Identities/MBR-019783

Gold, golden identity

Jacob A Cruz

5 source records from 3 feeds.

MBR-019783Verified5 records

Golden record

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

First nameENR: Jacob
Middle nameENR: A
Last nameENR: Cruz
Date of birthENR: 1964-06-27
GenderENR: F
Member IDENR: UHC-34873-65
SSNENR: •••-••-4045
PhoneCLM: 9732991035
EmailENR: jacob.cruz@proton.me
AddressENR: 9286 Desert Sky Blvd
CityENR: Denver
StateENR: CO
ZIP—: —
GroupENR: GRP-2706
PlanENR: CORE-HMO

Min confidence

0.86

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-60290	TPA	2026-03-15	Jacob Cruzflagged	1964-06-27	—	9732991035	—	Scored	1.00	—
ENR-130566	ENR	2026-03-31	Jacob Cruzflagged	1964-06-27	UHC-34873-65	—	9286 Desert Sky Blvd, Denver, CO	Scored	1.00	—
CLM-423376	CLM	2026-05-10	Jacob Cruzflagged	1963-06-27	—	9732991035	9286 Desert Sky Blvd, Denver, CO	Scored	0.86	—
TPA-60289	TPA	2026-06-20	Jacob Cruzflagged	1964-06-27	—	9732991035	9286 Desert Sky Blvd, Denver, CO	Scored	1.00	—
CLM-423377	CLM	2026-09-01	Jacob Cruzflagged	1964-06-27	—	9732991035	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-60290TPACLM-423377CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60289TPACLM-423377CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60290TPAENR-130566ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60290TPATPA-60289TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-130566ENRCLM-423377CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-130566ENRTPA-60289TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-130566ENRCLM-423376CLM0.86Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-423376CLMCLM-423377CLM0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-60290TPACLM-423376CLM0.80Scoredweighted similaritySent to steward

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-423376CLMTPA-60289TPA0.78Scoredweighted 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-423376 → UHC-34873-65 (Jacob Cruz)
ACT-002645, Claims processor
Orphan claim re-pointedExecuted
CLM-423377 → UHC-34873-65 (Jacob Cruz)
ACT-002937, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyac4d61c8cb
scoring_agent, CLM-423377, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:54:38Record linked automatically428f83b1e6
scoring_agent, TPA-60289, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:54:38Record linked automatically8499af6895
scoring_agent, CLM-423376, identity id MBR-019783, confidence 0.86, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:54:38Record linked automaticallyf758f15d0d
scoring_agent, ENR-130566, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:54:38Record linked automatically9bb13d767b
scoring_agent, TPA-60290, identity id MBR-019783, confidence 1, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:52:09Record linked automaticallyb7a3bb2546
scoring_agent, CLM-423377, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:52:09Record linked automaticallyc9234cbfd6
scoring_agent, TPA-60289, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:52:09Record linked automaticallya7c252ae9c
scoring_agent, CLM-423376, identity id MBR-019783, confidence 0.86, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:52:09Record linked automaticallyeb6ca42325
scoring_agent, ENR-130566, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:52:09Record linked automaticallyc628a29c82
scoring_agent, TPA-60290, identity id MBR-019783, confidence 1, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5719ef8b2
scoring_agent, CLM-423377, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:45:42Record linked automatically6cdd676c47
scoring_agent, TPA-60289, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:45:42Record linked automatically62bbb45c9f
scoring_agent, CLM-423376, identity id MBR-019783, confidence 0.86, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:45:42Record linked automatically30c6f2ea6c
scoring_agent, ENR-130566, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:45:42Record linked automatically53ece38efd
scoring_agent, TPA-60290, identity id MBR-019783, confidence 1, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:32:31Record linked automaticallyd8ffa543d4
scoring_agent, CLM-423377, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:32:31Record linked automatically32e966cce9
scoring_agent, TPA-60289, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:32:31Record linked automatically855b964f5f
scoring_agent, CLM-423376, identity id MBR-019783, confidence 0.86, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:32:31Record linked automatically136dd89074
scoring_agent, ENR-130566, identity id MBR-019783, confidence 1, method probabilistic, matched record TPA-60290, policy version 1
2026-10-19 19:32:31Record linked automatically2a501188ac
scoring_agent, TPA-60290, identity id MBR-019783, confidence 1, method probabilistic, matched record ENR-130566, policy version 1
2026-10-19 19:31:28Record linked automatically3920440b16
matching_agent, CLM-423377, identity id MBR-039366, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26888
2026-10-19 19:31:28Record linked automaticallyf409be11f5
scoring_agent, TPA-60290, identity id MBR-030859, confidence 1, method probabilistic, matched record ENR-130796, policy version 1
2026-10-19 19:31:28Record linked automatically67b8b82ad2
matching_agent, CLM-423376, identity id MBR-030728, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130791
2026-10-19 19:31:28Record linked automatically4fae0b1dd4
scoring_agent, TPA-60289, identity id MBR-023868, confidence 0.93, method probabilistic, matched record TPA-60288, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-006073	2026-07-28	Heritage Community Hospital in network	99284, 99283	$2,572.00	$1,164.60	Approved	Approved
CLM-2026-004935	2026-03-31	Meadow Primary Care Associates in network	36415	$13.00	—	Needs review	Needs review
CLM-2026-004934	2026-03-31	Mesa Medical Group in network	36415	$13.00	$0.00	Approved	Approved