Identities/MBR-017983
Gold, golden identity

Janice W Lopez

3 source records from 2 feeds.

MBR-017983Verified3 records

Golden record

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

First nameENR
Janice
Middle nameENR
W
Last nameENR
Lopez
Date of birthENR
1947-05-11
GenderENR
F
Member IDENR
UHC-64105-04
SSNENR
•••-••-1255
PhoneENR
7883163428
EmailENR
janice.lopez@icloud.com
AddressENR
2564 Lincoln Way
CityENR
San Antonio
StateENR
TX
ZIPENR
78293
GroupENR
GRP-2251
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.99CLMCLM-410234CLMCLM-410235ENRENR-113470IDMBR-017983
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-410234CLM2026-03-07Janice Lopezflagged1947-05-11—78831634282564 Lincoln Way Apt 1, San Antonio, TXScored1.00—
CLM-410235CLM2026-04-13Janice Lopezflagged1947-05-11UHC-64105-0478831634282564 Lincoln Way, San Antonio, TXScored1.00—
ENR-113470ENR2026-09-01Janice Lopezflagged1947-05-11UHC-64105-0478831634282564 Lincoln Way, San Antonio, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410234CLMCLM-410235CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410235CLMENR-113470ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410234CLMENR-113470ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410234 → UHC-64105-04 (Janice Lopez)
    ACT-010023, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallya83150986b
    matching_agent, ENR-113470, identity id MBR-017983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410235
  • 2026-10-22 12:43:54Record linked automatically9afb96ebdc
    scoring_agent, CLM-410235, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410234, policy version 1
  • 2026-10-22 12:43:54Record linked automatically949c41aae1
    scoring_agent, CLM-410234, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410235, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf93efcee56
    matching_agent, ENR-113470, identity id MBR-017983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410235
  • 2026-10-19 19:54:38Record linked automatically5ecd6c6562
    scoring_agent, CLM-410235, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410234, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye91df3dfa3
    scoring_agent, CLM-410234, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410235, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4dcb99dfef
    matching_agent, ENR-113470, identity id MBR-017983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410235
  • 2026-10-19 19:52:09Record linked automatically17aa037689
    scoring_agent, CLM-410235, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410234, policy version 1
  • 2026-10-19 19:52:09Record linked automatically186f7107d2
    scoring_agent, CLM-410234, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410235, policy version 1
  • 2026-10-19 19:45:42Record linked automatically17eecd8827
    matching_agent, ENR-113470, identity id MBR-017983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410235
  • 2026-10-19 19:45:42Record linked automatically4903edb25b
    scoring_agent, CLM-410235, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410234, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0ccdddfe77
    scoring_agent, CLM-410234, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410235, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd9b572a534
    matching_agent, ENR-113470, identity id MBR-017983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410235
  • 2026-10-19 19:32:31Record linked automaticallyb8d3fda6ba
    scoring_agent, CLM-410235, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410234, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyda1ecc52ac
    scoring_agent, CLM-410234, identity id MBR-017983, confidence 1, method probabilistic, matched record CLM-410235, policy version 1
  • 2026-10-19 19:31:28Record linked automatically81f849ac18
    matching_agent, CLM-410235, identity id MBR-011559, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113529

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0012612026-03-06Evergreen Clinical Laboratories
in network
85025, 80053$98.00$0.00ApprovedApproved
CLM-2026-0330472026-03-05Northgate Heart Institute
in network
93224$471.00$232.02ApprovedApproved