Identities/MBR-014084
Gold, golden identity

Wayne L Jimenez

2 source records from 2 feeds.

MBR-014084Verified2 records

Golden record

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

First nameENR
Wayne
Middle nameCLM
L
Last nameENR
Jimenez
Date of birthENR
1947-09-19
GenderENR
F
Member IDENR
UHC-99311-81
SSNENR
•••-••-2545
PhoneCLM
9835907461
Email—
—
AddressENR
6566 Pine Dr
CityENR
Nashville
StateENR
TN
ZIPENR
37257
GroupENR
GRP-7524
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.00ENRENR-116395CLMCLM-412456IDMBR-014084
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
ENR-116395ENR2026-02-18Wayne Jimenezflagged1947-09-19UHC-99311-81—6566 Pine Dr, Nashville, TNScored1.00—
CLM-412456CLM2026-05-07Wayne Jimenezflagged1947-09-19—98359074616566 Pine Dr, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-116395ENRCLM-412456CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-412456 → UHC-99311-81 (Wayne Jimenez)
    ACT-008760, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically888702e0c4
    scoring_agent, CLM-412456, identity id MBR-014084, confidence 1, method probabilistic, matched record ENR-116395, policy version 1
  • 2026-10-22 12:43:54Record linked automatically46f3bad15b
    scoring_agent, ENR-116395, identity id MBR-014084, confidence 1, method probabilistic, matched record CLM-412456, policy version 1
  • 2026-10-19 19:54:38Record linked automatically76e1153889
    scoring_agent, CLM-412456, identity id MBR-014084, confidence 1, method probabilistic, matched record ENR-116395, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5fcfa8696a
    scoring_agent, ENR-116395, identity id MBR-014084, confidence 1, method probabilistic, matched record CLM-412456, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7e48bc938f
    scoring_agent, CLM-412456, identity id MBR-014084, confidence 1, method probabilistic, matched record ENR-116395, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9bcb6bc4b9
    scoring_agent, ENR-116395, identity id MBR-014084, confidence 1, method probabilistic, matched record CLM-412456, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd5b3d583b9
    scoring_agent, CLM-412456, identity id MBR-014084, confidence 1, method probabilistic, matched record ENR-116395, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9c6517c904
    scoring_agent, ENR-116395, identity id MBR-014084, confidence 1, method probabilistic, matched record CLM-412456, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye9ab5e2c44
    scoring_agent, CLM-412456, identity id MBR-014084, confidence 1, method probabilistic, matched record ENR-116395, policy version 1
  • 2026-10-19 19:32:31Record linked automatically572dcd6947
    scoring_agent, ENR-116395, identity id MBR-014084, confidence 1, method probabilistic, matched record CLM-412456, policy version 1
  • 2026-10-19 19:31:28Record linked automatically069134dccf
    scoring_agent, CLM-412456, identity id MBR-028927, confidence 1, method probabilistic, matched record TPA-55501, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye52f59d223
    matching_agent, ENR-116395, identity id MBR-008162, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412376

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0280932026-05-01Canyon Community Hospital
out of network
99285, 99283, 71046$3,473.00$1,212.85ApprovedApproved