Identities/MBR-007332
Gold, golden identity

Theresa W Cruz

4 source records from 2 feeds.

MBR-007332Verified4 records

Golden record

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

First nameENR
Theresa
Middle nameENR
W
Last nameENR
Cruz
Date of birthENR
1962-06-06
GenderENR
M
Member IDENR
UHC-36360-26
SSNENR
•••-••-8408
PhoneCLM
8077973392
EmailENR
theresa.cruz24@gmail.com
AddressENR
8152 Camelback Rd # 212
CityENR
Jacksonville
StateENR
FL
ZIPENR
32280
GroupENR
GRP-8086
PlanENR
CHOICE-PLUS-PPO
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

1.001.000.991.00CLMCLM-411877CLMCLM-411876CLMCLM-411875ENRENR-115636IDMBR-007332
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-411877CLM2026-01-24Theresa Cruzflagged1962-06-06—80779733928152 Camelback Rd, Jacksonville, FLScored1.00—
CLM-411876CLM2026-03-05Theresa Cruzflagged1962-06-06——8152 Camelback Rd, Jacksonville, FLScored1.00—
CLM-411875CLM2026-03-14Tehresa Cruzflagged1962-06-06UHC-36360-2680779733928152 Camelback Rd, Jacksonville, FLScored0.99—
ENR-115636ENR2026-06-30Theresa Cruzflagged1962-06-06UHC-36360-26—8152 Camelback Rd # 212, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411877CLMCLM-411876CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411877CLMENR-115636ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411877CLMCLM-411875CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411876CLMCLM-411875CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411875CLMENR-115636ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411876CLMENR-115636ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Theresa Cruz: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000349, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-411876 → UHC-36360-26 (Theresa Cruz)
    ACT-004394, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-411877 → UHC-36360-26 (Theresa Cruz)
    ACT-010165, Claims processor
  • Care coordination outreachProposed
    Theresa Cruz: 3 claims, no attributed provider
    ACT-018358, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically628bb82ec7
    scoring_agent, ENR-115636, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:54:38Record linked automatically30186842ca
    scoring_agent, CLM-411875, identity id MBR-007332, confidence 0.99, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc5ae719289
    scoring_agent, CLM-411876, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf4e71fcae3
    scoring_agent, CLM-411877, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf592b43c07
    scoring_agent, ENR-115636, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyebd531bde3
    scoring_agent, CLM-411875, identity id MBR-007332, confidence 0.99, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:52:09Record linked automatically47b0e410ed
    scoring_agent, CLM-411876, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5a82771783
    scoring_agent, CLM-411877, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:45:42Record linked automatically784102ff5d
    scoring_agent, ENR-115636, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc580587f4c
    scoring_agent, CLM-411875, identity id MBR-007332, confidence 0.99, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7ba83a6195
    scoring_agent, CLM-411876, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:45:42Record linked automatically522c0c6204
    scoring_agent, CLM-411877, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybe5744824b
    scoring_agent, ENR-115636, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:32:31Record linked automatically98d18e943c
    scoring_agent, CLM-411875, identity id MBR-007332, confidence 0.99, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb9e441b5c3
    scoring_agent, CLM-411876, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411877, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybeb3d53aa5
    scoring_agent, CLM-411877, identity id MBR-007332, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0b489339d6
    scoring_agent, CLM-411875, identity id MBR-002533, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye66ac5ca6e
    scoring_agent, CLM-411877, identity id MBR-002533, confidence 1, method probabilistic, matched record CLM-411876, policy version 1
  • 2026-10-19 19:31:28Record linked automatically57d93dafb8
    scoring_agent, CLM-411876, identity id MBR-002533, confidence 1, method probabilistic, matched record CLM-411877, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0114042026-02-19Heritage Clinical Laboratories
in network
83036$80.00$0.00ApprovedApproved
CLM-2026-0116792026-02-17Mesa Clinical Laboratories
in network
85025, 80061$134.00$0.00ApprovedApproved
CLM-2026-0335922025-12-19Canyon Skin Care Associates
in network
17110, 11102$450.00$219.00ApprovedApproved