Gold, golden identity
Olivia G Espinoza
4 source records from 2 feeds.
MBR-012349Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Olivia
- Middle nameENR
- G
- Last nameCLM
- Espinoza
- Date of birthENR
- 1998-06-06
- GenderENR
- M
- Member IDENR
- UHC-99981-18
- SSNENR
- •••-••-1579
- PhoneENR
- 6729738163
- EmailENR
- olivia.espinoza70@gmail.com
- AddressENR
- 4233 Apache Blvd
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93730
- GroupENR
- GRP-5852
- PlanENR
- MEDICARE-ADV-A
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
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-115296 | ENR | 2026-02-11 | Olivia Espinozzaflagged | 1998-06-06 | UHC-99981-18 | 6729738163 | 4233 Apache Blvd, Fresno, CA | Scored | 0.99 | — |
| CLM-411619 | CLM | 2026-03-13 | Olivia Espinozaflagged | 1998-06-06 | UHC-99981-18 | 6729738163 | 4233 Apache Blvd # 461, Fresno, CA | Scored | 1.00 | — |
| CLM-411618 | CLM | 2026-03-31 | Olivia Espinozaflagged | 1998-06-06 | — | — | 4233 Apache Blvd, Fresno, CA | Scored | 1.00 | — |
| CLM-411620 | CLM | 2026-08-19 | Olivia Espinozaflagged | 1998-06-06 | — | — | 4233 Apache Blvd, Fresno, CA | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411619CLMCLM-411618CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-411619CLMCLM-411620CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-411618CLMCLM-411620CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-115296ENR CLM-411618CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-115296ENR CLM-411620CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-115296ENR CLM-411619CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-411620 → UHC-99981-18 (Olivia Espinoza)ACT-005956, Claims processor
- Orphan claim re-pointedExecutedCLM-411618 → UHC-99981-18 (Olivia Espinoza)ACT-008020, Claims processor
- Care coordination outreachProposedOlivia Espinoza: 3 claims, no attributed providerACT-018676, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically9ba65974ddscoring_agent, CLM-411620, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyc0e374f054scoring_agent, CLM-411618, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:54:38Record linked automatically0cfcc767f4scoring_agent, CLM-411619, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:54:38Record linked automatically0dfc233f55scoring_agent, ENR-115296, identity id MBR-012349, confidence 0.99, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:52:09Record linked automatically535a90e6c6scoring_agent, CLM-411620, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:52:09Record linked automaticallydeb199f68cscoring_agent, CLM-411618, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:52:09Record linked automatically7a6592c455scoring_agent, CLM-411619, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyeeceacde82scoring_agent, ENR-115296, identity id MBR-012349, confidence 0.99, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:45:42Record linked automatically4363ff4b51scoring_agent, CLM-411620, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:45:42Record linked automatically75e23dfd04scoring_agent, CLM-411618, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:45:42Record linked automaticallycad4dca66bscoring_agent, CLM-411619, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:45:42Record linked automatically716bf0dfffscoring_agent, ENR-115296, identity id MBR-012349, confidence 0.99, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:32:31Record linked automaticallybb5f9d3d96scoring_agent, CLM-411620, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:32:31Record linked automatically8d771b73c7scoring_agent, CLM-411618, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411619, policy version 1
- 2026-10-19 19:32:31Record linked automatically5cda2e54f6scoring_agent, CLM-411619, identity id MBR-012349, confidence 1, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:32:31Record linked automatically7367bc92aascoring_agent, ENR-115296, identity id MBR-012349, confidence 0.99, method probabilistic, matched record CLM-411618, policy version 1
- 2026-10-19 19:31:28Record linked automatically0a30f8c865scoring_agent, ENR-115296, identity id MBR-017422, confidence 1, method probabilistic, matched record PRV-23427, policy version 1
- 2026-10-19 19:31:28Record linked automatically518fc678bdscoring_agent, CLM-411619, identity id MBR-008747, confidence 1, method probabilistic, matched record PRV-23448, policy version 1
- 2026-10-19 19:31:28Record linked automatically0ce0d36aadscoring_agent, CLM-411618, identity id MBR-008747, confidence 1, method probabilistic, matched record PRV-23448, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyb94c767743scoring_agent, CLM-411620, identity id MBR-002197, confidence 1, method probabilistic, matched record CLM-411622, policy version 1
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-017353 | 2026-07-18 | Heritage Medical Group out of network | 99395, 99214 | $482.00 | $196.90 | Approved | Approved |
| CLM-2026-025325 | 2026-03-15 | Summit Heart Institute in network | 93458, 93306 | $8,409.00 | — | Needs review | Needs review |
| CLM-2026-001095 | 2026-02-16 | Heritage Family Practice in network | 99214, 90471, 99203 | $432.00 | $247.84 | Approved | Approved |