Identities/MBR-017506
Gold, golden identity

Sharon K Mendoza

5 source records from 2 feeds.

MBR-017506Verified5 records

Golden record

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

First nameCLM
Sharon
Middle nameCLM
K
Last nameCLM
Mendoza
Date of birthCLM
1971-11-23
GenderCLM
F
Member IDCLM
UHC-45600-90
SSNCLM
•••-••-7186
PhoneCLM
7394275559
EmailCLM
sharon.mendoza@outlook.com
AddressCLM
8627 Willow Ct # 322
CityCLM
Jacksonville
StateCLM
FL
ZIPCLM
32294
GroupCLM
GRP-2183
PlanCLM
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3TPA ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.000.99CLMCLM-418251CLMCLM-418250TPATPA-58055TPATPA-58054CLMCLM-418252IDMBR-017506
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-418251CLM2026-03-05Sharon Mendozaflagged1971-11-23UHC-45600-9073942755598627 Willow Ct, Jacksonville, FLScored1.00—
CLM-418250CLM2026-06-03Sharon Mendozaflagged1971-11-23—7394275559—Scored1.00—
TPA-58055TPA2026-06-11Sharon Mendozaflagged1971-11-23——8627 Willow Ct, Jacksonville, FLScored1.00—
TPA-58054TPA2026-08-05Sharon Mendozaflagged1971-11-23——8627 Willow Ct, Jacksonville, FLScored1.00—
CLM-418252CLM2026-08-07Sharon Mendoazflagged1971-11-23UHC-45600-9073942755598627 Willow Ct # 322, Jacksonville, FLScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-418251CLMCLM-418250CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418251CLMTPA-58054 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-58055 TPATPA-58054 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418251CLMTPA-58055 TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58055 TPACLM-418252CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-58054 TPACLM-418252CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418250CLMCLM-418252CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418251CLMCLM-418252CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-418250CLMTPA-58054 TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-418250CLMTPA-58055 TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-418250 → UHC-45600-90 (Sharon Mendoza)
    ACT-005951, Claims processor
  • Care coordination outreachProposed
    Sharon Mendoza: 3 claims, no attributed provider
    ACT-018961, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically305d436d38
    scoring_agent, CLM-418252, identity id MBR-017506, confidence 0.99, method probabilistic, matched record TPA-58055, policy version 1
  • 2026-10-22 12:43:54Record linked automatically113172c8d9
    scoring_agent, TPA-58054, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2ea6ede1fe
    scoring_agent, TPA-58055, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-22 12:43:54Record linked automatically0688a351b0
    scoring_agent, CLM-418250, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyc624aa7a6b
    scoring_agent, CLM-418251, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418250, policy version 1
  • 2026-10-19 19:54:38Record linked automatically664f2780b7
    scoring_agent, CLM-418252, identity id MBR-017506, confidence 0.99, method probabilistic, matched record TPA-58055, policy version 1
  • 2026-10-19 19:54:38Record linked automatically052844c392
    scoring_agent, TPA-58054, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyacb47e56e3
    scoring_agent, TPA-58055, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7321ce7ace
    scoring_agent, CLM-418250, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybfdc999f2b
    scoring_agent, CLM-418251, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418250, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0c77f7f4b3
    scoring_agent, CLM-418252, identity id MBR-017506, confidence 0.99, method probabilistic, matched record TPA-58055, policy version 1
  • 2026-10-19 19:52:09Record linked automatically89ef45fb76
    scoring_agent, TPA-58054, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:52:09Record linked automatically234af0e499
    scoring_agent, TPA-58055, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:52:09Record linked automatically41e2c831de
    scoring_agent, CLM-418250, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:52:09Record linked automatically41b5631498
    scoring_agent, CLM-418251, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418250, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd1d041e05f
    scoring_agent, CLM-418252, identity id MBR-017506, confidence 0.99, method probabilistic, matched record TPA-58055, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2257b69c30
    scoring_agent, TPA-58054, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyccf4241214
    scoring_agent, TPA-58055, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc86b13894b
    scoring_agent, CLM-418250, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydc072f79ee
    scoring_agent, CLM-418251, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418250, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd21d2ee8ce
    scoring_agent, CLM-418252, identity id MBR-017506, confidence 0.99, method probabilistic, matched record TPA-58055, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4d321b81d9
    scoring_agent, TPA-58054, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyafbf5f372e
    scoring_agent, TPA-58055, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyce1436af27
    scoring_agent, CLM-418250, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418251, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydf6c35c372
    scoring_agent, CLM-418251, identity id MBR-017506, confidence 1, method probabilistic, matched record CLM-418250, policy version 1
  • 2026-10-19 19:31:28Record linked automatically095e910614
    scoring_agent, TPA-58055, identity id MBR-013963, confidence 1, method probabilistic, matched record ENR-124115, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyae98d1b396
    scoring_agent, CLM-418252, identity id MBR-008290, confidence 1, method probabilistic, matched record ENR-123901, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0827d58eb1
    scoring_agent, CLM-418250, identity id MBR-008290, confidence 1, method probabilistic, matched record CLM-418252, policy version 1
  • 2026-10-19 19:31:28Record linked automatically75afa894d9
    scoring_agent, CLM-418251, identity id MBR-008290, confidence 1, method probabilistic, matched record ENR-123901, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0077312026-08-01Unity Reference Lab
in network
83036, 87086$148.00$0.00ApprovedApproved
CLM-2026-0173382026-04-26Desert Primary Care Associates
in network
70553$2,078.00—Needs reviewNeeds review
CLM-2026-0273282026-02-21Mesa Imaging Center
out of network
71046, 74177$2,262.00—Needs reviewNeeds review