Identities/MBR-017340

Gold, golden identity

Melissa D Cruz

6 source records from 2 feeds.

MBR-017340Verified6 records

Golden record

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

First nameENR: Melissa
Middle nameENR: D
Last nameENR: Cruz
Date of birthENR: 1996-09-15
GenderENR: M
Member IDENR: UHC-43441-53
SSNENR: •••-••-4195
PhoneENR: 7224673408
EmailENR: melissa.cruz@gmail.com
AddressENR: 8804 Mesa Dr
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85249
GroupENR: GRP-8548
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×4ENR ×2

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
CLM-401451	CLM	2026-03-04	Melissa Cruzflagged	1996-09-15	—	7224673408	8804 Mesa Dr, Gilbert, AZ	Scored	1.00	—
ENR-101870	ENR	2026-07-13	Melissa Cruzflagged	1996-09-15	UHC-43441-53	7224673408	8804 Mesa Dr, Gilbert, AZ	Scored	1.00	—
CLM-401449	CLM	2026-08-08	Melissa Cruzflagged	1996-09-15	UHC-43441-53	7224673408	8804 Mesa Dr, Gilbert, AZ	Scored	1.00	—
ENR-101871	ENR	2026-08-21	Melissa Cruzflagged	1996-09-15	UHC-43441-53	7224673408	8804 Mesa Dr, Gilbert, AZ	Rule	0.99	D1 member id + dob exact
CLM-401448	CLM	2026-09-03	Melissa Cruzflagged	1996-09-15	UHC-43441-53	—	8804 Mesa Dr, Gilbert, AZ	Scored	1.00	—
CLM-401450	CLM	2026-09-23	Melissa Cruzflagged	1996-09-15	—	—	8804 Mesa Dr, Gilbert, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-401451CLMCLM-401448CLM1.00Scoredweighted 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-401451CLMCLM-401449CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401451CLMCLM-401450CLM1.00Scoredweighted 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

▶ENR-101870ENRCLM-401450CLM1.00Scoredweighted 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-401449CLMCLM-401450CLM1.00Scoredweighted 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-401448CLMCLM-401450CLM1.00Scoredweighted 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-401451CLMENR-101870ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-101870ENRCLM-401448CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401449CLMCLM-401448CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-101871ENRCLM-401448CLM0.99RuleD1 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

▶ENR-101870ENRCLM-401449CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-101870ENRENR-101871ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-401449CLMENR-101871ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-401451CLMENR-101871ENR0.94Scoredweighted 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

▶ENR-101871ENRCLM-401450CLM0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Melissa Cruz: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000735, Eligibility engine
Orphan claim re-pointedExecuted
CLM-401450 → UHC-43441-53 (Melissa Cruz)
ACT-004449, Claims processor
Orphan claim re-pointedExecuted
CLM-401451 → UHC-43441-53 (Melissa Cruz)
ACT-007244, Claims processor
Care coordination outreachProposed
Melissa Cruz: 4 claims, no attributed provider
ACT-018954, Next-best-action
Duplicate member record retiredExecuted
Melissa Cruz: 2 enrollment records collapsed into UHC-43441-53
ACT-024264, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya55c36d20e
scoring_agent, CLM-401450, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:54:38Record linked automatically1c13e866d6
scoring_agent, CLM-401448, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0f81d788f
matching_agent, ENR-101871, identity id MBR-017340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101870
2026-10-19 19:54:38Record linked automatically8b71a0233c
scoring_agent, CLM-401449, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:54:38Record linked automatically4217678010
scoring_agent, ENR-101870, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:54:38Record linked automatically2319ce2dc4
scoring_agent, CLM-401451, identity id MBR-017340, confidence 1, method probabilistic, matched record ENR-101870, policy version 1
2026-10-19 19:52:09Record linked automaticallyb7b9758d96
scoring_agent, CLM-401450, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:52:09Record linked automatically1529784f0c
scoring_agent, CLM-401448, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:52:09Record linked automaticallyf015812404
matching_agent, ENR-101871, identity id MBR-017340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101870
2026-10-19 19:52:09Record linked automaticallybabe5ee482
scoring_agent, CLM-401449, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:52:09Record linked automatically41cebd132b
scoring_agent, ENR-101870, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:52:09Record linked automatically878377fc2f
scoring_agent, CLM-401451, identity id MBR-017340, confidence 1, method probabilistic, matched record ENR-101870, policy version 1
2026-10-19 19:45:42Record linked automaticallyf574a3f88d
scoring_agent, CLM-401450, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:45:42Record linked automatically7edb223efa
scoring_agent, CLM-401448, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:45:42Record linked automatically3131968309
matching_agent, ENR-101871, identity id MBR-017340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101870
2026-10-19 19:45:42Record linked automatically2791d6cc4e
scoring_agent, CLM-401449, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:45:42Record linked automatically577783282a
scoring_agent, ENR-101870, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:45:42Record linked automaticallybe02e2ed1b
scoring_agent, CLM-401451, identity id MBR-017340, confidence 1, method probabilistic, matched record ENR-101870, policy version 1
2026-10-19 19:32:31Record linked automatically788c239983
scoring_agent, CLM-401450, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:32:31Record linked automaticallyd8e6bd8b8a
scoring_agent, CLM-401448, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:32:31Record linked automatically4504615a6c
matching_agent, ENR-101871, identity id MBR-017340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101870
2026-10-19 19:32:31Record linked automatically502ce84fa4
scoring_agent, CLM-401449, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:32:31Record linked automatically435e7d008b
scoring_agent, ENR-101870, identity id MBR-017340, confidence 1, method probabilistic, matched record CLM-401451, policy version 1
2026-10-19 19:32:31Record linked automatically6503225d87
scoring_agent, CLM-401451, identity id MBR-017340, confidence 1, method probabilistic, matched record ENR-101870, policy version 1
2026-10-19 19:31:28Record linked automatically264dd03a51
scoring_agent, CLM-401448, identity id MBR-040178, confidence 1, method probabilistic, matched record PRV-20448, policy version 1
2026-10-19 19:31:28Record linked automaticallyb18b0d76c4
scoring_agent, CLM-401451, identity id MBR-025227, confidence 0.99, method probabilistic, matched record ENR-101951, policy version 1
2026-10-19 19:31:28Record linked automaticallya7f27dafe1
matching_agent, CLM-401450, identity id MBR-019016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101950
2026-10-19 19:31:28Record linked automaticallybddf5609c7
scoring_agent, CLM-401449, identity id MBR-001095, confidence 1, method probabilistic, matched record PRV-20451, 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-2026-011882	2026-09-19	Riverside Primary Care Associates in network	99213	$140.00	$66.80	Approved	Approved
CLM-2026-005626	2026-08-06	Heritage Community Hospital in network	96374	$218.00	$0.00	Approved	Approved
CLM-2026-028503	2026-07-12	Mesa Medical Group in network	70553	$3,132.00	—	Needs review	Needs review
CLM-2026-022346	2026-01-31	Valley Primary Care Associates in network	90471, 36415	$55.00	$14.10	Approved	Approved