Identities/MBR-015043
Gold, golden identity

David Q Hernandez

5 source records from 2 feeds.

MBR-015043Verified5 recordsOpen steward case

Golden record

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

First nameENR
David
Middle nameCLM
Q
Last nameENR
Hernandez
Date of birthENR
1970-11-07
GenderENR
M
Member IDENR
UHC-97769-98
SSNENR
•••-••-9794
PhoneENR
3464483781
Email—
—
AddressENR
5149 Bayshore Dr
CityENR
Columbus
StateENR
OH
ZIPENR
43208
GroupENR
GRP-2545
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.990.99CLMCLM-428376CLMCLM-428374ENRENR-137223CLMCLM-428375CLMCLM-428377IDMBR-015043
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-428376CLM2026-02-22David Hernandezflagged1970-11-07——5149 Bayshore Dr, Columbus, OHRule0.97D2 ssn4 + dob + last name
CLM-428374CLM2026-03-08David Hernandezflagged1970-11-07UHC-97769-98—1707 Lake View Rd, Eden Prairie, MNRule0.99D1 member id + dob exact
ENR-137223ENR2026-03-27David Hernandezflagged1970-11-07UHC-97769-9834644837815149 Bayshore Dr, Columbus, OHRule0.99D1 member id + dob exact
CLM-428375CLM2026-04-26David Hernandezflagged1970-11-07UHC-97769-98—5149 Bayshore Dr, Columbus, OHRule0.99D1 member id + dob exact
CLM-428377CLM2026-08-04David Hernandezflagged1970-11-07UHC-97769-98—5149 Bayshore Dr, Columbus, OHRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428374CLMCLM-428375CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-137223ENRCLM-428375CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428374CLMCLM-428377CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-137223ENRCLM-428377CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428375CLMCLM-428377CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428374CLMENR-137223ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428376 CLMCLM-428375CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428376 CLMCLM-428377CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428376 CLMENR-137223ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428376 CLMCLM-428374CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428376 → UHC-97769-98 (David Hernandez)
    ACT-007874, Claims processor
  • Care coordination outreachProposed
    David Hernandez: 4 claims, no attributed provider
    ACT-018829, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb74b0ade26
    matching_agent, CLM-428377, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:54:38Record linked automatically2d07b558df
    matching_agent, CLM-428375, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:54:38Record linked automatically723462e0d8
    matching_agent, ENR-137223, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:54:38Record linked automatically7446f38cff
    matching_agent, CLM-428374, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137223
  • 2026-10-19 19:54:38Record linked automatically838cc47d12
    matching_agent, CLM-428376, identity id MBR-015043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137223
  • 2026-10-19 19:52:09Record linked automatically27871ab4b5
    matching_agent, CLM-428377, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:52:09Record linked automaticallyd8d08263f7
    matching_agent, CLM-428375, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:52:09Record linked automatically29ed3736ee
    matching_agent, ENR-137223, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:52:09Record linked automatically02fed49323
    matching_agent, CLM-428374, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137223
  • 2026-10-19 19:52:09Record linked automatically1b6368fbda
    matching_agent, CLM-428376, identity id MBR-015043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137223
  • 2026-10-19 19:45:42Record linked automatically59658edbee
    matching_agent, CLM-428377, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:45:42Record linked automatically30f38fff26
    matching_agent, CLM-428375, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:45:42Record linked automatically2a25e17190
    matching_agent, ENR-137223, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:45:42Record linked automatically9abc9b7d7f
    matching_agent, CLM-428374, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137223
  • 2026-10-19 19:45:42Record linked automaticallyfae8360f3f
    matching_agent, CLM-428376, identity id MBR-015043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137223
  • 2026-10-19 19:32:31Record linked automaticallye48f1a1fee
    matching_agent, CLM-428377, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:32:31Record linked automaticallyc243b9a8be
    matching_agent, CLM-428375, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:32:31Record linked automaticallyd3cdb94d71
    matching_agent, ENR-137223, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428374
  • 2026-10-19 19:32:31Record linked automatically0ab8ca51f5
    matching_agent, CLM-428374, identity id MBR-015043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137223
  • 2026-10-19 19:32:31Record linked automatically84fa81d045
    matching_agent, CLM-428376, identity id MBR-015043, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137223
  • 2026-10-19 19:31:28Record linked automaticallya3c96447f4
    scoring_agent, CLM-428377, identity id MBR-026734, confidence 1, method probabilistic, matched record PRV-28310, policy version 1
  • 2026-10-19 19:31:28Record linked automatically36dfce6091
    matching_agent, CLM-428374, identity id MBR-018994, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137473
  • 2026-10-19 19:31:28Record linked automaticallya050814e65
    matching_agent, CLM-428375, identity id MBR-018994, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137473
  • 2026-10-19 19:31:28Record linked automaticallyd48cf49cfa
    matching_agent, CLM-428376, identity id MBR-011867, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-137474
  • 2026-10-19 19:31:28Record linked automaticallyca64dfb9a6
    matching_agent, ENR-137223, identity id MBR-003146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137222

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0262612026-07-13Harbor Clinical Laboratories
in network
83036$54.00$0.00ApprovedApproved
CLM-2026-0324812026-03-31Riverside Digestive Health Center
in network
43239, 45378$3,581.00$1,131.00ApprovedApproved
CLM-2026-0119032026-03-06Cornerstone Diabetes Center
in network
83036, 99214$290.00$155.62ApprovedApproved
CLM-2026-0247552026-02-02Canyon Reference Lab
out of network
83036, 80061$98.00$0.00ApprovedApproved