Identities/MBR-018960
Gold, golden identity

Ryan Z Mendez

5 source records from 2 feeds.

MBR-018960Verified5 records

Golden record

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

First nameENR
Ryan
Middle nameENR
Z
Last nameENR
Mendez
Date of birthENR
1950-05-28
GenderENR
F
Member IDENR
UHC-79204-52
SSNENR
•••-••-1270
PhoneENR
5159522857
EmailENR
ryan.mendez99@hotmail.com
AddressENR
2824 Valley View Dr
CityENR
Jacksonville
StateENR
FL
ZIPENR
32252
GroupENR
GRP-1275
PlanENR
MEDICARE-ADV-B
Min confidence
0.93
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.930.990.990.990.99CLMCLM-415503CLMCLM-415502ENRENR-120445CLMCLM-415504CLMCLM-415501IDMBR-018960
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-415503CLM2026-03-11Ryan Mendezflagged1950-05-28——2824 Valley View Dr, Jacksonville, FLScored0.93—
CLM-415502CLM2026-07-03Ryan Mendezflagged1950-05-28UHC-79204-525159522857—Rule0.99D1 member id + dob exact
ENR-120445ENR2026-08-06Ryan Mendezflagged1950-05-28UHC-79204-5251595228572824 Valley View Dr, Jacksonville, FLRule0.99D1 member id + dob exact
CLM-415504CLM2026-08-30Ryan Mendezflagged1950-05-28UHC-79204-52—2824 Valley View Dr, Jacksonville, FLRule0.99D1 member id + dob exact
CLM-415501CLM2026-09-10Ryan Mendezflagged1950-05-28UHC-79204-52—2824 Valley View Dr, Jacksonville, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415502CLMCLM-415501CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-120445ENRCLM-415501CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415504CLMCLM-415501CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415502CLMCLM-415504CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-120445ENRCLM-415504CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415502CLMENR-120445ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415503CLMCLM-415501CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415503CLMCLM-415504CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415503CLMENR-120445ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415503CLMCLM-415502CLM0.83Scoredweighted 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-415503 → UHC-79204-52 (Ryan Mendez)
    ACT-005676, Claims processor
  • Care coordination outreachProposed
    Ryan Mendez: 4 claims, no attributed provider
    ACT-019034, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyddc39bee7b
    matching_agent, CLM-415501, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:54:38Record linked automatically62b2d8896a
    matching_agent, CLM-415504, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:54:38Record linked automaticallyad0a30ecfd
    matching_agent, ENR-120445, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:54:38Record linked automatically3b00026a93
    matching_agent, CLM-415502, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120445
  • 2026-10-19 19:54:38Record linked automatically64a4de4838
    scoring_agent, CLM-415503, identity id MBR-018960, confidence 0.93, method probabilistic, matched record ENR-120445, policy version 1
  • 2026-10-19 19:52:09Record linked automatically234f7d15ab
    matching_agent, CLM-415501, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:52:09Record linked automaticallya2d26f1cbe
    matching_agent, CLM-415504, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:52:09Record linked automaticallyced60d99bb
    matching_agent, ENR-120445, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:52:09Record linked automatically40c057f2ff
    matching_agent, CLM-415502, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120445
  • 2026-10-19 19:52:09Record linked automatically39d3bab95b
    scoring_agent, CLM-415503, identity id MBR-018960, confidence 0.93, method probabilistic, matched record ENR-120445, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2fec5dc5e8
    matching_agent, CLM-415501, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:45:42Record linked automatically087740b911
    matching_agent, CLM-415504, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:45:42Record linked automaticallyac1f3297cb
    matching_agent, ENR-120445, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:45:42Record linked automaticallyb6edc9a25f
    matching_agent, CLM-415502, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120445
  • 2026-10-19 19:45:42Record linked automatically75a90e9bb8
    scoring_agent, CLM-415503, identity id MBR-018960, confidence 0.93, method probabilistic, matched record ENR-120445, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8672b02e7a
    matching_agent, CLM-415501, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:32:31Record linked automaticallyc3ceb152c5
    matching_agent, CLM-415504, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:32:31Record linked automatically6ef0dc7620
    matching_agent, ENR-120445, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415502
  • 2026-10-19 19:32:31Record linked automatically9351c5d345
    matching_agent, CLM-415502, identity id MBR-018960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120445
  • 2026-10-19 19:32:31Record linked automaticallye65404dd8d
    scoring_agent, CLM-415503, identity id MBR-018960, confidence 0.93, method probabilistic, matched record ENR-120445, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9ed8ebafb7
    matching_agent, ENR-120445, identity id MBR-039922, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120446
  • 2026-10-19 19:31:28Record linked automatically53df88a810
    matching_agent, CLM-415503, identity id MBR-024082, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24550
  • 2026-10-19 19:31:28Record linked automaticallydc53a2f0d8
    matching_agent, CLM-415502, identity id MBR-000491, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120309
  • 2026-10-19 19:31:28Record linked automatically60504f69dd
    matching_agent, CLM-415501, identity id MBR-000491, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120309

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0310532026-08-13Valley Primary Care Associates
out of network
99213, 99214$434.00$170.30ApprovedApproved
CLM-2026-0203822026-08-06Mesa Internal Medicine Associates
out of network
93000, 99214$288.00$104.60ApprovedApproved
CLM-2026-0305792026-05-21Desert Medical Group
in network
99203, 99214$510.00$291.20ApprovedApproved
CLM-2026-0163902026-02-17Riverside Bone and Joint Center
out of network
29881$10,457.00$3,002.57ApprovedApproved