Identities/MBR-014172
Gold, golden identity

Susan X Cruz

5 source records from 3 feeds.

MBR-014172Verified5 records

Golden record

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

First nameENR
Susan
Middle nameENR
X
Last nameENR
Cruz
Date of birthENR
1999-02-13
GenderENR
F
Member IDENR
UHC-91616-29
SSNENR
•••-••-2651
PhoneENR
8619654207
EmailENR
susan.cruz@yahoo.com
AddressENR
9775 Cedar Ln
CityENR
Atlanta
StateENR
GA
ZIPENR
30338
GroupENR
GRP-2877
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×2PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.001.00CLMCLM-406328ENRENR-108303ENRENR-108304PRVPRV-21850CLMCLM-406329IDMBR-014172
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-406328CLM2026-02-19Sue Cruzflagged1999-02-13UHC-91616-2986196542079775 Cedar Ln, Atlanta, GAScored1.00—
ENR-108303ENR2026-03-26Susan Crzuflagged1999-02-13UHC-91616-2986196542079775 Cedar Ln, Atlanta, GARule0.99D1 member id + dob exact
ENR-108304ENR2026-05-26Susan Cruzflagged1999-02-13UHC-91616-2986196542079775 Cedar Ln, Atlanta, GAScored1.00—
PRV-21850PRV2026-07-18Susan Cruzflagged1999-02-13UHC-91616-2986196542079775 Cedar Ln, Atlanta, GAScored1.00—
CLM-406329CLM2026-09-16Susan Cruzflagged1999-02-13—86196542079775 Cedar Ln, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-406328CLMCLM-406329CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-108304ENR CLM-406329CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-21850PRVCLM-406329CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-406328CLMENR-108303ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-406328CLMENR-108304ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-108303ENR ENR-108304ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-406328CLMPRV-21850PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-108303ENR PRV-21850PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-108304ENR PRV-21850PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-108303ENR CLM-406329CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-406329 → UHC-91616-29 (Susan Cruz)
    ACT-002690, Claims processor
  • Duplicate member record retiredExecuted
    Susan Cruz: 2 enrollment records collapsed into UHC-91616-29
    ACT-023821, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybe72dcd8d1
    scoring_agent, CLM-406329, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406328, policy version 1
  • 2026-10-19 19:54:38Record linked automatically10df0f46c1
    scoring_agent, PRV-21850, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye727aad31c
    scoring_agent, ENR-108304, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6c95385940
    matching_agent, ENR-108303, identity id MBR-014172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406328
  • 2026-10-19 19:54:38Record linked automatically0f3fe317cf
    scoring_agent, CLM-406328, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybf019d102c
    scoring_agent, CLM-406329, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406328, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8cb705ace7
    scoring_agent, PRV-21850, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2504c12fe6
    scoring_agent, ENR-108304, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye54495067f
    matching_agent, ENR-108303, identity id MBR-014172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406328
  • 2026-10-19 19:52:09Record linked automatically0300587ef1
    scoring_agent, CLM-406328, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd94bc4deb9
    scoring_agent, CLM-406329, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406328, policy version 1
  • 2026-10-19 19:45:42Record linked automatically50db641175
    scoring_agent, PRV-21850, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0627a70328
    scoring_agent, ENR-108304, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2535745152
    matching_agent, ENR-108303, identity id MBR-014172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406328
  • 2026-10-19 19:45:42Record linked automatically238477ad94
    scoring_agent, CLM-406328, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:32:31Record linked automatically74701b692e
    scoring_agent, CLM-406329, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406328, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd88f9f5390
    scoring_agent, PRV-21850, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:32:31Record linked automatically50b5b31c12
    scoring_agent, ENR-108304, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:32:31Record linked automatically946a49296d
    matching_agent, ENR-108303, identity id MBR-014172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406328
  • 2026-10-19 19:32:31Record linked automatically727e339407
    scoring_agent, CLM-406328, identity id MBR-014172, confidence 1, method probabilistic, matched record CLM-406329, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc5b6a28c2f
    scoring_agent, CLM-406329, identity id MBR-000725, confidence 1, method probabilistic, matched record PRV-21895, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8f6ebdd687
    scoring_agent, CLM-406328, identity id MBR-000725, confidence 1, method probabilistic, matched record PRV-21895, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0051132026-08-16Unity Community Hospital
in network
99283, 71046, 99285$3,295.00$1,562.25ApprovedApproved
CLM-2026-0254122026-02-09Northgate Dermatology Clinic
in network
11102$245.00$101.90ApprovedApproved