Identities/MBR-009281

Gold, golden identity

Hiroshi L Espinoza

5 source records from 3 feeds.

MBR-009281Verified5 records

Golden record

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

First nameENR: Hiroshi
Middle nameENR: L
Last nameENR: Espinoza
Date of birthENR: 1970-07-02
GenderENR: F
Member IDENR: UHC-80972-01
SSNENR: •••-••-7625
PhoneENR: 5692583125
EmailENR: hiroshi.espinoza@yahoo.com
AddressENR: 689 Pine Dr
CityENR: San Diego
StateENR: CA
ZIPENR: 92117
GroupENR: GRP-4884
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×3PRV ×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

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-405581	CLM	2026-01-31	Hiroshi Espinozaflagged	1970-07-02	—	—	689 Pine Dr, San Diego, CA	Scored	1.00	—
CLM-405579	CLM	2026-03-24	Hiroshi Espinozaflagged	1970-07-02	UHC-80972-01	—	689 Pine Dr, San Diego, CA	Scored	1.00	—
PRV-21620	PRV	2026-06-11	Hiroshi Espinozaflagged	1970-07-02	UHC-80972-01	5692583125	—	Rule	0.99	D1 member id + dob exact
ENR-107337	ENR	2026-08-28	Hiroshi Espinozaflagged	1970-07-02	UHC-80972-01	5692583125	689 Pine Dr, San Diego, CA	Scored	1.00	—
CLM-405580	CLM	2026-09-06	Hiroshi Espinozaflagged	1970-07-02	UHC-80972-01	5692583125	689 Pine Dr, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-405581CLMCLM-405579CLM1.00Scoredweighted 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-405581CLMCLM-405580CLM1.00Scoredweighted 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-405581CLMENR-107337ENR1.00Scoredweighted 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-405579CLMCLM-405580CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21620PRVCLM-405580CLM0.99RuleD1 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
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-107337ENRCLM-405580CLM0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-405579CLMENR-107337ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21620PRVENR-107337ENR0.99RuleD1 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
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405579CLMPRV-21620PRV0.99RuleD1 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
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405581CLMPRV-21620PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
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-405581 → UHC-80972-01 (Hiroshi Espinoza)
ACT-004093, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0ed69302cc
scoring_agent, CLM-405580, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:54:38Record linked automaticallyf3ff1dc320
scoring_agent, ENR-107337, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:54:38Record linked automatically43c7b84c8f
matching_agent, PRV-21620, identity id MBR-009281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405579
2026-10-19 19:54:38Record linked automatically00cce6850f
scoring_agent, CLM-405579, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:54:38Record linked automaticallye2832eca2c
scoring_agent, CLM-405581, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405579, policy version 1
2026-10-19 19:52:09Record linked automatically38a2989a58
scoring_agent, CLM-405580, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:52:09Record linked automaticallycbb9e324c0
scoring_agent, ENR-107337, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:52:09Record linked automatically38c01ce673
matching_agent, PRV-21620, identity id MBR-009281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405579
2026-10-19 19:52:09Record linked automatically1daea43b14
scoring_agent, CLM-405579, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:52:09Record linked automatically20a35b8049
scoring_agent, CLM-405581, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405579, policy version 1
2026-10-19 19:45:42Record linked automaticallyb26bb6ebe5
scoring_agent, CLM-405580, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:45:42Record linked automatically7fea076d1b
scoring_agent, ENR-107337, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:45:42Record linked automaticallyf7abe75449
matching_agent, PRV-21620, identity id MBR-009281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405579
2026-10-19 19:45:42Record linked automatically8e87a17727
scoring_agent, CLM-405579, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:45:42Record linked automaticallyc4a5e7e241
scoring_agent, CLM-405581, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405579, policy version 1
2026-10-19 19:32:31Record linked automatically9b1441036c
scoring_agent, CLM-405580, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:32:31Record linked automatically0e5bbea08b
scoring_agent, ENR-107337, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:32:31Record linked automatically62106a8c76
matching_agent, PRV-21620, identity id MBR-009281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405579
2026-10-19 19:32:31Record linked automatically55343d6cf5
scoring_agent, CLM-405579, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405581, policy version 1
2026-10-19 19:32:31Record linked automaticallyabe6de8e69
scoring_agent, CLM-405581, identity id MBR-009281, confidence 1, method probabilistic, matched record CLM-405579, policy version 1
2026-10-19 19:31:28Record linked automatically9f74fb09b8
matching_agent, ENR-107337, identity id MBR-020815, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405609
2026-10-19 19:31:28Record linked automatically000b4ff5c1
scoring_agent, CLM-405579, identity id MBR-008463, confidence 1, method probabilistic, matched record PRV-21672, policy version 1
2026-10-19 19:31:28Record linked automaticallye5112cc44d
matching_agent, CLM-405580, identity id MBR-007584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405581
2026-10-19 19:31:28Record linked automatically8e922915ea
matching_agent, CLM-405581, identity id MBR-007584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107300
2026-10-19 19:31:28Record linked automatically7f805d0d30
matching_agent, PRV-21620, identity id MBR-006676, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405441

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-022134	2026-04-23	Canyon Medical Group in network	93000, 99214	$318.00	—	Denied	Denied
CLM-2026-027948	2026-02-13	Evergreen Family Practice in network	90471, 99214	$240.00	$128.34	Approved	Approved
CLM-2026-010546	2025-12-28	Meadow Physical Therapy in network	97110	$344.00	$183.28	Approved	Approved