Identities/MBR-013807
Gold, golden identity

Terry B Gomez

5 source records from 2 feeds.

MBR-013807Verified5 records

Golden record

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

First nameENR
Terry
Middle nameCLM
B
Last nameENR
Gomez
Date of birthENR
1945-07-27
GenderENR
M
Member IDENR
UHC-19314-17
SSNENR
•••-••-5860
PhoneENR
8334702911
EmailENR
terry.gomez@gmail.com
AddressENR
9617 Lake View Rd
CityENR
Denver
StateENR
CO
ZIP—
—
GroupENR
GRP-2787
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99CLMCLM-416834CLMCLM-416835CLMCLM-416837ENRENR-122108CLMCLM-416836IDMBR-013807
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-416834CLM2026-02-17Terry Gomezflagged1945-07-27UHC-19314-17—9617 Lake View Rd, Denver, COScored1.00—
CLM-416835CLM2026-02-17Terry Gomezflagged1945-07-27UHC-19314-17—9617 Lake View Rd, Denver, COScored1.00—
CLM-416837CLM2026-03-12Terry Gomezflagged1945-07-27——9617 Lake View Rd, Denver, COScored1.00—
ENR-122108ENR2026-08-22Terry Gomezflagged1945-07-27UHC-19314-1783347029119617 Lake View Rd, Denver, COScored1.00—
CLM-416836CLM2026-10-11Terry Gomezflagged1945-07-27UHC-19314-1783347029119617 Lake View Rd, Denver, CORule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416834CLMCLM-416837 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416835CLMCLM-416837 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416837 CLMENR-122108ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416834CLMCLM-416835CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416834CLMCLM-416836CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416835CLMCLM-416836CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-122108ENRCLM-416836CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416834CLMENR-122108ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416835CLMENR-122108ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416837 CLMCLM-416836CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Terry Gomez: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000612, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-416837 → UHC-19314-17 (Terry Gomez)
    ACT-004447, Claims processor
  • Care coordination outreachProposed
    Terry Gomez: 4 claims, no attributed provider
    ACT-018761, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically2f3678fd74
    matching_agent, CLM-416836, identity id MBR-013807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416834
  • 2026-10-19 19:54:38Record linked automatically201420dc25
    scoring_agent, ENR-122108, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:54:38Record linked automatically524da80194
    scoring_agent, CLM-416837, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416834, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1b596a551c
    scoring_agent, CLM-416835, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya67f74f86c
    scoring_agent, CLM-416834, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye1b4dc6a86
    matching_agent, CLM-416836, identity id MBR-013807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416834
  • 2026-10-19 19:52:09Record linked automaticallyc6f9961119
    scoring_agent, ENR-122108, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:52:09Record linked automatically64c0e5a12e
    scoring_agent, CLM-416837, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416834, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2e404ad32d
    scoring_agent, CLM-416835, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:52:09Record linked automatically21ffb31e6c
    scoring_agent, CLM-416834, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:45:42Record linked automatically353ecd0b03
    matching_agent, CLM-416836, identity id MBR-013807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416834
  • 2026-10-19 19:45:42Record linked automatically551d3f5cf6
    scoring_agent, ENR-122108, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydb41d720ef
    scoring_agent, CLM-416837, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416834, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5b91b31794
    scoring_agent, CLM-416835, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:45:42Record linked automatically04bd3a9b94
    scoring_agent, CLM-416834, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2ad079c105
    matching_agent, CLM-416836, identity id MBR-013807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416834
  • 2026-10-19 19:32:31Record linked automaticallyf2b03ba1cb
    scoring_agent, ENR-122108, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:32:31Record linked automatically92af35895f
    scoring_agent, CLM-416837, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416834, policy version 1
  • 2026-10-19 19:32:31Record linked automatically76f764aa4c
    scoring_agent, CLM-416835, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb4e1fab974
    scoring_agent, CLM-416834, identity id MBR-013807, confidence 1, method probabilistic, matched record CLM-416837, policy version 1
  • 2026-10-19 19:31:28Record linked automatically830a75a7f3
    matching_agent, ENR-122108, identity id MBR-027240, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416898
  • 2026-10-19 19:31:28Record linked automaticallyb93f7a7dc3
    scoring_agent, CLM-416836, identity id MBR-022393, confidence 1, method probabilistic, matched record PRV-24926, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2f7e3355a6
    matching_agent, CLM-416834, identity id MBR-007038, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416835
  • 2026-10-19 19:31:28Record linked automatically603cdbdb55
    matching_agent, CLM-416835, identity id MBR-007038, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416834
  • 2026-10-19 19:31:28Record linked automatically61f8071bba
    matching_agent, CLM-416837, identity id MBR-001444, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122021

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0337212026-09-10Valley Skin Care Associates
out of network
11403, 11102$843.00—DeniedDenied
CLM-2026-0118712026-02-13Canyon Medical Group
in network
93000$69.00$17.78ApprovedApproved
CLM-2026-0304062026-01-14Summit Clinical Laboratories
in network
80061$48.00$0.00ApprovedApproved
CLM-2026-0030282026-02-02Mesa Regional Medical Center
out of network
96374$219.00—Needs reviewNeeds review