Identities/MBR-014561

Gold, golden identity

Henry T Espinoza

7 source records from 3 feeds.

MBR-014561Verified7 records

Golden record

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

First namePRV: Henry
Middle namePRV: T
Last namePRV: Espinoza
Date of birthPRV: 1959-07-26
GenderPRV: M
Member IDCLM: UHC-08632-94
SSNPRV: •••-••-0232
PhoneCLM: 3546701432
EmailPRV: henry.espinoza23@outlook.com
AddressPRV: 1745 Church St
CityPRV: Austin
StatePRV: TX
ZIP—: —
GroupCLM: GRP-5548
Plan—: —

Min confidence

0.99

Sources

TPA ×2CLM ×4PRV ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-54359	TPA	2026-02-20	Henry Espinozaflagged	1959-07-26	UHC-08632-94	—	1745 Church St, Austin, TX	Scored	1.00	—
CLM-409965	CLM	2026-02-21	Henry Espinozaflagged	1959-07-26	—	3546701432	1745 Church St, Austin, TX	Scored	1.00	—
TPA-54358	TPA	2026-07-17	Herny Espinozaflagged	1959-07-26	—	3546701432	1745 Church St, Austin, TX	Scored	0.99	—
PRV-22901	PRV	2026-08-01	Henry Espinozaflagged	1959-07-26	—	—	1745 Church St, Austin, TX	Scored	1.00	—
CLM-409967	CLM	2026-08-12	Hnery Espinozaflagged	1959-07-26	—	—	1745 Church St, Austin, TX	Scored	0.99	—
CLM-409968	CLM	2026-08-12	Hnery Espinozaflagged	1959-07-26	—	—	1745 Church St, Austin, TX	Scored	0.99	—
CLM-409966	CLM	2026-10-12	Henry Espinozaflagged	1959-07-26	UHC-08632-94	3546701432	1745 Church St, Austin, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-54359TPACLM-409965 CLM1.00Scoredweighted 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

