Identities/MBR-011689
Gold, golden identity

Joshua W Mendoza

4 source records from 3 feeds.

MBR-011689Verified4 records

Golden record

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

First nameENR
Joshua
Middle nameCLM
W
Last nameENR
Mendoza
Date of birthENR
1954-10-27
GenderCLM
F
Member IDENR
UHC-08725-60
SSNENR
•••-••-0760
PhoneENR
9532876576
EmailENR
joshua.mendoza@proton.me
AddressENR
650 Valley View Dr
CityENR
Houston
StateENR
TX
ZIPENR
77067
GroupENR
GRP-4028
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×2ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.97CLMCLM-404095CLMCLM-404096ENRENR-105355TPATPA-51773IDMBR-011689
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-404095CLM2026-02-09Joshua Mendozaflagged1954-10-27—9532876576650 Valley View Dr Apt 15, Houston, TXScored1.00—
CLM-404096CLM2026-04-24Joshua Mendozaflagged1954-10-27UHC-08725-60—650 Valley View Dr, Houston, TXScored1.00—
ENR-105355ENR2026-08-29Joshua Mendozaflagged1954-10-27UHC-08725-609532876576650 Valley View Dr, Houston, TXRule0.99D1 member id + dob exact
TPA-51773TPA2026-10-17Joshua Mendozaflagged1954-10-27———Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404095CLMCLM-404096CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404096CLMENR-105355ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404095CLMENR-105355ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404095CLMTPA-51773TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-105355ENRTPA-51773TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404096CLMTPA-51773TPA0.83Scoredweighted 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-404095 → UHC-08725-60 (Joshua Mendoza)
    ACT-005567, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5152dc6a66
    matching_agent, TPA-51773, identity id MBR-011689, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404095
  • 2026-10-19 19:54:38Record linked automaticallyf03330fda3
    matching_agent, ENR-105355, identity id MBR-011689, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404096
  • 2026-10-19 19:54:38Record linked automatically690e684f21
    scoring_agent, CLM-404096, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404095, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4b6928eccb
    scoring_agent, CLM-404095, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404096, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyceeef8022f
    matching_agent, TPA-51773, identity id MBR-011689, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404095
  • 2026-10-19 19:52:09Record linked automaticallyfdd688645b
    matching_agent, ENR-105355, identity id MBR-011689, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404096
  • 2026-10-19 19:52:09Record linked automaticallye2806b8218
    scoring_agent, CLM-404096, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404095, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd19a3605c6
    scoring_agent, CLM-404095, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404096, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye18f620ebb
    matching_agent, TPA-51773, identity id MBR-011689, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404095
  • 2026-10-19 19:45:42Record linked automaticallyca9f1e8d5f
    matching_agent, ENR-105355, identity id MBR-011689, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404096
  • 2026-10-19 19:45:42Record linked automatically23fdf91047
    scoring_agent, CLM-404096, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404095, policy version 1
  • 2026-10-19 19:45:42Record linked automatically274ec6a247
    scoring_agent, CLM-404095, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404096, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8505164ba2
    matching_agent, TPA-51773, identity id MBR-011689, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404095
  • 2026-10-19 19:32:31Record linked automatically29099f259c
    matching_agent, ENR-105355, identity id MBR-011689, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404096
  • 2026-10-19 19:32:31Record linked automatically07a1e1f406
    scoring_agent, CLM-404096, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404095, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8e71314c12
    scoring_agent, CLM-404095, identity id MBR-011689, confidence 1, method probabilistic, matched record CLM-404096, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2be7a5f49c
    scoring_agent, CLM-404096, identity id MBR-036931, confidence 1, method probabilistic, matched record CLM-404097, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc11ccd4866
    matching_agent, CLM-404095, identity id MBR-026240, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105316
  • 2026-10-19 19:31:28Record linked automatically5a5896ca15
    matching_agent, ENR-105355, identity id MBR-003754, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105354
  • 2026-10-19 19:31:28Record linked automatically6040a4dd63
    scoring_agent, TPA-51773, identity id MBR-000367, confidence 1, method probabilistic, matched record CLM-403955, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0209392025-11-24Lakeside Behavioral Health
out of network
90837, 90791$625.00—DeniedDenied
CLM-2026-0160182026-02-07Mesa Dermatology Clinic
in network
99213, 17110, 11403$837.00$458.94ApprovedApproved