-10-19 19:45:42Record linked automatically01333c4628
    matching_agent, CLM-431042, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431043
  • 2026-10-19 19:32:31Record linked automaticallybb8ba2d2dd
    matching_agent, ENR-140770, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:32:31Record linked automatically14c8554cbe
    matching_agent, CLM-431044, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:32:31Record linked automaticallyeb857f4b67
    matching_agent, CLM-431043, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431042
  • 2026-10-19 19:32:31Record linked automatically64623444ef
    scoring_agent, TPA-63717, identity id MBR-007330, confidence 0.93, method probabilistic, matched record CLM-431042, policy version 1
  • 2026-10-19 19:32:31Record linked automatically83662e63c3
    matching_agent, CLM-431042, identity id MBR-007330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431043
  • 2026-10-19 19:31:28Record linked automaticallyff1df77f4e
    matching_agent, CLM-431042, identity id MBR-026309, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140950
  • 2026-10-19 19:31:28Record linked automatically21d63b891e
    scoring_agent, CLM-431043, identity id MBR-013782, confidence 1, method probabilistic, matched record ENR-140952, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1735dab6ac
    scoring_agent, TPA-63717, identity id MBR-006281, confidence 1, method probabilistic, matched record ENR-141300, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4bf74297d1
    scoring_agent, ENR-140770, identity id MBR-004581, confidence 1, method probabilistic, matched record CLM-430893, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0217182026-06-09Evergreen Medical Group
out of network
99215$280.00—DeniedDenied
CLM-2026-0018612026-05-10Unity Primary Care Associates
out of network
90471, 36415, 99213$213.00—DeniedDenied
CLM-2026-0218062026-01-12Sunrise Diagnostic Imaging
in network
76700, 71046$524.00$0.00ApprovedApproved