Identities/MBR-016509
Gold, golden identity

Paul Lopez

4 source records from 3 feeds.

MBR-016509Verified4 records

Golden record

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

First nameENR
Paul
Middle name—
—
Last nameENR
Lopez
Date of birthENR
1966-05-01
GenderENR
M
Member IDENR
UHC-40853-63
SSNCLM
•••-••-8980
PhoneENR
3739226087
EmailPRV
paul.lopez@gmail.com
AddressENR
4018 Ridge Rd
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85290
GroupENR
GRP-2625
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×2PRV ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.960.990.99CLMCLM-401859PRVPRV-20551CLMCLM-401860ENRENR-102412IDMBR-016509
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-401859CLM2026-02-28Paul Lopezflagged1966-05-01UHC-40853-63—4018 Ridge Rd, Scottsdale, AZRule0.99D1 member id + dob exact
PRV-20551PRV2026-03-05Pauul Lopezflagged—UHC-40853-6337392260874018 Ridge Rd, Scottsdale, AZRule0.96D3 member id + name
CLM-401860CLM2026-04-21Paul Lpoezflagged1966-05-01UHC-40853-63—4018 Ridge Rd, Scottsdale, AZRule0.99D1 member id + dob exact
ENR-102412ENR2026-04-29Paul Lopezflagged1966-05-01UHC-40853-6337392260874018 Ridge Rd, Scottsdale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401859CLMCLM-401860CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401859CLMENR-102412ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401860CLMENR-102412ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-20551PRVCLM-401860CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-20551PRVENR-102412ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-401859CLMPRV-20551PRV0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically558c1ccf42
    matching_agent, ENR-102412, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:54:38Record linked automaticallycc4718d6bc
    matching_agent, CLM-401860, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:54:38Record linked automatically0a41aacc06
    matching_agent, PRV-20551, identity id MBR-016509, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-401859
  • 2026-10-19 19:54:38Record linked automatically550071da78
    matching_agent, CLM-401859, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401860
  • 2026-10-19 19:52:09Record linked automatically97b34626cb
    matching_agent, ENR-102412, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:52:09Record linked automaticallyb57fc054e4
    matching_agent, CLM-401860, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:52:09Record linked automatically173943b8d1
    matching_agent, PRV-20551, identity id MBR-016509, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-401859
  • 2026-10-19 19:52:09Record linked automatically81ac5e1656
    matching_agent, CLM-401859, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401860
  • 2026-10-19 19:45:42Record linked automatically695d0d42e1
    matching_agent, ENR-102412, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:45:42Record linked automatically3a86f9cec4
    matching_agent, CLM-401860, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:45:42Record linked automatically3b898179d0
    matching_agent, PRV-20551, identity id MBR-016509, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-401859
  • 2026-10-19 19:45:42Record linked automatically3232cd85db
    matching_agent, CLM-401859, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401860
  • 2026-10-19 19:32:31Record linked automaticallyddbbbc405a
    matching_agent, ENR-102412, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:32:31Record linked automatically68973651f5
    matching_agent, CLM-401860, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401859
  • 2026-10-19 19:32:31Record linked automatically3e096d3b64
    matching_agent, PRV-20551, identity id MBR-016509, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-401859
  • 2026-10-19 19:32:31Record linked automaticallybff224e13d
    matching_agent, CLM-401859, identity id MBR-016509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401860
  • 2026-10-19 19:31:28Record linked automaticallyf051f0b67c
    matching_agent, CLM-401860, identity id MBR-038364, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401862
  • 2026-10-19 19:31:28Record linked automaticallyd9de27f375
    scoring_agent, PRV-20551, identity id MBR-024425, confidence 1, method probabilistic, matched record PRV-20552, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2e7be182e8
    matching_agent, ENR-102412, identity id MBR-018815, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401856
  • 2026-10-19 19:31:28Record linked automaticallyc07c28df84
    matching_agent, CLM-401859, identity id MBR-008426, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102421

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0197982026-03-27Harbor Bone and Joint Center
in network
27447$42,813.00—DeniedDenied
CLM-2026-0197972026-03-27Harbor Bone and Joint Center
in network
27447$42,813.00—Needs reviewNeeds review
CLM-2026-0061472026-01-14Heritage Clinical Laboratories
in network
80061$76.00$0.00ApprovedApproved