Identities/MBR-017638

Gold, golden identity

Jesse X Hernandez

6 source records from 3 feeds.

MBR-017638Verified6 records

Golden record

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

First nameENR: Jesse
Middle nameENR: X
Last nameENR: Hernandez
Date of birthENR: 1989-02-19
GenderENR: F
Member IDENR: UHC-29195-03
SSNENR: •••-••-6140
PhoneENR: 7966025148
EmailENR: jesse.hernandez62@hotmail.com
AddressENR: 2786 Spring St # 613
CityENR: Fresno
StateENR: CA
ZIPENR: 93736
GroupENR: GRP-5518
PlanENR: SELECT-EPO

Min confidence

0.94

Sources

PRV ×1ENR ×2CLM ×3

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
PRV-21370	PRV	2026-03-05	Jesse Hernandezflagged	1989-02-19	—	7966025148	2786 Spring St, Fresno, CA	Scored	0.94	—
ENR-106227	ENR	2026-03-06	Jesse Hernandezflagged	1989-02-19	UHC-29195-03	7966025148	2786 Spring St, Fresno, CA	Scored	1.00	—
CLM-404729	CLM	2026-07-12	Jesse Hernandezflagged	1989-02-19	—	—	2786 Spring St, Fresno, CA	Scored	1.00	—
CLM-404727	CLM	2026-08-31	Jesse Hernandezflagged	1989-02-19	UHC-29195-03	7966025148	2786 Spring St, Fresno, CA	Scored	1.00	—
CLM-404728	CLM	2026-09-07	Jesse Hernandezflagged	1989-02-19	—	—	2786 Spring St, Fresno, CA	Scored	1.00	—
ENR-106228	ENR	2026-10-07	Jesse Hernandezflagged	1989-02-19	UHC-29195-03	7966025148	2786 Spring St # 613, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-404729CLMCLM-404727CLM1.00Scoredweighted 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-106227ENRCLM-404728CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404729CLMCLM-404728CLM1.00Scoredweighted 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-404727CLMCLM-404728CLM1.00Scoredweighted 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-106227ENRCLM-404729CLM1.00Scoredweighted 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-404729CLMENR-106228 ENR1.00Scoredweighted 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-404728CLMENR-106228 ENR1.00Scoredweighted 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-106227ENRCLM-404727CLM0.99RuleD1 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-106227ENRENR-106228 ENR0.99RuleD1 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

▶CLM-404727CLMENR-106228 ENR0.99RuleD1 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

▶PRV-21370PRVENR-106227ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21370PRVCLM-404727CLM0.94Scoredweighted 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

▶PRV-21370PRVCLM-404728CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21370PRVENR-106228 ENR0.94Scoredweighted 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

▶PRV-21370PRVCLM-404729CLM0.93Scoredweighted 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
Jesse Hernandez: 2 plan codes across sources → canonical SELECT-EPO
ACT-000747, Eligibility engine
Orphan claim re-pointedExecuted
CLM-404729 → UHC-29195-03 (Jesse Hernandez)
ACT-001747, Claims processor
Orphan claim re-pointedExecuted
CLM-404728 → UHC-29195-03 (Jesse Hernandez)
ACT-008932, Claims processor
Outreach address correctedProposed
Jesse Hernandez: 2786 Spring St, Fresno → 2786 Spring St # 613, Fresno
ACT-012076, Outreach
Duplicate member record retiredExecuted
Jesse Hernandez: 2 enrollment records collapsed into UHC-29195-03
ACT-024317, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybde38a3a1e
scoring_agent, ENR-106228, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:54:38Record linked automatically76255a3cd8
scoring_agent, CLM-404728, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:54:38Record linked automatically78583d4496
scoring_agent, CLM-404727, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:54:38Record linked automaticallyfd7bcd0fc7
scoring_agent, CLM-404729, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:54:38Record linked automatically9d2999c962
scoring_agent, ENR-106227, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:54:38Record linked automatically38e44dce0a
scoring_agent, PRV-21370, identity id MBR-017638, confidence 0.94, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:52:09Record linked automaticallye03eea59e2
scoring_agent, ENR-106228, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:52:09Record linked automatically9f96fb8038
scoring_agent, CLM-404728, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:52:09Record linked automaticallycc05e8637f
scoring_agent, CLM-404727, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:52:09Record linked automatically3f4bcde619
scoring_agent, CLM-404729, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:52:09Record linked automatically736bb0abf3
scoring_agent, ENR-106227, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:52:09Record linked automatically0d7a8c2ac8
scoring_agent, PRV-21370, identity id MBR-017638, confidence 0.94, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:45:42Record linked automatically19f8fe479c
scoring_agent, ENR-106228, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:45:42Record linked automatically027f78802c
scoring_agent, CLM-404728, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:45:42Record linked automaticallyb8c0d18336
scoring_agent, CLM-404727, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:45:42Record linked automaticallyc45b364145
scoring_agent, CLM-404729, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:45:42Record linked automaticallybdc31cd4f6
scoring_agent, ENR-106227, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:45:42Record linked automaticallye7c83ea53f
scoring_agent, PRV-21370, identity id MBR-017638, confidence 0.94, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:32:31Record linked automatically9f330d83c9
scoring_agent, ENR-106228, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:32:31Record linked automatically7c02620fbc
scoring_agent, CLM-404728, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:32:31Record linked automatically99e9f88515
scoring_agent, CLM-404727, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:32:31Record linked automaticallyd896042a72
scoring_agent, CLM-404729, identity id MBR-017638, confidence 1, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:32:31Record linked automatically6056b03e54
scoring_agent, ENR-106227, identity id MBR-017638, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:32:31Record linked automatically3885243b91
scoring_agent, PRV-21370, identity id MBR-017638, confidence 0.94, method probabilistic, matched record ENR-106227, policy version 1
2026-10-19 19:31:28Record linked automatically51504bcbe0
scoring_agent, PRV-21370, identity id MBR-025580, confidence 1, method probabilistic, matched record PRV-21369, policy version 1
2026-10-19 19:31:28Record linked automatically7d684a5edc
matching_agent, ENR-106227, identity id MBR-022527, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106226
2026-10-19 19:31:28Record linked automatically443dd56f80
scoring_agent, CLM-404729, identity id MBR-015210, confidence 1, method probabilistic, matched record CLM-404728, policy version 1
2026-10-19 19:31:28Record linked automatically1a5edc4cdc
scoring_agent, CLM-404728, identity id MBR-015210, confidence 1, method probabilistic, matched record CLM-404729, policy version 1
2026-10-19 19:31:28Record linked automatically10656cb7df
scoring_agent, CLM-404727, identity id MBR-015210, confidence 0.93, method probabilistic, matched record CLM-404728, 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-2026-028735	2026-09-03	Lakeside Imaging Center in network	70553	$2,360.00	—	Denied	Denied
CLM-2026-014139	2026-08-29	Northgate Counseling Center in network	90837	$291.00	—	Denied	Denied
CLM-2026-001618	2026-06-07	Unity Primary Care Associates in network	99214, 99203	$458.00	$243.96	Approved	Approved