Identities/MBR-011649
Gold, golden identity

Gary S Jimenez

4 source records from 1 feed.

MBR-011649Verified4 records

Golden record

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

First nameCLM
Gary
Middle nameCLM
S
Last nameCLM
Jimenez
Date of birthCLM
1976-03-26
GenderCLM
F
Member IDCLM
UHC-29986-91
SSNCLM
•••-••-1838
PhoneCLM
6408089960
Email—
—
AddressCLM
4951 Jefferson Ave
CityCLM
Tampa
StateCLM
FL
ZIP—
—
GroupCLM
GRP-4120
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.970.99CLMCLM-408776CLMCLM-408777CLMCLM-408775CLMCLM-408774IDMBR-011649
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
CLM-408776CLM2026-02-09Gary Jimanezflagged1976-03-26UHC-29986-9164080899604951 Jefferson Ave, Tampa, FLRule0.99D1 member id + dob exact
CLM-408777CLM2026-03-14Gary Jimenezflagged1976-03-26UHC-29986-9164080899604951 Jefferson Ave Apt 10, Tampa, FLRule0.99D1 member id + dob exact
CLM-408775CLM2026-04-05Gary Jimenezflagged1976-03-26——4951 Jefferson Ave, Tampa, FLRule0.97D2 ssn4 + dob + last name
CLM-408774CLM2026-05-29Gary Jimenezflagged1976-03-26UHC-29986-91——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408776CLMCLM-408774CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408777CLMCLM-408774CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408776CLMCLM-408777CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408775CLMCLM-408774CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408777CLMCLM-408775CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408776CLMCLM-408775CLM0.90Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408775 → UHC-29986-91 (Gary Jimenez)
    ACT-001957, Claims processor
  • Care coordination outreachProposed
    Gary Jimenez: 4 claims, no attributed provider
    ACT-018632, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically75dff572c2
    matching_agent, CLM-408774, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:54:38Record linked automatically95663899d3
    matching_agent, CLM-408775, identity id MBR-011649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408777
  • 2026-10-19 19:54:38Record linked automaticallyb731340c9e
    matching_agent, CLM-408777, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:54:38Record linked automatically374f929eac
    matching_agent, CLM-408776, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408777
  • 2026-10-19 19:52:09Record linked automatically0fc31095b5
    matching_agent, CLM-408774, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:52:09Record linked automaticallye9de837806
    matching_agent, CLM-408775, identity id MBR-011649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408777
  • 2026-10-19 19:52:09Record linked automatically43cea94397
    matching_agent, CLM-408777, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:52:09Record linked automaticallyfd9dcc3411
    matching_agent, CLM-408776, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408777
  • 2026-10-19 19:45:42Record linked automatically91d0691fe2
    matching_agent, CLM-408774, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:45:42Record linked automatically792f57ebbb
    matching_agent, CLM-408775, identity id MBR-011649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408777
  • 2026-10-19 19:45:42Record linked automatically9cba1a3f08
    matching_agent, CLM-408777, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:45:42Record linked automatically2ea8217b4b
    matching_agent, CLM-408776, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408777
  • 2026-10-19 19:32:31Record linked automatically3c612f2ade
    matching_agent, CLM-408774, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:32:31Record linked automatically54db8669ff
    matching_agent, CLM-408775, identity id MBR-011649, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408777
  • 2026-10-19 19:32:31Record linked automatically644a5c3dac
    matching_agent, CLM-408777, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408776
  • 2026-10-19 19:32:31Record linked automatically30c822c97c
    matching_agent, CLM-408776, identity id MBR-011649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408777
  • 2026-10-19 19:31:28Record linked automaticallyb2ce352093
    matching_agent, CLM-408777, identity id MBR-022674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111547
  • 2026-10-19 19:31:28Record linked automatically17a696a5fb
    scoring_agent, CLM-408776, identity id MBR-021340, confidence 1, method probabilistic, matched record PRV-22592, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0d8a98acc7
    matching_agent, CLM-408774, identity id MBR-000463, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111540

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0155502026-05-14Lakeside Physical Therapy
in network
97110$118.00$48.16ApprovedApproved
CLM-2026-0024392026-03-21Cornerstone Orthopedic Specialists
out of network
99213$168.00$25.60ApprovedApproved
CLM-2026-0057952026-02-18Sunrise Imaging Center
in network
70553$2,179.00—Needs reviewNeeds review
CLM-2026-0237412026-01-17Mesa Primary Care Associates
in network
36415, 99203$200.00$112.22ApprovedApproved