Identities/MBR-010720

Gold, golden identity

James O Rodriguez

5 source records from 1 feed.

MBR-010720Verified5 records

Golden record

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

First nameCLM: James
Middle nameCLM: O
Last nameCLM: Rodriguez
Date of birthCLM: 2001-03-20
GenderCLM: F
Member IDCLM: UHC-66449-14
SSNCLM: •••-••-8841
PhoneCLM: 2049632593
Email—: —
AddressCLM: 44 Meadow Ln
CityCLM: Charlotte
StateCLM: NC
ZIPCLM: 28289
GroupCLM: GRP-0234
PlanCLM: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×5

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-408070	CLM	2026-02-05	James Rodriguezflagged	2001-03-20	UHC-66449-14	2049632593	44 Meadow Ln, Charlotte, NC	Scored	1.00	—
CLM-408071	CLM	2026-04-13	James Rodriguezflagged	2001-03-20	UHC-66449-14	2049632593	—	Scored	1.00	—
CLM-408069	CLM	2026-06-24	James Rodriguezflagged	2001-03-20	UHC-66449-14	—	44 Meadow Ln, Charlotte, NC	Scored	1.00	—
CLM-408072	CLM	2026-09-01	Jimmy Rodriguezflagged	2001-03-20	UHC-66449-14	2049632593	44 Meadow Ln, Charlotte, NC	Scored	1.00	—
CLM-408073	CLM	2026-09-29	James Rodriguezflagged	2001-03-20	—	2049632593	44 Meadow Ln, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-408070CLMCLM-408073CLM1.00Scoredweighted 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-408071CLMCLM-408073CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408069CLMCLM-408073CLM1.00Scoredweighted 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-408072CLMCLM-408073CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408070CLMCLM-408069CLM0.99RuleD1 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-408071CLMCLM-408069CLM0.99RuleD1 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-408070CLMCLM-408071CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408070CLMCLM-408072CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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

▶CLM-408071CLMCLM-408072CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408069CLMCLM-408072CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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-408073 → UHC-66449-14 (James Rodriguez)
ACT-006896, Claims processor
Care coordination outreachProposed
James Rodriguez: 5 claims, no attributed provider
ACT-018578, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd692610e89
scoring_agent, CLM-408073, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408070, policy version 1
2026-10-19 19:54:38Record linked automatically2ee58a778e
scoring_agent, CLM-408072, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:54:38Record linked automaticallydb45b9f009
scoring_agent, CLM-408069, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:54:38Record linked automatically49f58882a0
scoring_agent, CLM-408071, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:54:38Record linked automatically184dd480ca
scoring_agent, CLM-408070, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:52:09Record linked automaticallyfb5c18e2e3
scoring_agent, CLM-408073, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408070, policy version 1
2026-10-19 19:52:09Record linked automatically6dcae9586d
scoring_agent, CLM-408072, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:52:09Record linked automaticallyf8c964a6fd
scoring_agent, CLM-408069, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:52:09Record linked automatically935faf9a81
scoring_agent, CLM-408071, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:52:09Record linked automaticallye9fb631632
scoring_agent, CLM-408070, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:45:42Record linked automatically28eedc2039
scoring_agent, CLM-408073, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408070, policy version 1
2026-10-19 19:45:42Record linked automatically8b0ffe5002
scoring_agent, CLM-408072, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:45:42Record linked automatically5b64d092c1
scoring_agent, CLM-408069, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:45:42Record linked automatically9e5bc6a31d
scoring_agent, CLM-408071, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:45:42Record linked automaticallybe8a05272c
scoring_agent, CLM-408070, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:32:31Record linked automatically1dda062808
scoring_agent, CLM-408073, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408070, policy version 1
2026-10-19 19:32:31Record linked automatically7edf276f9b
scoring_agent, CLM-408072, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:32:31Record linked automatically9855ffbac0
scoring_agent, CLM-408069, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5a124b9ae
scoring_agent, CLM-408071, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:32:31Record linked automaticallyd403a251bd
scoring_agent, CLM-408070, identity id MBR-010720, confidence 1, method probabilistic, matched record CLM-408073, policy version 1
2026-10-19 19:31:28Record linked automatically660115141f
matching_agent, CLM-408070, identity id MBR-033907, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110577
2026-10-19 19:31:28Record linked automatically518c960343
scoring_agent, CLM-408071, identity id MBR-003773, confidence 1, method probabilistic, matched record CLM-408072, policy version 1
2026-10-19 19:31:28Record linked automatically1fdffff8eb
scoring_agent, CLM-408072, identity id MBR-003773, confidence 1, method probabilistic, matched record CLM-408071, policy version 1

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-2026-020910	2026-09-18	Evergreen Rehabilitation Center in network	97110, 97161	$444.00	—	Needs review	Needs review
CLM-2026-020909	2026-09-18	Valley Rehabilitation Center in network	97110, 97161	$444.00	$245.28	Approved	Approved
CLM-2026-025456	2026-07-31	Canyon Reference Lab in network	83036, 87086, 85025	$155.00	$0.00	Approved	Approved
CLM-2026-025860	2026-05-30	Riverside Medical Group in network	36415	$18.00	$0.00	Approved	Approved
CLM-2026-015847	2026-04-10	Unity Counseling Center in network	90834	$187.00	$40.94	Approved	Approved
CLM-2026-028551	2026-01-10	Pinecrest Medical Group in network	93000	$86.00	$23.32	Approved	Approved