Jose X James

3 source records from 3 feeds.

MBR-015004Verified3 records

Golden record

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

First nameCLM: Jose
Middle nameENR: X
Last nameENR: James
Date of birthENR: 1982-09-26
GenderCLM: F
Member IDENR: UHC-28641-73
SSNENR: •••-••-2901
PhoneENR: 7279956876
Email—: —
AddressENR: 8293 Maple Ave
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85297
GroupENR: GRP-4797
PlanENR: MEDICARE-ADV-B

Min confidence

0.97

Sources

ENR ×1TPA ×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

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
ENR-120773	ENR	2026-02-22	Joes Jamesflagged	1982-09-26	UHC-28641-73	7279956876	8293 Maple Ave, Gilbert, AZ	Rule	0.97	D2 ssn4 + dob + last name
TPA-56911	TPA	2026-05-14	Jose Jamesflagged	1982-09-26	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-415781	CLM	2026-09-01	Jose Jamesflagged	1982-09-26	—	7279956876	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶ENR-120773ENRCLM-415781CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-56911TPACLM-415781CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-120773ENRTPA-56911TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415781 → UHC-28641-73 (Jose James)
ACT-010132, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically7eecc1465c
matching_agent, CLM-415781, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-22 12:43:54Record linked automatically9fd1554957
matching_agent, TPA-56911, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-22 12:43:54Record linked automatically0e628ac1a4
matching_agent, ENR-120773, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56911
2026-10-19 19:54:38Record linked automatically33f975edad
matching_agent, CLM-415781, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:54:38Record linked automatically0351b317a8
matching_agent, TPA-56911, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:54:38Record linked automatically14ee4dbcb0
matching_agent, ENR-120773, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56911
2026-10-19 19:52:09Record linked automaticallyc2d2065b40
matching_agent, CLM-415781, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:52:09Record linked automatically5242d8704e
matching_agent, TPA-56911, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:52:09Record linked automatically64dee9fb9c
matching_agent, ENR-120773, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56911
2026-10-19 19:45:42Record linked automatically7cb33c42d4
matching_agent, CLM-415781, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:45:42Record linked automatically20ac4788e6
matching_agent, TPA-56911, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:45:42Record linked automaticallyce278709f0
matching_agent, ENR-120773, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56911
2026-10-19 19:32:31Record linked automatically957a8067de
matching_agent, CLM-415781, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:32:31Record linked automatically13a77b2513
matching_agent, TPA-56911, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120773
2026-10-19 19:32:31Record linked automatically5f67be6392
matching_agent, ENR-120773, identity id MBR-015004, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56911
2026-10-19 19:31:28Record linked automatically4331b8e751
scoring_agent, CLM-415781, identity id MBR-034945, confidence 1, method probabilistic, matched record CLM-415780, policy version 1
2026-10-19 19:31:28Record linked automatically6a633cfd1e
scoring_agent, TPA-56911, identity id MBR-018775, confidence 1, method probabilistic, matched record CLM-415920, policy version 1

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-2026-033449	2026-08-14	Northgate Internal Medicine Associates in network	99232	$252.00	$0.00	Approved	Approved