Identities/MBR-011567
Gold, golden identity

Mark G Reyes

4 source records from 2 feeds.

MBR-011567Verified4 records

Golden record

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

First nameENR
Mark
Middle nameENR
G
Last nameENR
Reyes
Date of birthENR
1985-09-11
GenderENR
M
Member IDENR
UHC-44839-36
SSNENR
•••-••-5868
PhoneENR
6262832217
Email—
—
AddressCLM
5171 Sage Ct
CityENR
Gilbert
StateENR
AZ
ZIPENR
85204
GroupENR
GRP-7826
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.00ENRENR-131587CLMCLM-424165CLMCLM-424166CLMCLM-424167IDMBR-011567
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-131587ENR2026-02-08Mark Reyesflagged1985-09-11UHC-44839-3662628322175171 Sage Ct Apt 18, Gilbert, AZScored1.00—
CLM-424165CLM2026-04-10Mark Reyesflagged1985-09-11UHC-44839-366262832217—Rule0.99D1 member id + dob exact
CLM-424166CLM2026-04-28Mark Reyesflagged1985-09-11——5171 Sage Ct, Gilbert, AZScored1.00—
CLM-424167CLM2026-08-16Mark Reyesflagged1985-09-11——5171 Sage Ct, Gilbert, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-131587ENRCLM-424167CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424166CLMCLM-424167CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-131587ENRCLM-424165 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-131587ENRCLM-424166CLM0.97RuleD2 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
▶CLM-424165 CLMCLM-424166CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424165 CLMCLM-424167CLM 0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-424166 → UHC-44839-36 (Mark Reyes)
    ACT-002712, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-424167 → UHC-44839-36 (Mark Reyes)
    ACT-006300, Claims processor
  • Outreach address correctedProposed
    Mark Reyes: 5171 Sage Ct Apt 18, Gilbert → 5171 Sage Ct, Gilbert
    ACT-011551, Outreach
  • Care coordination outreachProposed
    Mark Reyes: 3 claims, no attributed provider
    ACT-018622, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically09a426a1f6
    scoring_agent, CLM-424167, identity id MBR-011567, confidence 1, method probabilistic, matched record ENR-131587, policy version 1
  • 2026-10-19 19:54:38Record linked automatically59fea67227
    scoring_agent, CLM-424166, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:54:38Record linked automatically57bbd5a14d
    matching_agent, CLM-424165, identity id MBR-011567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131587
  • 2026-10-19 19:54:38Record linked automatically2d0128597b
    scoring_agent, ENR-131587, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye84e79ab09
    scoring_agent, CLM-424167, identity id MBR-011567, confidence 1, method probabilistic, matched record ENR-131587, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6e3a6ed444
    scoring_agent, CLM-424166, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:52:09Record linked automatically95b0d3c4a8
    matching_agent, CLM-424165, identity id MBR-011567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131587
  • 2026-10-19 19:52:09Record linked automatically15c996a40e
    scoring_agent, ENR-131587, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8b8afa1026
    scoring_agent, CLM-424167, identity id MBR-011567, confidence 1, method probabilistic, matched record ENR-131587, policy version 1
  • 2026-10-19 19:45:42Record linked automatically19df164e3c
    scoring_agent, CLM-424166, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3ceada5fe8
    matching_agent, CLM-424165, identity id MBR-011567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131587
  • 2026-10-19 19:45:42Record linked automatically1c76ff727c
    scoring_agent, ENR-131587, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye6f80da149
    scoring_agent, CLM-424167, identity id MBR-011567, confidence 1, method probabilistic, matched record ENR-131587, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1c103fb32f
    scoring_agent, CLM-424166, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5d7470bfcc
    matching_agent, CLM-424165, identity id MBR-011567, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131587
  • 2026-10-19 19:32:31Record linked automatically2227482c96
    scoring_agent, ENR-131587, identity id MBR-011567, confidence 1, method probabilistic, matched record CLM-424167, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya37852a0a4
    matching_agent, ENR-131587, identity id MBR-018260, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-131588
  • 2026-10-19 19:31:28Record linked automatically7a2d009f55
    matching_agent, CLM-424165, identity id MBR-011269, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131793
  • 2026-10-19 19:31:28Record linked automaticallyc9d1ad16d2
    scoring_agent, CLM-424166, identity id MBR-006026, confidence 1, method probabilistic, matched record ENR-131795, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3f85ea2bb8
    scoring_agent, CLM-424167, identity id MBR-006026, confidence 1, method probabilistic, matched record ENR-131795, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0187262026-07-31Evergreen Orthopedic Specialists
in network
99213$185.00—Needs reviewNeeds review
CLM-2026-0051852026-04-07Lakeside Orthopedic Specialists
in network
20610$295.00$107.90ApprovedApproved
CLM-2026-0299222026-04-03Lakeside Internal Medicine Associates
in network
99232$191.00$0.00ApprovedApproved