Carlos D Lopez

2 source records from 2 feeds.

MBR-012917Verified2 records

Golden record

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

First nameENR: Carlos
Middle nameENR: D
Last nameENR: Lopez
Date of birthENR: 1973-03-06
GenderENR: F
Member IDENR: UHC-56805-86
SSNENR: •••-••-6813
PhoneENR: 2628602683
Email—: —
Address—: —
City—: —
State—: —
ZIP—: —
GroupENR: GRP-4788
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×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

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
CLM-405436	CLM	2026-02-14	Carlos Lopezflagged	1973-03-06	—	2628602683	—	Scored	1.00	—
ENR-107154	ENR	2026-05-25	Carlos Lopezflagged	1973-03-06	UHC-56805-86	2628602683	—	Scored	1.00	—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶CLM-405436CLMENR-107154ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405436 → UHC-56805-86 (Carlos Lopez)
ACT-009787, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically13f633e182
scoring_agent, ENR-107154, identity id MBR-012917, confidence 1, method probabilistic, matched record CLM-405436, policy version 1
2026-10-22 12:43:54Record linked automaticallyda1f67eb23
scoring_agent, CLM-405436, identity id MBR-012917, confidence 1, method probabilistic, matched record ENR-107154, policy version 1
2026-10-19 19:54:38Record linked automaticallybd9752d8cf
scoring_agent, ENR-107154, identity id MBR-012917, confidence 1, method probabilistic, matched record CLM-405436, policy version 1
2026-10-19 19:54:38Record linked automaticallyae4435e787
scoring_agent, CLM-405436, identity id MBR-012917, confidence 1, method probabilistic, matched record ENR-107154, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc0a629ce3
scoring_agent, ENR-107154, identity id MBR-012917, confidence 1, method probabilistic, matched record CLM-405436, policy version 1
2026-10-19 19:52:09Record linked automatically3314d19c1b
scoring_agent, CLM-405436, identity id MBR-012917, confidence 1, method probabilistic, matched record ENR-107154, policy version 1
2026-10-19 19:45:42Record linked automatically45d8ea3afb
scoring_agent, ENR-107154, identity id MBR-012917, confidence 1, method probabilistic, matched record CLM-405436, policy version 1
2026-10-19 19:45:42Record linked automatically70f2eb3db0
scoring_agent, CLM-405436, identity id MBR-012917, confidence 1, method probabilistic, matched record ENR-107154, policy version 1
2026-10-19 19:32:31Record linked automatically5773993193
scoring_agent, ENR-107154, identity id MBR-012917, confidence 1, method probabilistic, matched record CLM-405436, policy version 1
2026-10-19 19:32:31Record linked automaticallyc7b3132ebc
scoring_agent, CLM-405436, identity id MBR-012917, confidence 1, method probabilistic, matched record ENR-107154, policy version 1
2026-10-19 19:31:28Record linked automaticallyed773f2645
matching_agent, ENR-107154, identity id MBR-034494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107153
2026-10-19 19:31:28Record linked automatically53426b28f8
scoring_agent, CLM-405436, identity id MBR-008330, confidence 1, method probabilistic, matched record PRV-21617, policy version 1

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-2026-032133	2026-01-06	Evergreen GI Associates in network	43239	$1,984.00	—	Needs review	Needs review
CLM-2026-032132	2026-01-06	Evergreen GI Associates in network	43239	$1,984.00	$72.51	Approved	Approved