Identities/MBR-012669
Gold, golden identity

Juan E Lopez

4 source records from 3 feeds.

MBR-012669Verified4 records

Golden record

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

First nameENR
Juan
Middle nameENR
E
Last nameENR
Lopez
Date of birthENR
1968-10-05
GenderENR
F
Member IDENR
UHC-13601-93
SSNENR
•••-••-2753
PhoneENR
2795763102
Email—
—
AddressENR
8639 Highland Ave
CityENR
Columbus
StateENR
OH
ZIPENR
43244
GroupENR
GRP-7876
PlanENR
MEDICARE-ADV-A
Min confidence
1.00
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00CLMCLM-414751CLMCLM-414750TPATPA-56501ENRENR-119403IDMBR-012669
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-414751CLM2026-02-13Juan Lopezflagged1968-10-05——8639 Highland Ave Apt 33, Columbus, OHScored1.00—
CLM-414750CLM2026-03-27Juan Lopezflagged——2795763102—Scored1.00—
TPA-56501TPA2026-09-15Juan Lopezflagged1968-10-05UHC-13601-9327957631028639 Highland Ave, Columbus, OHScored1.00—
ENR-119403ENR2026-09-29Juan Lopezflagged1968-10-05UHC-13601-9327957631028639 Highland Ave, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414750CLMENR-119403ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414751CLMTPA-56501TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56501TPAENR-119403ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414751CLMENR-119403ENR0.97RuleD2 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-414750CLMTPA-56501TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414750 → UHC-13601-93 (Juan Lopez)
    ACT-003524, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414751 → UHC-13601-93 (Juan Lopez)
    ACT-006861, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7aff5134d0
    scoring_agent, ENR-119403, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414750, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallye78b10751d
    scoring_agent, TPA-56501, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414751, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2ce4593af6
    scoring_agent, CLM-414750, identity id MBR-012669, confidence 1, method probabilistic, matched record ENR-119403, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8d9d43772f
    scoring_agent, CLM-414751, identity id MBR-012669, confidence 1, method probabilistic, matched record TPA-56501, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4ecff8c350
    scoring_agent, ENR-119403, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414750, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2eaffbaadf
    scoring_agent, TPA-56501, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414751, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfc62b96681
    scoring_agent, CLM-414750, identity id MBR-012669, confidence 1, method probabilistic, matched record ENR-119403, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6c65e5814a
    scoring_agent, CLM-414751, identity id MBR-012669, confidence 1, method probabilistic, matched record TPA-56501, policy version 1
  • 2026-10-19 19:52:09Record linked automatically11d134bbcd
    scoring_agent, ENR-119403, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414750, policy version 1
  • 2026-10-19 19:52:09Record linked automatically119063baca
    scoring_agent, TPA-56501, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414751, policy version 1
  • 2026-10-19 19:52:09Record linked automatically970927f12e
    scoring_agent, CLM-414750, identity id MBR-012669, confidence 1, method probabilistic, matched record ENR-119403, policy version 1
  • 2026-10-19 19:52:09Record linked automatically416d7d1e02
    scoring_agent, CLM-414751, identity id MBR-012669, confidence 1, method probabilistic, matched record TPA-56501, policy version 1
  • 2026-10-19 19:45:42Record linked automatically57836b52d3
    scoring_agent, ENR-119403, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414750, policy version 1
  • 2026-10-19 19:45:42Record linked automatically56ee137cea
    scoring_agent, TPA-56501, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414751, policy version 1
  • 2026-10-19 19:45:42Record linked automatically00514c0880
    scoring_agent, CLM-414750, identity id MBR-012669, confidence 1, method probabilistic, matched record ENR-119403, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc3462035d1
    scoring_agent, CLM-414751, identity id MBR-012669, confidence 1, method probabilistic, matched record TPA-56501, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45e956dcad
    scoring_agent, ENR-119403, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414750, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd85e67d2da
    scoring_agent, TPA-56501, identity id MBR-012669, confidence 1, method probabilistic, matched record CLM-414751, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd10a1fc34e
    scoring_agent, CLM-414750, identity id MBR-012669, confidence 1, method probabilistic, matched record ENR-119403, policy version 1
  • 2026-10-19 19:32:31Record linked automatically188d9f4d12
    scoring_agent, CLM-414751, identity id MBR-012669, confidence 1, method probabilistic, matched record TPA-56501, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6138bcbd65
    scoring_agent, CLM-414750, identity id MBR-029615, confidence 1, method probabilistic, matched record CLM-414748, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6780fbee2e
    scoring_agent, CLM-414751, identity id MBR-008529, confidence 1, method probabilistic, matched record TPA-56407, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2f776a9960
    scoring_agent, ENR-119403, identity id MBR-008044, confidence 1, method probabilistic, matched record PRV-24343, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0082782026-03-03Evergreen Family Practice
in network
90471, 99395$375.00$212.50ApprovedApproved
CLM-2026-0207762026-01-14Northgate Heart Institute
in network
93224, 99214$577.00$282.74ApprovedApproved