Identities/MBR-010836
Gold, golden identity

Frank Fernandez

4 source records from 2 feeds.

MBR-010836Verified4 records

Golden record

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

First nameENR
Frank
Middle name—
—
Last nameENR
Fernandez
Date of birthENR
2001-10-12
GenderENR
F
Member IDENR
UHC-22171-96
SSNENR
•••-••-8187
PhoneENR
5739008842
EmailENR
frank.fernandez@outlook.com
AddressENR
6733 Pine Dr
CityENR
Nashville
StateENR
TN
ZIP—
—
GroupENR
GRP-2380
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.001.001.000.99ENRENR-137245CLMCLM-428389ENRENR-137246CLMCLM-428390IDMBR-010836
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
ENR-137245ENR2026-02-06Frank Fernandezflagged2001-10-12UHC-22171-9657390088426733 Pine Dr, Nashville, TNScored1.00—
CLM-428389CLM2026-03-20Frank Fernandezflagged2001-10-12——6733 Pine Dr, Nashville, TNScored1.00—
ENR-137246ENR2026-03-21Frank Fernandezflagged2001-10-12UHC-22171-9657390088426733 Pine Dr, Nashville, TNScored1.00—
CLM-428390CLM2026-05-18Frank Fernandezflagged2001-10-12UHC-22171-9657390088426733 Pine Dr, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-137245 ENRCLM-428389 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428389 CLMENR-137246ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-137245 ENRCLM-428390CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-137246ENRCLM-428390CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-137245 ENRENR-137246ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-428389 CLMCLM-428390CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Frank Fernandez: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000486, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-428389 → UHC-22171-96 (Frank Fernandez)
    ACT-007747, Claims processor
  • Duplicate member record retiredExecuted
    Frank Fernandez: 2 enrollment records collapsed into UHC-22171-96
    ACT-023356, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya60f3e2213
    matching_agent, CLM-428390, identity id MBR-010836, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137245
  • 2026-10-19 19:54:38Record linked automaticallyb336c0688f
    scoring_agent, ENR-137246, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:54:38Record linked automatically83034de2d4
    scoring_agent, CLM-428389, identity id MBR-010836, confidence 1, method probabilistic, matched record ENR-137245, policy version 1
  • 2026-10-19 19:54:38Record linked automatically840477761f
    scoring_agent, ENR-137245, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfcace73e10
    matching_agent, CLM-428390, identity id MBR-010836, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137245
  • 2026-10-19 19:52:09Record linked automatically6d4d54858c
    scoring_agent, ENR-137246, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya85970f4e1
    scoring_agent, CLM-428389, identity id MBR-010836, confidence 1, method probabilistic, matched record ENR-137245, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya02f700b55
    scoring_agent, ENR-137245, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:45:42Record linked automatically43254b71f3
    matching_agent, CLM-428390, identity id MBR-010836, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137245
  • 2026-10-19 19:45:42Record linked automatically1be23575a3
    scoring_agent, ENR-137246, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4b3f0b490d
    scoring_agent, CLM-428389, identity id MBR-010836, confidence 1, method probabilistic, matched record ENR-137245, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycdd891f880
    scoring_agent, ENR-137245, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:32:31Record linked automatically15967d13a7
    matching_agent, CLM-428390, identity id MBR-010836, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137245
  • 2026-10-19 19:32:31Record linked automaticallya055418aa6
    scoring_agent, ENR-137246, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye9414becf8
    scoring_agent, CLM-428389, identity id MBR-010836, confidence 1, method probabilistic, matched record ENR-137245, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc613167b1e
    scoring_agent, ENR-137245, identity id MBR-010836, confidence 1, method probabilistic, matched record CLM-428389, policy version 1
  • 2026-10-19 19:31:28Record linked automatically87f8bb284c
    matching_agent, ENR-137246, identity id MBR-036872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137247
  • 2026-10-19 19:31:28Record linked automatically53e2c5d6a5
    matching_agent, CLM-428390, identity id MBR-026373, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137493
  • 2026-10-19 19:31:28Record linked automatically6e8089e01f
    matching_agent, ENR-137245, identity id MBR-023270, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28270
  • 2026-10-19 19:31:28Record linked automatically927a508db3
    scoring_agent, CLM-428389, identity id MBR-019328, confidence 1, method probabilistic, matched record CLM-428388, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0242522026-05-04Sunrise Community Hospital
out of network
99285, 96374$2,801.00—Needs reviewNeeds review
CLM-2026-0242992026-02-04Lakeside Medical Group
out of network
99395, 90471$361.00—DeniedDenied