Identities/MBR-019153
Gold, golden identity

Theresa Jimenez

3 source records from 3 feeds.

MBR-019153Verified3 records

Golden record

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

First nameENR
Theresa
Middle name—
—
Last nameENR
Jimenez
Date of birthENR
1971-10-04
GenderENR
F
Member IDENR
UHC-78147-56
SSNENR
•••-••-2767
PhoneENR
6714102997
EmailENR
theresa.jimenez40@hotmail.com
AddressENR
3652 River Rd
CityENR
Fresno
StateENR
CA
ZIPCLM
93777
GroupENR
GRP-1362
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
ENR ×1TPA ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.001.00ENRENR-115069TPATPA-55043CLMCLM-411452IDMBR-019153
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-115069ENR2026-03-12Theresa Jimenezflagged1971-10-04UHC-78147-5667141029973652 River Rd, Fresno, CARule0.99D1 member id + dob exact
TPA-55043TPA2026-04-20Theresa Jimenezflagged1971-10-04——3652 River Rd, Fresno, CAScored1.00—
CLM-411452CLM2026-06-15Theresa Jimenezflagged1971-10-04UHC-78147-56—3652 River Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55043TPA CLM-411452CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-115069ENRCLM-411452CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-115069ENRTPA-55043TPA 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically487187b370
    scoring_agent, CLM-411452, identity id MBR-019153, confidence 1, method probabilistic, matched record TPA-55043, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyb0f0e254cb
    scoring_agent, TPA-55043, identity id MBR-019153, confidence 1, method probabilistic, matched record CLM-411452, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8bfba2594d
    matching_agent, ENR-115069, identity id MBR-019153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411452
  • 2026-10-19 19:54:38Record linked automatically7e0909e83b
    scoring_agent, CLM-411452, identity id MBR-019153, confidence 1, method probabilistic, matched record TPA-55043, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6c8064f596
    scoring_agent, TPA-55043, identity id MBR-019153, confidence 1, method probabilistic, matched record CLM-411452, policy version 1
  • 2026-10-19 19:54:38Record linked automatically68b2efb042
    matching_agent, ENR-115069, identity id MBR-019153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411452
  • 2026-10-19 19:52:09Record linked automaticallya44b16badc
    scoring_agent, CLM-411452, identity id MBR-019153, confidence 1, method probabilistic, matched record TPA-55043, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8803290351
    scoring_agent, TPA-55043, identity id MBR-019153, confidence 1, method probabilistic, matched record CLM-411452, policy version 1
  • 2026-10-19 19:52:09Record linked automatically659d58806e
    matching_agent, ENR-115069, identity id MBR-019153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411452
  • 2026-10-19 19:45:42Record linked automatically1caf951353
    scoring_agent, CLM-411452, identity id MBR-019153, confidence 1, method probabilistic, matched record TPA-55043, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4ea0cde26f
    scoring_agent, TPA-55043, identity id MBR-019153, confidence 1, method probabilistic, matched record CLM-411452, policy version 1
  • 2026-10-19 19:45:42Record linked automatically302f50958e
    matching_agent, ENR-115069, identity id MBR-019153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411452
  • 2026-10-19 19:32:31Record linked automaticallya86f654a34
    scoring_agent, CLM-411452, identity id MBR-019153, confidence 1, method probabilistic, matched record TPA-55043, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycc7071ffc4
    scoring_agent, TPA-55043, identity id MBR-019153, confidence 1, method probabilistic, matched record CLM-411452, policy version 1
  • 2026-10-19 19:32:31Record linked automatically631029dc11
    matching_agent, ENR-115069, identity id MBR-019153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411452
  • 2026-10-19 19:31:28Record linked automatically3d4ff13fc7
    matching_agent, TPA-55043, identity id MBR-025904, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-115089
  • 2026-10-19 19:31:28Record linked automaticallyac3165af7f
    scoring_agent, CLM-411452, identity id MBR-014201, confidence 1, method probabilistic, matched record ENR-115206, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0172132026-06-06Desert Internal Medicine Associates
in network
70553$2,805.00—Needs reviewNeeds review