Angela E Espinoza

4 source records from 1 feed.

MBR-017663Verified4 recordsOpen steward case

Golden record

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

First nameCLM: Angela
Middle nameCLM: E
Last nameCLM: Espinoza
Date of birthCLM: 1979-07-09
GenderCLM: F
Member IDCLM: UHC-96990-15
SSNCLM: •••-••-4174
PhoneCLM: 2506932916
EmailCLM: angela.espinoza@gmail.com
AddressCLM: 6531 Ocean Ave
CityCLM: Fresno
StateCLM: CA
ZIPCLM: 93743
GroupCLM: GRP-5088
PlanCLM: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×4

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-400236	CLM	2026-03-05	Angela Espinozaflagged	1979-07-09	—	2506932916	—	Scored	0.99	—
CLM-400235	CLM	2026-03-14	Angela Espinozaflagged	1979-07-09	UHC-96990-15	—	6531 Ocean Ave, Fresno, CA	Scored	0.99	—
CLM-400237	CLM	2026-04-20	Angela Espinoozaflagged	1979-07-09	—	2506932916	6531 Ocean Ave, Fresno, CA	Scored	0.99	—
CLM-400234	CLM	2026-08-20	Espinoza Angelaflagged	1979-07-09	—	—	6531 Ocean Ave, Fresno, CA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-400236CLM CLM-400237CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400235CLMCLM-400237CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400235CLMCLM-400234CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400236CLM CLM-400234CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400236CLM CLM-400235CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Angela Espinoza: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000748, Eligibility engine
Orphan claim re-pointedExecuted
CLM-400234 → UHC-96990-15 (Angela Espinoza)
ACT-001576, Claims processor
Orphan claim re-pointedExecuted
CLM-400237 → UHC-96990-15 (Angela Espinoza)
ACT-005795, Claims processor
Orphan claim re-pointedExecuted
CLM-400236 → UHC-96990-15 (Angela Espinoza)
ACT-009295, Claims processor
Care coordination outreachProposed
Angela Espinoza: 4 claims, no attributed provider
ACT-018972, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyde079b6a1c
scoring_agent, CLM-400234, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400235, policy version 1
2026-10-19 19:54:38Record linked automatically898cb0e00f
scoring_agent, CLM-400237, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400236, policy version 1
2026-10-19 19:54:38Record linked automaticallyd4594f9c2b
scoring_agent, CLM-400235, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:54:38Record linked automatically5d6d297da8
scoring_agent, CLM-400236, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:52:09Record linked automatically25b30e70cf
scoring_agent, CLM-400234, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400235, policy version 1
2026-10-19 19:52:09Record linked automatically36207ad42a
scoring_agent, CLM-400237, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400236, policy version 1
2026-10-19 19:52:09Record linked automatically5d804a5a64
scoring_agent, CLM-400235, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:52:09Record linked automatically3cd1c71eab
scoring_agent, CLM-400236, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:45:42Record linked automaticallya2af3d7243
scoring_agent, CLM-400234, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400235, policy version 1
2026-10-19 19:45:42Record linked automatically9d32f2920c
scoring_agent, CLM-400237, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400236, policy version 1
2026-10-19 19:45:42Record linked automatically00946a35de
scoring_agent, CLM-400235, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:45:42Record linked automatically0a7ac33517
scoring_agent, CLM-400236, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:32:31Record linked automaticallyd87da45c1d
scoring_agent, CLM-400234, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400235, policy version 1
2026-10-19 19:32:31Record linked automatically729c85d78f
scoring_agent, CLM-400237, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400236, policy version 1
2026-10-19 19:32:31Record linked automaticallye058af484f
scoring_agent, CLM-400235, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:32:31Record linked automaticallye5ffaeca3a
scoring_agent, CLM-400236, identity id MBR-017663, confidence 0.99, method probabilistic, matched record CLM-400237, policy version 1
2026-10-19 19:31:28Record linked automatically7190318259
matching_agent, CLM-400236, identity id MBR-025612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400238
2026-10-19 19:31:28Record linked automaticallyf7d266613c
matching_agent, CLM-400237, identity id MBR-025612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400238
2026-10-19 19:31:28Record linked automaticallycbea20f877
matching_agent, CLM-400235, identity id MBR-018126, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400234
2026-10-19 19:31:28Record linked automatically731dba7e17
matching_agent, CLM-400234, identity id MBR-018126, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400235

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-2026-001010	2026-08-12	Northgate Clinical Laboratories in network	83036	$55.00	$0.00	Approved	Approved
CLM-2026-016826	2026-03-25	Sunrise Imaging Center out of network	70553	$3,501.00	—	Denied	Denied
CLM-2026-023594	2026-02-05	Summit Endocrine Associates in network	99215, 83036, 99214	$603.00	$298.86	Approved	Approved
CLM-2026-030300	2026-01-25	Heritage Primary Care Associates in network	99395	$304.00	$163.48	Approved	Approved