Identities/MBR-019120
Gold, golden identity

Carol M Espinoza

3 source records from 2 feeds.

MBR-019120Verified3 records

Golden record

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

First nameENR
Carol
Middle nameENR
M
Last nameENR
Espinoza
Date of birthENR
1980-12-21
GenderENR
F
Member IDENR
UHC-76825-64
SSNENR
•••-••-0990
PhoneENR
4456053508
Email—
—
AddressCLM
6314 Hillcrest Rd
CityCLM
Mesa
StateENR
AZ
ZIPCLM
85286
GroupENR
GRP-0244
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
ENR ×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

0.990.990.97ENRENR-111298CLMCLM-408564CLMCLM-408563IDMBR-019120
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
ENR-111298ENR2026-03-12Carol Espinozaflagged1980-12-21UHC-76825-6444560535086265 Palm Dr, Tempe, AZRule0.99D1 member id + dob exact
CLM-408564CLM2026-05-13Carol Espinozaflagged1980-12-21UHC-76825-644456053508—Rule0.99D1 member id + dob exact
CLM-408563CLM2026-07-30Carol Espinozaflagged1980-12-21——6314 Hillcrest Rd, Mesa, AZRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-111298ENRCLM-408564CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-111298ENRCLM-408563CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408564CLMCLM-408563CLM0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Carol Espinoza: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000810, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-408563 → UHC-76825-64 (Carol Espinoza)
    ACT-009608, Claims processor
  • Outreach address correctedProposed
    Carol Espinoza: 6265 Palm Dr, Tempe → 6314 Hillcrest Rd, Mesa
    ACT-012191, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1d2f84de52
    matching_agent, CLM-408563, identity id MBR-019120, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111298
  • 2026-10-19 19:54:38Record linked automatically8f4bac5088
    matching_agent, CLM-408564, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111298
  • 2026-10-19 19:54:38Record linked automatically6ce91bb541
    matching_agent, ENR-111298, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408564
  • 2026-10-19 19:52:09Record linked automatically6cc778ff10
    matching_agent, CLM-408563, identity id MBR-019120, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111298
  • 2026-10-19 19:52:09Record linked automatically8ccaf39071
    matching_agent, CLM-408564, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111298
  • 2026-10-19 19:52:09Record linked automatically8d05143bb1
    matching_agent, ENR-111298, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408564
  • 2026-10-19 19:45:42Record linked automatically89668a1867
    matching_agent, CLM-408563, identity id MBR-019120, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111298
  • 2026-10-19 19:45:42Record linked automaticallyc6ebd917af
    matching_agent, CLM-408564, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111298
  • 2026-10-19 19:45:42Record linked automatically6a9e5ec312
    matching_agent, ENR-111298, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408564
  • 2026-10-19 19:32:31Record linked automatically35aad8fd8a
    matching_agent, CLM-408563, identity id MBR-019120, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111298
  • 2026-10-19 19:32:31Record linked automaticallye819427410
    matching_agent, CLM-408564, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111298
  • 2026-10-19 19:32:31Record linked automatically50fbe7b374
    matching_agent, ENR-111298, identity id MBR-019120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408564
  • 2026-10-19 19:31:28Record linked automatically17ce53714d
    scoring_agent, CLM-408563, identity id MBR-009566, confidence 1, method probabilistic, matched record CLM-408564, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9b1052d756
    scoring_agent, CLM-408564, identity id MBR-009566, confidence 1, method probabilistic, matched record CLM-408563, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0314922026-07-14Heritage Digestive Health Center
in network
99214$297.00$144.14ApprovedApproved
CLM-2026-0311442026-04-10Summit Internal Medicine Associates
in network
93000$111.00$48.82ApprovedApproved