Identities/MBR-011046
Gold, golden identity

Andrea A Espinoza

4 source records from 3 feeds.

MBR-011046Verified4 records

Golden record

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

First nameENR
Andrea
Middle nameENR
A
Last nameENR
Espinoza
Date of birthENR
1995-10-20
GenderENR
M
Member IDENR
UHC-38500-61
SSNENR
•••-••-8832
PhoneENR
8248033190
EmailENR
andrea.espinoza@aol.com
AddressENR
4990 Church St Apt 14
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55312
GroupENR
GRP-2114
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
TPA ×2ENR ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.970.990.99TPATPA-55126TPATPA-55127ENRENR-115274CLMCLM-411599IDMBR-011046
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
TPA-55126TPA2026-02-07Andrea Espinozaflagged1995-10-20——4990 Church St, Eden Prairie, MNRule0.97D2 ssn4 + dob + last name
TPA-55127TPA2026-06-16Andrea Espinozaflagged1995-10-20——4990 Church St, Eden Prairie, MNRule0.97D2 ssn4 + dob + last name
ENR-115274ENR2026-06-27Andrea Espinozaflagged1995-10-20UHC-38500-6182480331904990 Church St Apt 14, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-411599CLM2026-07-31Andrea Espinozaflagged1995-10-20UHC-38500-618248033190—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-115274ENRCLM-411599CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55126TPAENR-115274ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55127TPAENR-115274ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55126TPATPA-55127TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55126TPACLM-411599CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-55127TPACLM-411599CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Andrea Espinoza: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000491, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4c994d28df
    matching_agent, CLM-411599, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115274
  • 2026-10-19 19:54:38Record linked automatically2ffd7e940f
    matching_agent, ENR-115274, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411599
  • 2026-10-19 19:54:38Record linked automaticallya246514b2f
    matching_agent, TPA-55127, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55126
  • 2026-10-19 19:54:38Record linked automatically9b835f84ee
    matching_agent, TPA-55126, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55127
  • 2026-10-19 19:52:09Record linked automatically7021e4b0b5
    matching_agent, CLM-411599, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115274
  • 2026-10-19 19:52:09Record linked automatically411c4b8007
    matching_agent, ENR-115274, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411599
  • 2026-10-19 19:52:09Record linked automatically1338efc1d0
    matching_agent, TPA-55127, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55126
  • 2026-10-19 19:52:09Record linked automatically103b9e1b0f
    matching_agent, TPA-55126, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55127
  • 2026-10-19 19:45:42Record linked automatically739a2d0d1a
    matching_agent, CLM-411599, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115274
  • 2026-10-19 19:45:42Record linked automatically464493ca4b
    matching_agent, ENR-115274, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411599
  • 2026-10-19 19:45:42Record linked automatically46ee6d5cc6
    matching_agent, TPA-55127, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55126
  • 2026-10-19 19:45:42Record linked automatically3edf33f298
    matching_agent, TPA-55126, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55127
  • 2026-10-19 19:32:31Record linked automaticallya4fa2d0971
    matching_agent, CLM-411599, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115274
  • 2026-10-19 19:32:31Record linked automatically3e7a3af701
    matching_agent, ENR-115274, identity id MBR-011046, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411599
  • 2026-10-19 19:32:31Record linked automatically86879f4919
    matching_agent, TPA-55127, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55126
  • 2026-10-19 19:32:31Record linked automaticallyda5246f33a
    matching_agent, TPA-55126, identity id MBR-011046, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55127
  • 2026-10-19 19:31:28Record linked automaticallyef45eb3042
    matching_agent, TPA-55127, identity id MBR-027744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115331
  • 2026-10-19 19:31:28Record linked automatically64accd4ed6
    scoring_agent, CLM-411599, identity id MBR-008591, confidence 1, method probabilistic, matched record ENR-115400, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0233742026-07-20Mesa Medical Group
in network
99213$150.00$73.00ApprovedApproved