Identities/MBR-020585
Gold, golden identity

Richard Espinoza

4 source records from 3 feeds.

MBR-020585Verified4 records

Golden record

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

First nameENR
Richard
Middle name—
—
Last nameENR
Espinoza
Date of birthENR
1964-11-08
GenderENR
M
Member IDENR
UHC-63534-92
SSNENR
•••-••-0640
PhoneENR
9417595001
EmailENR
richard.espinoza@outlook.com
AddressENR
2138 Spring St
CityENR
Sacramento
StateENR
CA
ZIPENR
95882
GroupENR
GRP-3314
PlanENR
CORE-HMO
Min confidence
0.97
Sources
TPA ×1ENR ×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

0.970.990.990.99TPATPA-63718ENRENR-140782CLMCLM-431054CLMCLM-431055IDMBR-020585
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
TPA-63718TPA2026-03-18Richard Espinozaflagged1964-11-08——2138 Spring St, Sacramento, CARule0.97D2 ssn4 + dob + last name
ENR-140782ENR2026-08-09Richard Espinozaflagged1964-11-08UHC-63534-9294175950012138 Spring St, Sacramento, CARule0.99D1 member id + dob exact
CLM-431054CLM2026-08-22Richard Espinozaflagged1964-11-08UHC-63534-9294175950012138 Spring St, Sacramento, CARule0.99D1 member id + dob exact
CLM-431055CLM2026-09-05Richard Espinzaflagged1964-11-08UHC-63534-929417595001—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-140782ENRCLM-431054CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-140782ENRCLM-431055CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431054CLMCLM-431055CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63718TPACLM-431054CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63718TPAENR-140782ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63718TPACLM-431055CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

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

  • 2026-10-19 19:54:38Record linked automaticallyb33775e3bf
    matching_agent, CLM-431055, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:54:38Record linked automaticallyd3f697b650
    matching_agent, CLM-431054, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:54:38Record linked automatically48f1988147
    matching_agent, ENR-140782, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431054
  • 2026-10-19 19:54:38Record linked automatically2e39e8d512
    matching_agent, TPA-63718, identity id MBR-020585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140782
  • 2026-10-19 19:52:09Record linked automatically5f84d01dec
    matching_agent, CLM-431055, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:52:09Record linked automaticallybffb60d62b
    matching_agent, CLM-431054, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:52:09Record linked automaticallyfebd2c88ec
    matching_agent, ENR-140782, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431054
  • 2026-10-19 19:52:09Record linked automaticallybd3d7838ee
    matching_agent, TPA-63718, identity id MBR-020585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140782
  • 2026-10-19 19:45:42Record linked automaticallye0a3c68aa7
    matching_agent, CLM-431055, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:45:42Record linked automatically9ac760b726
    matching_agent, CLM-431054, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:45:42Record linked automatically615a2abfe2
    matching_agent, ENR-140782, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431054
  • 2026-10-19 19:45:42Record linked automatically6424b8979c
    matching_agent, TPA-63718, identity id MBR-020585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140782
  • 2026-10-19 19:32:31Record linked automaticallye27e97b4d2
    matching_agent, CLM-431055, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:32:31Record linked automatically208376139c
    matching_agent, CLM-431054, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140782
  • 2026-10-19 19:32:31Record linked automatically773d3983e1
    matching_agent, ENR-140782, identity id MBR-020585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431054
  • 2026-10-19 19:32:31Record linked automaticallya3fa290d01
    matching_agent, TPA-63718, identity id MBR-020585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140782
  • 2026-10-19 19:31:28Record linked automaticallyc7d029f40e
    scoring_agent, TPA-63718, identity id MBR-003662, confidence 1, method probabilistic, matched record ENR-141301, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc381f006a5
    matching_agent, CLM-431054, identity id MBR-002388, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29078
  • 2026-10-19 19:31:28Record linked automatically9dc8feb922
    scoring_agent, CLM-431055, identity id MBR-002388, confidence 0.91, method probabilistic, matched record CLM-431054, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3980f88b17
    matching_agent, ENR-140782, identity id MBR-000987, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63552

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0154232026-08-16Cornerstone Internal Medicine Associates
in network
93000, 99214$400.00$208.00ApprovedApproved
CLM-2026-0153472026-07-28Canyon Community Hospital
out of network
96374, 99283$1,003.00—Needs reviewNeeds review