Identities/MBR-008239

Gold, golden identity

Henry Espinoza

4 source records from 2 feeds.

MBR-008239Verified4 records

Golden record

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

First nameCLM: Henry
Middle name—: —
Last nameCLM: Espinoza
Date of birthCLM: 1967-08-19
GenderCLM: F
Member ID—: —
SSNCLM: •••-••-9145
Phone—: —
Email—: —
AddressCLM: 5789 Apache Blvd
CityCLM: Seattle
StateCLM: WA
ZIPCLM: 98147
GroupCLM: GRP-2890
PlanCLM: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-408010	CLM	2026-01-28	Henry Espinozaflagged	1967-08-19	—	—	5789 Apache Blvd, Seattle, WA	Scored	1.00	—
CLM-408012	CLM	2026-05-06	Henry Espinozaflagged	1967-08-19	—	—	5789 Apache Blvd, Seattle, WA	Scored	1.00	—
CLM-408011	CLM	2026-05-06	Henry Espinozaflagged	1967-08-19	—	—	5789 Apache Blvd, Seattle, WA	Scored	1.00	—
TPA-53534	TPA	2026-07-31	Henry Espinozaflagged	1967-08-19	—	—	5789 Apache Blvd, Seattle, WA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-408010CLMCLM-408011CLM1.00Scoredweighted 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-408010CLMCLM-408012CLM1.00Scoredweighted 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-408010CLMTPA-53534TPA1.00Scoredweighted 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-408012CLMTPA-53534TPA1.00Scoredweighted 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-408011CLMTPA-53534TPA1.00Scoredweighted 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-408012CLMCLM-408011CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Henry Espinoza: 3 claims, no attributed provider
ACT-018425, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically54242ddb9a
scoring_agent, TPA-53534, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-22 12:43:54Record linked automaticallya1853ca4fa
scoring_agent, CLM-408011, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-22 12:43:54Record linked automatically9ea47d2276
scoring_agent, CLM-408012, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-22 12:43:54Record linked automatically23051b05e5
scoring_agent, CLM-408010, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408012, policy version 1
2026-10-19 19:54:38Record linked automatically855d28bb72
scoring_agent, TPA-53534, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:54:38Record linked automatically1798906125
scoring_agent, CLM-408011, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:54:38Record linked automaticallyf165b89f1a
scoring_agent, CLM-408012, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:54:38Record linked automatically565b1e4ece
scoring_agent, CLM-408010, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408012, policy version 1
2026-10-19 19:52:09Record linked automatically9fecf1693b
scoring_agent, TPA-53534, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:52:09Record linked automatically2bc1403f05
scoring_agent, CLM-408011, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:52:09Record linked automatically3e15083882
scoring_agent, CLM-408012, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:52:09Record linked automatically7ce5f9f9dd
scoring_agent, CLM-408010, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408012, policy version 1
2026-10-19 19:45:42Record linked automaticallyaab2307708
scoring_agent, TPA-53534, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:45:42Record linked automaticallye2aa12eb83
scoring_agent, CLM-408011, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:45:42Record linked automaticallyf3ca59895c
scoring_agent, CLM-408012, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:45:42Record linked automatically6cef7aa1ed
scoring_agent, CLM-408010, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408012, policy version 1
2026-10-19 19:32:31Record linked automatically0252099b50
scoring_agent, TPA-53534, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:32:31Record linked automaticallye5b8fb4633
scoring_agent, CLM-408011, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:32:31Record linked automatically447d00bd20
scoring_agent, CLM-408012, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408010, policy version 1
2026-10-19 19:32:31Record linked automatically6c79c87e5d
scoring_agent, CLM-408010, identity id MBR-008239, confidence 1, method probabilistic, matched record CLM-408012, policy version 1
2026-10-19 19:31:28Record linked automaticallyf6bfc37e4c
matching_agent, CLM-408012, identity id MBR-027772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110489
2026-10-19 19:31:28Record linked automatically49b587b5ea
matching_agent, CLM-408011, identity id MBR-018871, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110488
2026-10-19 19:31:28Record linked automatically0fa408c8eb
scoring_agent, TPA-53534, identity id MBR-015538, confidence 0.99, method probabilistic, matched record ENR-110572, policy version 1
2026-10-19 19:31:28Record linked automaticallyc8f2fdd2e1
matching_agent, CLM-408010, identity id MBR-001808, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110486

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-2026-013822	2026-03-28	Pinecrest Primary Care Associates in network	99395, 90471	$366.00	—	Pended	Pended
CLM-2026-011609	2026-05-02	Cornerstone Reference Lab in network	80053, 83036	$131.00	—	Pended	Pended
CLM-2026-024344	2026-01-12	Riverside GI Associates in network	99214, 43239	$2,229.00	—	Pended	Pended