Identities/MBR-014882
Gold, golden identity

Jeffrey Q Mendoza

4 source records from 3 feeds.

MBR-014882Verified4 records

Golden record

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

First namePRV
Jeffrey
Middle namePRV
Q
Last nameCLM
Mendoza
Date of birthPRV
1965-08-12
GenderPRV
F
Member IDPRV
UHC-92808-15
SSNCLM
•••-••-3320
PhonePRV
6374715196
EmailPRV
jeffrey.mendoza66@outlook.com
AddressPRV
3159 Canyon Rd
CityPRV
Dallas
StatePRV
TX
ZIPPRV
75221
GroupCLM
GRP-1549
PlanPRV
NAVIGATE-HMO
Min confidence
0.96
Sources
PRV ×1CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.961.00PRVPRV-24988CLMCLM-416855TPATPA-57428CLMCLM-416854IDMBR-014882
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
PRV-24988PRV2026-02-21Jeffrey Mendzoaflagged1965-08-12UHC-92808-1563747151963159 Canyon Rd, Dallas, TXScored0.99—
CLM-416855CLM2026-06-03Jeff Mendozaflagged1965-08-12——3159 Canyon Rd, Dallas, TXScored1.00—
TPA-57428TPA2026-08-01Jeffrey Mendozaflagged—UHC-92808-1563747151969882 Washington St, Tucson, AZRule0.96D3 member id + name
CLM-416854CLM2026-08-15Jeffrey Mendozaflagged1965-08-12—63747151963159 Canyon Rd, Dallas, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416855CLMCLM-416854CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-24988PRVCLM-416854CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-24988PRVCLM-416855CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-24988PRVTPA-57428TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57428TPACLM-416854CLM0.69Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Jeffrey Mendoza: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000640, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-416854 → UHC-92808-15 (Jeffrey Mendoza)
    ACT-001374, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416855 → UHC-92808-15 (Jeffrey Mendoza)
    ACT-002845, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya4d76f38d3
    scoring_agent, CLM-416854, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416855, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyee9ed209f0
    matching_agent, TPA-57428, identity id MBR-014882, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24988
  • 2026-10-19 19:54:38Record linked automatically9d38894f64
    scoring_agent, CLM-416855, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb0c41c70af
    scoring_agent, PRV-24988, identity id MBR-014882, confidence 0.99, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5f07a62486
    scoring_agent, CLM-416854, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416855, policy version 1
  • 2026-10-19 19:52:09Record linked automatically40141fb9ca
    matching_agent, TPA-57428, identity id MBR-014882, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24988
  • 2026-10-19 19:52:09Record linked automatically0dfaf56bd6
    scoring_agent, CLM-416855, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:52:09Record linked automatically13720d0851
    scoring_agent, PRV-24988, identity id MBR-014882, confidence 0.99, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5b0d78d2d4
    scoring_agent, CLM-416854, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416855, policy version 1
  • 2026-10-19 19:45:42Record linked automatically03c632a028
    matching_agent, TPA-57428, identity id MBR-014882, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24988
  • 2026-10-19 19:45:42Record linked automatically8ef71f5391
    scoring_agent, CLM-416855, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:45:42Record linked automatically63fe75ba29
    scoring_agent, PRV-24988, identity id MBR-014882, confidence 0.99, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya90af53e70
    scoring_agent, CLM-416854, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416855, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybb37cdfefb
    matching_agent, TPA-57428, identity id MBR-014882, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24988
  • 2026-10-19 19:32:31Record linked automaticallyb55abf03d9
    scoring_agent, CLM-416855, identity id MBR-014882, confidence 1, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8141a3b9bc
    scoring_agent, PRV-24988, identity id MBR-014882, confidence 0.99, method probabilistic, matched record CLM-416854, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd7dd7d0175
    matching_agent, CLM-416855, identity id MBR-028639, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122039
  • 2026-10-19 19:31:28Record linked automatically44a374839a
    scoring_agent, PRV-24988, identity id MBR-019034, confidence 1, method probabilistic, matched record CLM-417046, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc9cd6bbdeb
    matching_agent, CLM-416854, identity id MBR-010819, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122037
  • 2026-10-19 19:31:28Record linked automatically60b67485cb
    scoring_agent, TPA-57428, identity id MBR-007772, confidence 0.85, method probabilistic, matched record CLM-417024, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0001412026-07-15Unity Community Hospital
in network
99284$1,103.00$356.65ApprovedApproved
CLM-2026-0057052026-05-21Lakeside Physical Therapy
in network
97110, 97014$210.00$90.20ApprovedApproved