Danielle P Cruz

4 source records from 3 feeds.

MBR-013819Verified4 records

Golden record

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

First nameENR: Danielle
Middle nameENR: P
Last nameENR: Cruz
Date of birthENR: 1946-12-22
GenderENR: F
Member IDENR: UHC-42973-31
SSNENR: •••-••-2583
PhoneENR: 8149598680
EmailENR: danielle.cruz@outlook.com
AddressENR: 8974 River Rd
CityENR: Seattle
StateENR: WA
ZIPENR: 98176
GroupENR: GRP-0116
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

TPA ×1CLM ×2ENR ×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
TPA-64099	TPA	2026-02-17	Danielle Cruzflagged	1946-12-22	UHC-42973-31	—	8974 River Rd, Seattle, WA	Scored	1.00	—
CLM-431956	CLM	2026-02-23	Danielle Cruzflagged	1946-12-22	—	8149598680	8974 River Rd, Seattle, WA	Scored	1.00	—
CLM-431957	CLM	2026-06-25	Danielle Cruzflagged	1946-12-22	—	8149598680	8974 River Rd, Seattle, WA	Scored	1.00	—
ENR-141939	ENR	2026-07-29	Danielle Cruzflagged	1946-12-22	UHC-42973-31	8149598680	8974 River Rd, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-64099TPACLM-431956CLM1.00Scoredweighted 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-64099TPACLM-431957CLM1.00Scoredweighted 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

▶CLM-431956CLMCLM-431957CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431956CLMENR-141939ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431957CLMENR-141939ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-64099TPAENR-141939ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431956 → UHC-42973-31 (Danielle Cruz)
ACT-004711, Claims processor
Orphan claim re-pointedExecuted
CLM-431957 → UHC-42973-31 (Danielle Cruz)
ACT-006183, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically3296528414
scoring_agent, ENR-141939, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-22 12:43:54Record linked automatically1ee240ab91
scoring_agent, CLM-431957, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-22 12:43:54Record linked automatically19fe483159
scoring_agent, CLM-431956, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-22 12:43:54Record linked automatically98df034fcd
scoring_agent, TPA-64099, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:54:38Record linked automatically7edb5d98f4
scoring_agent, ENR-141939, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa199107fe
scoring_agent, CLM-431957, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:54:38Record linked automatically41a44bbfc0
scoring_agent, CLM-431956, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:54:38Record linked automatically594f5dde32
scoring_agent, TPA-64099, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:52:09Record linked automaticallya8194a5676
scoring_agent, ENR-141939, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:52:09Record linked automatically9d41e0ca0d
scoring_agent, CLM-431957, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:52:09Record linked automaticallyaf91919ed7
scoring_agent, CLM-431956, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:52:09Record linked automatically2a295583d9
scoring_agent, TPA-64099, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:45:42Record linked automatically00271fdfda
scoring_agent, ENR-141939, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:45:42Record linked automaticallyc4823ddc91
scoring_agent, CLM-431957, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:45:42Record linked automatically691b2a32cb
scoring_agent, CLM-431956, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:45:42Record linked automatically299889a839
scoring_agent, TPA-64099, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:32:31Record linked automatically87c31b6c10
scoring_agent, ENR-141939, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:32:31Record linked automatically9093f62f89
scoring_agent, CLM-431957, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:32:31Record linked automaticallyf763ec6604
scoring_agent, CLM-431956, identity id MBR-013819, confidence 1, method probabilistic, matched record TPA-64099, policy version 1
2026-10-19 19:32:31Record linked automatically393f939e70
scoring_agent, TPA-64099, identity id MBR-013819, confidence 1, method probabilistic, matched record CLM-431956, policy version 1
2026-10-19 19:31:28Record linked automaticallyfabdeed0f6
matching_agent, ENR-141939, identity id MBR-018288, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431766
2026-10-19 19:31:28Record linked automatically2dddb36a36
matching_agent, CLM-431956, identity id MBR-014305, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142181
2026-10-19 19:31:28Record linked automatically870984b9c3
matching_agent, CLM-431957, identity id MBR-007675, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142182

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-2026-018228	2026-06-19	Sunrise Counseling Center in network	90791	$360.00	—	Denied	Denied
CLM-2026-012802	2026-01-31	Sunrise Orthopedic Specialists in network	99213	$221.00	$62.02	Approved	Approved