Shirley Cruz

3 source records from 2 feeds.

MBR-011708Verified3 records

Golden record

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

First nameCLM: Shirley
Middle name—: —
Last nameCLM: Cruz
Date of birthCLM: 1951-11-28
GenderCLM: F
Member IDCLM: UHC-36590-35
SSNCLM: •••-••-8069
PhoneCLM: 7686368459
Email—: —
AddressCLM: 7029 Ridge Rd
CityCLM: Tampa
StateCLM: FL
ZIPCLM: 33643
GroupCLM: GRP-8402
Plan—: —

Min confidence

0.93

Sources

TPA ×1CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
TPA-61205	TPA	2026-02-09	Shirley Cruzflagged	1951-11-28	—	7686368459	7029 Ridge Rd, Tampa, FL	Scored	1.00	—
CLM-425388	CLM	2026-03-13	Shilrey Cruzflagged	1951-11-28	—	7686368459	7029 Ridge Rd, Tampa, FL	Scored	0.93	—
CLM-425387	CLM	2026-04-16	Shirley Cruzflagged	1951-11-28	UHC-36590-35	—	7029 Ridge Rd, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-61205TPACLM-425387CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61205TPACLM-425388CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425388CLMCLM-425387CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425388 → UHC-36590-35 (Shirley Cruz)
ACT-005188, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically8326017de8
scoring_agent, CLM-425387, identity id MBR-011708, confidence 1, method probabilistic, matched record TPA-61205, policy version 1
2026-10-22 12:43:54Record linked automaticallyea5cd0f1a2
scoring_agent, CLM-425388, identity id MBR-011708, confidence 0.93, method probabilistic, matched record TPA-61205, policy version 1
2026-10-22 12:43:54Record linked automaticallya1bc6f0e60
scoring_agent, TPA-61205, identity id MBR-011708, confidence 1, method probabilistic, matched record CLM-425387, policy version 1
2026-10-19 19:54:38Record linked automaticallyd521dd1b59
scoring_agent, CLM-425387, identity id MBR-011708, confidence 1, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:54:38Record linked automaticallyc068d9ae55
scoring_agent, CLM-425388, identity id MBR-011708, confidence 0.93, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:54:38Record linked automaticallyc7f9002aa7
scoring_agent, TPA-61205, identity id MBR-011708, confidence 1, method probabilistic, matched record CLM-425387, policy version 1
2026-10-19 19:52:09Record linked automaticallyd6d5bc53aa
scoring_agent, CLM-425387, identity id MBR-011708, confidence 1, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:52:09Record linked automatically43ae595576
scoring_agent, CLM-425388, identity id MBR-011708, confidence 0.93, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:52:09Record linked automatically69648707af
scoring_agent, TPA-61205, identity id MBR-011708, confidence 1, method probabilistic, matched record CLM-425387, policy version 1
2026-10-19 19:45:42Record linked automaticallyf6ce1cb7d6
scoring_agent, CLM-425387, identity id MBR-011708, confidence 1, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:45:42Record linked automatically0fd30b0cbf
scoring_agent, CLM-425388, identity id MBR-011708, confidence 0.93, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:45:42Record linked automaticallydb5dec547b
scoring_agent, TPA-61205, identity id MBR-011708, confidence 1, method probabilistic, matched record CLM-425387, policy version 1
2026-10-19 19:32:31Record linked automaticallyf26d685ec0
scoring_agent, CLM-425387, identity id MBR-011708, confidence 1, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:32:31Record linked automaticallybf4073401d
scoring_agent, CLM-425388, identity id MBR-011708, confidence 0.93, method probabilistic, matched record TPA-61205, policy version 1
2026-10-19 19:32:31Record linked automaticallyf9570a3d4e
scoring_agent, TPA-61205, identity id MBR-011708, confidence 1, method probabilistic, matched record CLM-425387, policy version 1
2026-10-19 19:31:28Record linked automaticallyfc3fbc2086
matching_agent, TPA-61205, identity id MBR-016636, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61204
2026-10-19 19:31:28Record linked automaticallyfc241ec40b
matching_agent, CLM-425388, identity id MBR-011771, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425391
2026-10-19 19:31:28Record linked automaticallybe12ca1288
matching_agent, CLM-425387, identity id MBR-010256, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133437

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-020446	2026-03-28	Meadow Reference Lab in network	80053	$78.00	$0.00	Approved	Approved
CLM-2026-014563	2026-02-17	Harbor Reference Lab in network	87086, 80053, 85025, 83036	$246.00	$0.00	Approved	Approved