Identities/MBR-019030

Gold, golden identity

Kelly Y Espinoza

5 source records from 3 feeds.

MBR-019030Verified5 records

Golden record

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

First nameENR: Kelly
Middle nameENR: Y
Last nameENR: Espinoza
Date of birthCLM: 1989-05-10
GenderTPA: M
Member IDENR: UHC-51195-87
SSNENR: •••-••-1068
PhoneENR: 8586021424
Email—: —
AddressCLM: 9183 Central Ave
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32286
GroupENR: GRP-5006
PlanENR: MEDICARE-ADV-B

Min confidence

0.96

Sources

TPA ×2ENR ×1CLM ×2

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
TPA-58519	TPA	2026-03-11	Kelly Espinozaflagged	1989-05-10	UHC-51195-87	8586021424	9183 Central Ave, Jacksonville, FL	Scored	1.00	—
TPA-58520	TPA	2026-03-17	Kelly Espinozaflagged	1989-05-10	—	8586021424	9183 Central Ave, Jacksonville, FL	Scored	1.00	—
ENR-125418	ENR	2026-05-13	Kelly Espinozaflagged	1988-05-10	UHC-51195-87	8586021424	9183 Central Ave Apt 3, Jacksonville, FL	Rule	0.96	D3 member id + name
CLM-419274	CLM	2026-10-10	Kelly Espinozaflagged	1989-05-10	—	8586021424	9183 Central Ave, Jacksonville, FL	Scored	1.00	—
CLM-419275	CLM	2026-10-10	Kelly Espinozaflagged	1989-05-10	—	8586021424	9183 Central Ave, Jacksonville, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-58519TPACLM-419274 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58520TPACLM-419274 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58519TPACLM-419275 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58520TPACLM-419275 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-419274 CLMCLM-419275 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58519TPATPA-58520TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58519TPAENR-125418ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-125418ENRCLM-419274 CLM0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-125418ENRCLM-419275 CLM0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-58520TPAENR-125418ENR0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-419274 → UHC-51195-87 (Kelly Espinoza)
ACT-002763, Claims processor
Orphan claim re-pointedExecuted
CLM-419275 → UHC-51195-87 (Kelly Espinoza)
ACT-007252, Claims processor
Outreach address correctedProposed
Kelly Espinoza: 9183 Central Ave Apt 3, Jacksonville → 9183 Central Ave, Jacksonville
ACT-012182, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya472eaac9b
scoring_agent, CLM-419275, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:54:38Record linked automaticallyb5654e0ef5
scoring_agent, CLM-419274, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:54:38Record linked automaticallyff6254f1be
matching_agent, ENR-125418, identity id MBR-019030, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-58519
2026-10-19 19:54:38Record linked automaticallybfd443be9a
scoring_agent, TPA-58520, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:54:38Record linked automatically11e2397899
scoring_agent, TPA-58519, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58520, policy version 1
2026-10-19 19:52:09Record linked automaticallycc953d16d1
scoring_agent, CLM-419275, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:52:09Record linked automatically25b2169821
scoring_agent, CLM-419274, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:52:09Record linked automaticallydf19d049d1
matching_agent, ENR-125418, identity id MBR-019030, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-58519
2026-10-19 19:52:09Record linked automaticallyd65e231905
scoring_agent, TPA-58520, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:52:09Record linked automatically3fd57f7e4f
scoring_agent, TPA-58519, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58520, policy version 1
2026-10-19 19:45:42Record linked automatically26d0f94b91
scoring_agent, CLM-419275, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:45:42Record linked automatically809bcb06d2
scoring_agent, CLM-419274, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:45:42Record linked automaticallybe0f3e8c6d
matching_agent, ENR-125418, identity id MBR-019030, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-58519
2026-10-19 19:45:42Record linked automatically78649c955f
scoring_agent, TPA-58520, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:45:42Record linked automaticallye29e6bd8a7
scoring_agent, TPA-58519, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58520, policy version 1
2026-10-19 19:32:31Record linked automaticallyb6af7b9ac2
scoring_agent, CLM-419275, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:32:31Record linked automatically7476f0b90d
scoring_agent, CLM-419274, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:32:31Record linked automatically0275c68746
matching_agent, ENR-125418, identity id MBR-019030, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-58519
2026-10-19 19:32:31Record linked automatically49404a99a9
scoring_agent, TPA-58520, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58519, policy version 1
2026-10-19 19:32:31Record linked automaticallycc2a43a223
scoring_agent, TPA-58519, identity id MBR-019030, confidence 1, method probabilistic, matched record TPA-58520, policy version 1
2026-10-19 19:31:28Record linked automatically318ebaf36a
scoring_agent, CLM-419275, identity id MBR-021637, confidence 1, method probabilistic, matched record ENR-125241, policy version 1
2026-10-19 19:31:28Record linked automaticallybed3d817ff
matching_agent, CLM-419274, identity id MBR-006342, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125240
2026-10-19 19:31:28Record linked automatically81e3791071
scoring_agent, TPA-58519, identity id MBR-002019, confidence 1, method probabilistic, matched record PRV-25727, policy version 1
2026-10-19 19:31:28Record linked automaticallybf84e70ff4
scoring_agent, TPA-58520, identity id MBR-002019, confidence 1, method probabilistic, matched record PRV-25727, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-022387	2026-10-02	Desert Rehabilitation Center in network	97110, 97140, 97161	$545.00	$297.90	Approved	Approved
CLM-2026-005414	2026-09-09	Cornerstone Family Practice out of network	99203, 99214	$497.00	$183.65	Approved	Approved