Identities/MBR-021466
Gold, golden identity

Aisha Rojas

3 source records from 1 feed.

MBR-021466Verified3 recordsOpen steward case

Golden record

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

First nameCLM
Aisha
Middle name—
—
Last nameCLM
Rojas
Date of birthCLM
1956-12-18
GenderCLM
M
Member IDCLM
UHC-94886-33
SSN—
—
PhoneCLM
2988219286
Email—
—
AddressCLM
6374 Ocean Ave
CityCLM
Dallas
StateCLM
TX
ZIP—
—
GroupCLM
GRP-8288
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-428602CLMCLM-428601CLMCLM-428603IDMBR-021466
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
CLM-428602CLM2026-03-23Aisha Rojasflagged1956-12-18——6374 Ocean Ave, Dallas, TXScored1.00—
CLM-428601CLM2026-09-25Aisha Rojasflagged1956-12-18UHC-94886-3329882192866374 Ocean Ave, Dallas, TXScored1.00—
CLM-428603CLM2026-10-08Aisha Rojasflagged1956-12-18UHC-94886-3329882192866374 Ocean Ave, Dallas, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428602CLMCLM-428601CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428601CLMCLM-428603CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428602CLMCLM-428603CLM0.93Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-428602 → UHC-94886-33 (Aisha Rojas)
    ACT-007324, Claims processor
  • Care coordination outreachProposed
    Aisha Rojas: 3 claims, no attributed provider
    ACT-019152, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1cd3102892
    matching_agent, CLM-428603, identity id MBR-021466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428601
  • 2026-10-19 19:54:38Record linked automatically0128bfebac
    scoring_agent, CLM-428601, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428602, policy version 1
  • 2026-10-19 19:54:38Record linked automatically49ed075ff3
    scoring_agent, CLM-428602, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428601, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5de2d5e4ed
    matching_agent, CLM-428603, identity id MBR-021466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428601
  • 2026-10-19 19:52:09Record linked automatically0a2fd3494b
    scoring_agent, CLM-428601, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428602, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6290b8ac60
    scoring_agent, CLM-428602, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428601, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8abc470cee
    matching_agent, CLM-428603, identity id MBR-021466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428601
  • 2026-10-19 19:45:42Record linked automaticallyff407c6007
    scoring_agent, CLM-428601, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428602, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1acd622727
    scoring_agent, CLM-428602, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428601, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7d79aa8ecd
    matching_agent, CLM-428603, identity id MBR-021466, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428601
  • 2026-10-19 19:32:31Record linked automatically1c1ebee227
    scoring_agent, CLM-428601, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428602, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0f28454c39
    scoring_agent, CLM-428602, identity id MBR-021466, confidence 1, method probabilistic, matched record CLM-428601, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2f0da168b8
    scoring_agent, CLM-428603, identity id MBR-005097, confidence 1, method probabilistic, matched record CLM-428600, policy version 1
  • 2026-10-19 19:31:28Record linked automatically14b087af65
    scoring_agent, CLM-428602, identity id MBR-005097, confidence 1, method probabilistic, matched record CLM-428600, policy version 1
  • 2026-10-19 19:31:28Record linked automatically74b8f1a444
    scoring_agent, CLM-428601, identity id MBR-005097, confidence 1, method probabilistic, matched record CLM-428600, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0277072026-09-21Riverside GI Associates
in network
88305, 45378$2,205.00$632.61ApprovedApproved
CLM-2026-0164142026-08-21Meadow Regional Medical Center
in network
71046$172.00$0.00ApprovedApproved
CLM-2026-0226372026-02-19Canyon Cardiovascular Associates
in network
93458, 93015$8,761.00—Needs reviewNeeds review