Identities/MBR-021265
Gold, golden identity

Joe Herrera

4 source records from 3 feeds.

MBR-021265Verified4 records

Golden record

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

First nameENR
Joe
Middle name—
—
Last nameENR
Herrera
Date of birthCLM
1993-11-14
GenderENR
M
Member IDENR
UHC-92339-35
SSNCLM
•••-••-7896
PhoneENR
3824528964
Email—
—
AddressENR
9242 Willow Ct
CityENR
Fresno
StateENR
CA
ZIPENR
93711
GroupENR
GRP-1777
PlanENR
CORE-HMO
Min confidence
0.93
Sources
ENR ×1CLM ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.960.990.990.93ENRENR-142282CLMCLM-432193TPATPA-64211CLMCLM-432194IDMBR-021265
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-142282ENR2026-03-22Joe Herreraflagged1992-11-14UHC-92339-3538245289649242 Willow Ct, Fresno, CARule0.96D3 member id + name
CLM-432193CLM2026-07-04Joe Herreraflagged1993-11-14UHC-92339-35——Rule0.99D1 member id + dob exact
TPA-64211TPA2026-08-24Joe Herreraflagged1993-11-14UHC-92339-35—9242 Willow Ct, Fresno, CARule0.99D1 member id + dob exact
CLM-432194CLM2026-08-24Joe Herreraflagged1993-11-14—38245289649242 Willow Ct, Fresno, CAScored0.93—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432193CLM TPA-64211TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142282 ENRCLM-432193CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142282 ENRTPA-64211TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-64211TPACLM-432194CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142282 ENRCLM-432194CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432193CLM CLM-432194CLM0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-432194 → UHC-92339-35 (Joe Herrera)
    ACT-007196, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically108939ca93
    scoring_agent, CLM-432194, identity id MBR-021265, confidence 0.93, method probabilistic, matched record TPA-64211, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4880392a34
    matching_agent, TPA-64211, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432193
  • 2026-10-19 19:54:38Record linked automatically10cbc38471
    matching_agent, CLM-432193, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64211
  • 2026-10-19 19:54:38Record linked automatically82aacb0dbb
    matching_agent, ENR-142282, identity id MBR-021265, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432193
  • 2026-10-19 19:52:09Record linked automaticallyc1d14b6834
    scoring_agent, CLM-432194, identity id MBR-021265, confidence 0.93, method probabilistic, matched record TPA-64211, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydfb8aef161
    matching_agent, TPA-64211, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432193
  • 2026-10-19 19:52:09Record linked automaticallyc5e643c3c8
    matching_agent, CLM-432193, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64211
  • 2026-10-19 19:52:09Record linked automatically5d34c86bc0
    matching_agent, ENR-142282, identity id MBR-021265, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432193
  • 2026-10-19 19:45:42Record linked automatically7caed05863
    scoring_agent, CLM-432194, identity id MBR-021265, confidence 0.93, method probabilistic, matched record TPA-64211, policy version 1
  • 2026-10-19 19:45:42Record linked automatically76d9d75514
    matching_agent, TPA-64211, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432193
  • 2026-10-19 19:45:42Record linked automatically6c0f29eb40
    matching_agent, CLM-432193, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64211
  • 2026-10-19 19:45:42Record linked automatically59c7572e2b
    matching_agent, ENR-142282, identity id MBR-021265, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432193
  • 2026-10-19 19:32:31Record linked automaticallydd31d7ba4e
    scoring_agent, CLM-432194, identity id MBR-021265, confidence 0.93, method probabilistic, matched record TPA-64211, policy version 1
  • 2026-10-19 19:32:31Record linked automatically313e26caba
    matching_agent, TPA-64211, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432193
  • 2026-10-19 19:32:31Record linked automaticallyaea09eec92
    matching_agent, CLM-432193, identity id MBR-021265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64211
  • 2026-10-19 19:32:31Record linked automatically1afd7e0a61
    matching_agent, ENR-142282, identity id MBR-021265, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432193
  • 2026-10-19 19:31:28Record linked automaticallybad38d69c6
    matching_agent, CLM-432193, identity id MBR-035861, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142435
  • 2026-10-19 19:31:28Record linked automatically43725260e1
    matching_agent, ENR-142282, identity id MBR-017839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432047
  • 2026-10-19 19:31:28Record linked automatically97fb4fa0b8
    matching_agent, TPA-64211, identity id MBR-000179, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432488

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0221302026-07-26Pinecrest Regional Medical Center
out of network
99285$1,849.00$482.05ApprovedApproved
CLM-2026-0070402026-06-14Unity Primary Care Associates
in network
90471, 36415, 99214$277.00$148.18ApprovedApproved