Identities/MBR-009572

Gold, golden identity

Jerry Rojas

4 source records from 1 feed.

MBR-009572Verified4 records

Golden record

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

First nameCLM: Jerry
Middle name—: —
Last nameCLM: Rojas
Date of birthCLM: 1995-09-22
GenderCLM: M
Member IDCLM: UHC-85772-60
SSN—: —
PhoneCLM: 2182806063
Email—: —
AddressCLM: 4528 Maple Ave
CityCLM: Mesa
StateCLM: AZ
ZIPCLM: 85293
GroupCLM: GRP-2774
PlanCLM: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×4

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-409193	CLM	2026-02-01	Jerry Rojasflagged	1995-09-22	UHC-85772-60	2182806063	4528 Maple Ave, Mesa, AZ	Scored	1.00	—
CLM-409190	CLM	2026-05-29	Jerry Rojasflagged	1995-09-22	UHC-85772-60	—	4528 Maple Ave, Mesa, AZ	Scored	1.00	—
CLM-409191	CLM	2026-08-15	Jerry Rojasflagged	1995-09-22	—	—	4528 Maple Ave, Mesa, AZ	Scored	1.00	—
CLM-409192	CLM	2026-08-15	Jerry Rojasflagged	1995-09-22	—	—	4528 Maple Ave, Mesa, AZ	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-409193 CLMCLM-409191CLM1.00Scoredweighted 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-409190CLMCLM-409191CLM1.00Scoredweighted 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-409193 CLMCLM-409192CLM1.00Scoredweighted 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-409190CLMCLM-409192CLM1.00Scoredweighted 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-409191CLMCLM-409192CLM1.00Scoredweighted 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-409193 CLMCLM-409190CLM0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409191 → UHC-85772-60 (Jerry Rojas)
ACT-002748, Claims processor
Orphan claim re-pointedExecuted
CLM-409192 → UHC-85772-60 (Jerry Rojas)
ACT-005295, Claims processor
Care coordination outreachProposed
Jerry Rojas: 4 claims, no attributed provider
ACT-018511, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyf8e3937c81
scoring_agent, CLM-409192, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-22 12:43:54Record linked automaticallyb9ee0559f0
scoring_agent, CLM-409191, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-22 12:43:54Record linked automaticallyb70ef8d817
scoring_agent, CLM-409190, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-22 12:43:54Record linked automaticallyf629dc9b19
scoring_agent, CLM-409193, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:54:38Record linked automaticallyef6d777552
scoring_agent, CLM-409192, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:54:38Record linked automatically9912de87f5
scoring_agent, CLM-409191, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:54:38Record linked automaticallya3dff6b8e8
scoring_agent, CLM-409190, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:54:38Record linked automaticallyea1f071c75
scoring_agent, CLM-409193, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:52:09Record linked automaticallye47b1d661b
scoring_agent, CLM-409192, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:52:09Record linked automatically6f592edc3e
scoring_agent, CLM-409191, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:52:09Record linked automaticallya0a40e4eaa
scoring_agent, CLM-409190, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:52:09Record linked automaticallydc30e29194
scoring_agent, CLM-409193, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:45:42Record linked automatically2e7477716e
scoring_agent, CLM-409192, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:45:42Record linked automaticallya2ac70b7e0
scoring_agent, CLM-409191, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:45:42Record linked automatically74ac5b295d
scoring_agent, CLM-409190, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:45:42Record linked automaticallyfcacb7192f
scoring_agent, CLM-409193, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:32:31Record linked automatically730f38d8ab
scoring_agent, CLM-409192, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:32:31Record linked automaticallyf58026b20e
scoring_agent, CLM-409191, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409193, policy version 1
2026-10-19 19:32:31Record linked automaticallyec9aac7ddb
scoring_agent, CLM-409190, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:32:31Record linked automatically4ca9ca9559
scoring_agent, CLM-409193, identity id MBR-009572, confidence 1, method probabilistic, matched record CLM-409191, policy version 1
2026-10-19 19:31:28Record linked automatically47c8a717bc
scoring_agent, CLM-409190, identity id MBR-030310, confidence 0.99, method probabilistic, matched record ENR-112096, policy version 1
2026-10-19 19:31:28Record linked automatically0bb09548a4
scoring_agent, CLM-409193, identity id MBR-014503, confidence 0.99, method probabilistic, matched record TPA-54088, policy version 1
2026-10-19 19:31:28Record linked automatically349ce0df34
matching_agent, CLM-409192, identity id MBR-010345, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112103
2026-10-19 19:31:28Record linked automatically0aa56cdfeb
matching_agent, CLM-409191, identity id MBR-004640, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112098

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-2026-015007	2026-07-12	Evergreen Medical Group in network	36415	$17.00	$0.00	Approved	Approved
CLM-2026-005359	2026-08-11	Lakeside Physical Therapy in network	97110	$130.00	$55.60	Approved	Approved
CLM-2026-004673	2026-05-01	Summit Primary Care Associates in network	36415, 90471, 99395	$281.00	$163.06	Approved	Approved
CLM-2026-023865	2025-12-22	Lakeside Physical Therapy in network	97110, 97140	$232.00	—	Denied	Denied
CLM-2026-023864	2025-12-22	Lakeside Physical Therapy in network	97110, 97140	$232.00	$118.84	Approved	Approved