▶PRV-22901PRVCLM-409966CLM1.00Scoredweighted 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-409965 CLMTPA-54358TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54359TPATPA-54358TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54359TPACLM-409967CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409965 CLMCLM-409967CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54359TPACLM-409968CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409965 CLMCLM-409968CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54359TPACLM-409966CLM0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54358TPACLM-409967CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22901PRVCLM-409967CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54358TPACLM-409968CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22901PRVCLM-409968CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409967CLMCLM-409968CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54358TPAPRV-22901PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409965 CLMCLM-409966CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54358TPACLM-409966CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54359TPAPRV-22901PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409965 CLMPRV-22901PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409967CLMCLM-409966CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409968CLMCLM-409966CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409965 → UHC-08632-94 (Henry Espinoza)
ACT-003394, Claims processor
Orphan claim re-pointedExecuted
CLM-409967 → UHC-08632-94 (Henry Espinoza)
ACT-006655, Claims processor
Orphan claim re-pointedExecuted
CLM-409968 → UHC-08632-94 (Henry Espinoza)
ACT-008049, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye811d3d3a5
scoring_agent, CLM-409966, identity id MBR-014561, confidence 1, method probabilistic, matched record PRV-22901, policy version 1
2026-10-19 19:54:38Record linked automaticallye5ba8df0a7
scoring_agent, CLM-409968, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:54:38Record linked automaticallyd43d98ec7d
scoring_agent, CLM-409967, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:54:38Record linked automaticallybb0351d2f2
scoring_agent, PRV-22901, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409966, policy version 1
2026-10-19 19:54:38Record linked automaticallyce667fa0bb
scoring_agent, TPA-54358, identity id MBR-014561, confidence 0.99, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:54:38Record linked automatically007a6e2d4a
scoring_agent, CLM-409965, identity id MBR-014561, confidence 1, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:54:38Record linked automatically65d73a2478
scoring_agent, TPA-54359, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:52:09Record linked automatically4f46848c2c
scoring_agent, CLM-409966, identity id MBR-014561, confidence 1, method probabilistic, matched record PRV-22901, policy version 1
2026-10-19 19:52:09Record linked automatically223bc7802d
scoring_agent, CLM-409968, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:52:09Record linked automatically225514efbe
scoring_agent, CLM-409967, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:52:09Record linked automatically5b982e2d56
scoring_agent, PRV-22901, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409966, policy version 1
2026-10-19 19:52:09Record linked automatically8f8ed4f356
scoring_agent, TPA-54358, identity id MBR-014561, confidence 0.99, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:52:09Record linked automaticallyf00b56ea30
scoring_agent, CLM-409965, identity id MBR-014561, confidence 1, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:52:09Record linked automatically2816e769d3
scoring_agent, TPA-54359, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:45:42Record linked automaticallyb40b170957
scoring_agent, CLM-409966, identity id MBR-014561, confidence 1, method probabilistic, matched record PRV-22901, policy version 1
2026-10-19 19:45:42Record linked automatically4bd1ee7f30
scoring_agent, CLM-409968, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:45:42Record linked automatically7a7e7f01ca
scoring_agent, CLM-409967, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:45:42Record linked automatically8dd773634d
scoring_agent, PRV-22901, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409966, policy version 1
2026-10-19 19:45:42Record linked automatically37f414b1a1
scoring_agent, TPA-54358, identity id MBR-014561, confidence 0.99, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:45:42Record linked automaticallye9b4a667d5
scoring_agent, CLM-409965, identity id MBR-014561, confidence 1, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:45:42Record linked automaticallyc4cd836516
scoring_agent, TPA-54359, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:32:31Record linked automaticallyce010a36c5
scoring_agent, CLM-409966, identity id MBR-014561, confidence 1, method probabilistic, matched record PRV-22901, policy version 1
2026-10-19 19:32:31Record linked automatically9a21fd38f5
scoring_agent, CLM-409968, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:32:31Record linked automatically4e2471649d
scoring_agent, CLM-409967, identity id MBR-014561, confidence 0.99, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:32:31Record linked automaticallyadca68863c
scoring_agent, PRV-22901, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409966, policy version 1
2026-10-19 19:32:31Record linked automatically8e54cb3918
scoring_agent, TPA-54358, identity id MBR-014561, confidence 0.99, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:32:31Record linked automaticallya363e2e74d
scoring_agent, CLM-409965, identity id MBR-014561, confidence 1, method probabilistic, matched record TPA-54359, policy version 1
2026-10-19 19:32:31Record linked automatically568ff1c746
scoring_agent, TPA-54359, identity id MBR-014561, confidence 1, method probabilistic, matched record CLM-409965, policy version 1
2026-10-19 19:31:28Record linked automatically3e78c0739d
matching_agent, CLM-409966, identity id MBR-044197, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113176
2026-10-19 19:31:28Record linked automatically21367dda9f
scoring_agent, CLM-409968, identity id MBR-038962, confidence 1, method probabilistic, matched record CLM-409969, policy version 1
2026-10-19 19:31:28Record linked automaticallyad91cb182f
matching_agent, PRV-22901, identity id MBR-021579, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112890
2026-10-19 19:31:28Record linked automaticallybffa8570ab
scoring_agent, CLM-409965, identity id MBR-012970, confidence 1, method probabilistic, matched record PRV-22961, policy version 1
2026-10-19 19:31:28Record linked automaticallybc48430c35
scoring_agent, TPA-54358, identity id MBR-007656, confidence 1, method probabilistic, matched record ENR-112917, policy version 1
2026-10-19 19:31:28Record linked automaticallya3daed6dd5
matching_agent, TPA-54359, identity id MBR-005194, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112918
2026-10-19 19:31:28Record linked automaticallyc22b52fd31
matching_agent, CLM-409967, identity id MBR-003648, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113182

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-2026-002317	2026-09-21	Valley Medical Group in network	99214, 80053, 93000	$354.00	—	Needs review	Needs review
CLM-2026-025397	2026-08-10	Harbor Clinical Laboratories in network	87086, 85025	$119.00	$0.00	Approved	Approved
CLM-2026-020007	2026-06-29	Valley Community Hospital out of network	99285, 99283	$4,138.00	$1,612.10	Approved	Approved
CLM-2026-007750	2026-02-02	Evergreen Dermatology Clinic out of network	99213, 11403	$855.00	$334.75	Approved	Approved