Identities/MBR-018949
Gold, golden identity

Wayne Lopez

4 source records from 3 feeds.

MBR-018949Verified4 records

Golden record

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

First nameENR
Wayne
Middle name—
—
Last nameENR
Lopez
Date of birthENR
1988-09-08
GenderENR
M
Member IDENR
UHC-44726-52
SSNENR
•••-••-5041
PhoneENR
4846326261
EmailENR
wayne.lopez@hotmail.com
AddressENR
1771 Canyon Rd
CityENR
Jacksonville
StateENR
FL
ZIP—
—
GroupENR
GRP-3383
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×1ENR ×2PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-419063ENRENR-125139PRVPRV-25679ENRENR-125138IDMBR-018949
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-419063CLM2026-03-11Wayne Lopezflagged1988-09-08—48463262611771 Canyon Rd, Jacksonville, FLScored1.00—
ENR-125139ENR2026-04-23Wayne Lopezflagged1988-09-08UHC-44726-5248463262611771 Canyon Rd, Jacksonville, FLScored1.00—
PRV-25679PRV2026-05-15Wayne Lopezflagged1988-09-08—48463262611771 Canyon Rd, Jacksonville, FLScored1.00—
ENR-125138ENR2026-07-25Wayne Lopezflagged1988-09-08UHC-44726-5248463262611771 Canyon Rd, Jacksonville, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419063CLMPRV-25679PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125139ENRPRV-25679PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125139ENRENR-125138ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-419063CLMENR-125138ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419063CLMENR-125139ENR0.97RuleD2 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
▶PRV-25679PRVENR-125138ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Wayne Lopez: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000804, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-419063 → UHC-44726-52 (Wayne Lopez)
    ACT-003023, Claims processor
  • Duplicate member record retiredExecuted
    Wayne Lopez: 2 enrollment records collapsed into UHC-44726-52
    ACT-024484, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf443d36193
    matching_agent, ENR-125138, identity id MBR-018949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125139
  • 2026-10-19 19:54:38Record linked automaticallyd5eb2050dc
    scoring_agent, PRV-25679, identity id MBR-018949, confidence 1, method probabilistic, matched record CLM-419063, policy version 1
  • 2026-10-19 19:54:38Record linked automatically53a3b0f10a
    scoring_agent, ENR-125139, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyde3b13a4fb
    scoring_agent, CLM-419063, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6450f3abe1
    matching_agent, ENR-125138, identity id MBR-018949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125139
  • 2026-10-19 19:52:09Record linked automatically973a6600b6
    scoring_agent, PRV-25679, identity id MBR-018949, confidence 1, method probabilistic, matched record CLM-419063, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydf27c75152
    scoring_agent, ENR-125139, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyca539fba33
    scoring_agent, CLM-419063, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:45:42Record linked automatically56c5a4661d
    matching_agent, ENR-125138, identity id MBR-018949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125139
  • 2026-10-19 19:45:42Record linked automatically167c43aa9c
    scoring_agent, PRV-25679, identity id MBR-018949, confidence 1, method probabilistic, matched record CLM-419063, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd819c62ab5
    scoring_agent, ENR-125139, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1fb3ae5f7b
    scoring_agent, CLM-419063, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyacda5f8874
    matching_agent, ENR-125138, identity id MBR-018949, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125139
  • 2026-10-19 19:32:31Record linked automatically623530339e
    scoring_agent, PRV-25679, identity id MBR-018949, confidence 1, method probabilistic, matched record CLM-419063, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc317064fd2
    scoring_agent, ENR-125139, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1f554608fe
    scoring_agent, CLM-419063, identity id MBR-018949, confidence 1, method probabilistic, matched record PRV-25679, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9d1b182d4d
    matching_agent, CLM-419063, identity id MBR-011351, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124942
  • 2026-10-19 19:31:28Record linked automatically7c3d96adf1
    scoring_agent, ENR-125139, identity id MBR-007739, confidence 1, method probabilistic, matched record TPA-58362, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8e1a140eb7
    scoring_agent, ENR-125138, identity id MBR-006055, confidence 0.93, method probabilistic, matched record CLM-419209, policy version 1
  • 2026-10-19 19:31:28Record linked automatically74288801c3
    scoring_agent, PRV-25679, identity id MBR-003477, confidence 1, method probabilistic, matched record CLM-419397, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0064242026-02-20Sunrise Dermatology Clinic
out of network
11403$393.00—DeniedDenied