Identities/MBR-009520

Gold, golden identity

Peter V Mendoza

6 source records from 2 feeds.

MBR-009520Verified6 records

Golden record

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

First nameENR: Peter
Middle nameENR: V
Last nameENR: Mendoza
Date of birthENR: 1959-08-05
GenderENR: F
Member IDENR: UHC-10519-63
SSNENR: •••-••-8283
PhoneENR: 7336488244
EmailENR: peter.mendoza9@icloud.com
AddressCLM: 4978 Valley View Dr Apt 11
CityENR: Austin
StateENR: TX
ZIPENR: 78766
GroupENR: GRP-3606
PlanENR: NAVIGATE-HMO

Min confidence

0.96

Sources

CLM ×4ENR ×2

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-405763	CLM	2026-02-01	Peter Mendozaflagged	1959-08-05	UHC-10519-63	—	—	Rule	0.99	D1 member id + dob exact
CLM-405764	CLM	2026-05-07	Peter Mendozaflagged	1959-08-05	UHC-10519-63	7336488244	4978 Valley View Dr, Austin, TX	Rule	0.99	D1 member id + dob exact
ENR-107580	ENR	2026-06-12	Peter Mendozaflagged	1959-08-05	UHC-10519-63	7336488244	4978 Valley View Dr, Austin, TX	Rule	0.99	D1 member id + dob exact
CLM-405765	CLM	2026-06-22	Peter Mendozaflagged	1959-08-05	UHC-10519-63	—	4978 Valley View Dr, Austin, TX	Rule	0.99	D1 member id + dob exact
ENR-107579	ENR	2026-08-05	Peter Mendozaflagged	1959-08-05	UHC-10519-63	—	4978 Valley View Dr, Austin, TX	Rule	0.99	D1 member id + dob exact
CLM-405762	CLM	2026-10-09	Peter Mendozaflagged	—	UHC-10519-63	7336488244	4978 Valley View Dr Apt 11, Austin, TX	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶CLM-405763CLMCLM-405764CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405763CLMCLM-405765CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405764CLMCLM-405765CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-107580 ENRCLM-405765CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405763CLMENR-107579ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405764CLMENR-107579ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-107580 ENRENR-107579ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405765CLMENR-107579ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405763CLMENR-107580 ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405764CLMENR-107580 ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405763CLMCLM-405762CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405764CLMCLM-405762CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-107580 ENRCLM-405762CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405765CLMCLM-405762CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-107579ENRCLM-405762CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Peter Mendoza: 4978 Valley View Dr, Austin → 4978 Valley View Dr Apt 11, Austin
ACT-011356, Outreach
Care coordination outreachProposed
Peter Mendoza: 4 claims, no attributed provider
ACT-018507, Next-best-action
Duplicate member record retiredExecuted
Peter Mendoza: 2 enrollment records collapsed into UHC-10519-63
ACT-023168, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0361decf5b
matching_agent, CLM-405762, identity id MBR-009520, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405763
2026-10-19 19:54:38Record linked automatically197cf04060
matching_agent, ENR-107579, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:54:38Record linked automatically250d9c94c3
matching_agent, CLM-405765, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:54:38Record linked automatically75ad5de4cd
matching_agent, ENR-107580, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:54:38Record linked automatically8f8045d1ed
matching_agent, CLM-405764, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:54:38Record linked automaticallycd297ad73c
matching_agent, CLM-405763, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405764
2026-10-19 19:52:09Record linked automaticallyfb68fcbdc6
matching_agent, CLM-405762, identity id MBR-009520, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405763
2026-10-19 19:52:09Record linked automatically8701654a48
matching_agent, ENR-107579, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:52:09Record linked automaticallybb657b907a
matching_agent, CLM-405765, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:52:09Record linked automaticallyc4ccaf54aa
matching_agent, ENR-107580, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:52:09Record linked automatically0ee75728db
matching_agent, CLM-405764, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:52:09Record linked automaticallybb09e87a4e
matching_agent, CLM-405763, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405764
2026-10-19 19:45:42Record linked automaticallyf9470114e4
matching_agent, CLM-405762, identity id MBR-009520, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405763
2026-10-19 19:45:42Record linked automatically7669924924
matching_agent, ENR-107579, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:45:42Record linked automatically657928c5f8
matching_agent, CLM-405765, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:45:42Record linked automaticallye3e31a37c8
matching_agent, ENR-107580, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:45:42Record linked automatically329730c4f5
matching_agent, CLM-405764, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:45:42Record linked automatically54faa930bc
matching_agent, CLM-405763, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405764
2026-10-19 19:32:31Record linked automatically431076f7ad
matching_agent, CLM-405762, identity id MBR-009520, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-405763
2026-10-19 19:32:31Record linked automatically6f32e2a533
matching_agent, ENR-107579, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:32:31Record linked automatically246235806a
matching_agent, CLM-405765, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:32:31Record linked automatically71b5551891
matching_agent, ENR-107580, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:32:31Record linked automatically681b66d2e6
matching_agent, CLM-405764, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405763
2026-10-19 19:32:31Record linked automatically3513f6de2f
matching_agent, CLM-405763, identity id MBR-009520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405764
2026-10-19 19:31:28Record linked automatically58308d7f8f
matching_agent, CLM-405763, identity id MBR-036205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52571
2026-10-19 19:31:28Record linked automatically5ecb6a0398
scoring_agent, CLM-405764, identity id MBR-031410, confidence 1, method probabilistic, matched record PRV-21732, policy version 1
2026-10-19 19:31:28Record linked automatically60c6b7ee8a
scoring_agent, ENR-107580, identity id MBR-024147, confidence 1, method probabilistic, matched record CLM-405786, policy version 1
2026-10-19 19:31:28Record linked automatically6a6113cf89
matching_agent, ENR-107579, identity id MBR-023818, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405784
2026-10-19 19:31:28Record linked automaticallyd67e05ffef
matching_agent, CLM-405765, identity id MBR-018737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405766
2026-10-19 19:31:28Record linked automatically5af5721a6a
matching_agent, CLM-405762, identity id MBR-009821, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107550

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-2026-029551	2026-08-27	Pinecrest Internal Medicine Associates in network	80053, 99214	$305.00	$164.30	Approved	Approved
CLM-2026-005490	2026-06-16	Lakeside Endocrine Associates out of network	99215, 95251	$591.00	—	Denied	Denied
CLM-2026-001486	2026-05-04	Meadow Cardiovascular Associates in network	93458	$7,762.00	$2,354.77	Approved	Approved
CLM-2026-021215	2025-12-19	Harbor Family Practice in network	90471	$37.00	$0.00	Approved	Approved