Identities/MBR-007888

Gold, golden identity

Jesse Y Alvarez

5 source records from 2 feeds.

MBR-007888Verified5 records

Golden record

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

First nameCLM: Jesse
Middle nameCLM: Y
Last nameCLM: Alvarez
Date of birthCLM: 1939-04-07
GenderCLM: F
Member IDCLM: UHC-20741-25
SSNCLM: •••-••-4958
PhoneCLM: 6416446781
EmailCLM: jesse.alvarez88@aol.com
AddressCLM: 8496 Harbor Blvd
CityCLM: Scottsdale
StateCLM: AZ
ZIPCLM: 85271
GroupCLM: GRP-2368
PlanCLM: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×4TPA ×1

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
CLM-403814	CLM	2026-01-26	Jesse Alvarezflagged	1939-04-07	—	6416446781	8496 Harbor Blvd, Scottsdale, AZ	Scored	1.00	—
CLM-403816	CLM	2026-02-04	Jesse Alvarezflagged	1939-04-07	UHC-20741-25	6416446781	8496 Harbor Blvd, Scottsdale, AZ	Scored	1.00	—
TPA-51657	TPA	2026-06-11	Jesse Alvarezflagged	1939-04-07	—	—	8496 Harbor Blvd, Scottsdale, AZ	Scored	1.00	—
CLM-403817	CLM	2026-07-05	Jesse Alvarezflagged	1939-04-07	—	6416446781	8496 Harbor Blvd, Scottsdale, AZ	Scored	1.00	—
CLM-403815	CLM	2026-08-20	Jesse Alvarezflagged	1939-04-07	UHC-20741-25	6416446781	8496 Harbor Blvd, Scottsdale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-403814CLMCLM-403815CLM1.00Scoredweighted 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

▶TPA-51657TPACLM-403815CLM1.00Scoredweighted 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-403817CLMCLM-403815CLM1.00Scoredweighted 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-403814CLMCLM-403816CLM1.00Scoredweighted 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-403814CLMCLM-403817CLM1.00Scoredweighted 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-403816CLMCLM-403817CLM1.00Scoredweighted 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

▶TPA-51657TPACLM-403817CLM1.00Scoredweighted 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-403814CLMTPA-51657TPA1.00Scoredweighted 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-403816CLMTPA-51657TPA1.00Scoredweighted 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-403816CLMCLM-403815CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403814 → UHC-20741-25 (Jesse Alvarez)
ACT-005934, Claims processor
Orphan claim re-pointedExecuted
CLM-403817 → UHC-20741-25 (Jesse Alvarez)
ACT-006674, Claims processor
Care coordination outreachProposed
Jesse Alvarez: 4 claims, no attributed provider
ACT-018397, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb1fba6d3dc
scoring_agent, CLM-403815, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:54:38Record linked automaticallyd52caf9c7d
scoring_agent, CLM-403817, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:54:38Record linked automatically672f3b1ea4
scoring_agent, TPA-51657, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:54:38Record linked automatically5f03fe851d
scoring_agent, CLM-403816, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:54:38Record linked automaticallyb331a31eb6
scoring_agent, CLM-403814, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403816, policy version 1
2026-10-19 19:52:09Record linked automatically29cb91679d
scoring_agent, CLM-403815, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:52:09Record linked automaticallycfbf3e33a2
scoring_agent, CLM-403817, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:52:09Record linked automatically79c9f9768a
scoring_agent, TPA-51657, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:52:09Record linked automatically176129ff51
scoring_agent, CLM-403816, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:52:09Record linked automatically3726c99dd8
scoring_agent, CLM-403814, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403816, policy version 1
2026-10-19 19:45:42Record linked automaticallyff3192d2ac
scoring_agent, CLM-403815, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:45:42Record linked automatically8f5af5a0b7
scoring_agent, CLM-403817, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:45:42Record linked automatically33824a4d48
scoring_agent, TPA-51657, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:45:42Record linked automatically17a7aeba5b
scoring_agent, CLM-403816, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:45:42Record linked automatically1431edb031
scoring_agent, CLM-403814, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403816, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5d7bba5af
scoring_agent, CLM-403815, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:32:31Record linked automatically6ccd72d14a
scoring_agent, CLM-403817, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:32:31Record linked automatically340d0352b9
scoring_agent, TPA-51657, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:32:31Record linked automatically4eb6109105
scoring_agent, CLM-403816, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403814, policy version 1
2026-10-19 19:32:31Record linked automatically4bdb04c9eb
scoring_agent, CLM-403814, identity id MBR-007888, confidence 1, method probabilistic, matched record CLM-403816, policy version 1
2026-10-19 19:31:28Record linked automaticallybe910ce205
scoring_agent, CLM-403814, identity id MBR-040510, confidence 1, method probabilistic, matched record ENR-104968, policy version 1
2026-10-19 19:31:28Record linked automaticallyf56bfedff6
scoring_agent, CLM-403816, identity id MBR-037595, confidence 0.93, method probabilistic, matched record TPA-51708, policy version 1
2026-10-19 19:31:28Record linked automatically303b1a6cf8
scoring_agent, TPA-51657, identity id MBR-028160, confidence 1, method probabilistic, matched record TPA-51656, policy version 1
2026-10-19 19:31:28Record linked automatically3073c9060f
scoring_agent, CLM-403815, identity id MBR-024161, confidence 0.99, method probabilistic, matched record ENR-104970, policy version 1
2026-10-19 19:31:28Record linked automaticallycc30b2f2f7
matching_agent, CLM-403817, identity id MBR-008929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104974

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-2026-011893	2026-07-25	Canyon Community Hospital out of network	99284	$1,457.00	$505.65	Approved	Approved
CLM-2026-020094	2026-06-17	Pinecrest Medical Group in network	80053, 99215	$343.00	$182.66	Approved	Approved
CLM-2026-010053	2026-01-07	Sunrise Behavioral Health in network	90834	$219.00	$95.78	Approved	Approved
CLM-2026-017300	2026-01-01	Unity Digestive Health Center in network	43239, 45378	$3,742.00	$1,478.27	Approved	Approved