Identities/MBR-021476
Gold, golden identity

Fatima Espinoza

4 source records from 2 feeds.

MBR-021476Verified4 records

Golden record

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

First nameENR
Fatima
Middle name—
—
Last nameENR
Espinoza
Date of birthCLM
1987-11-15
GenderENR
F
Member IDENR
UHC-85345-13
SSNENR
•••-••-7157
PhoneENR
4798575242
Email—
—
AddressENR
27 Central Ave
CityENR
Miami
StateENR
FL
ZIPENR
33180
GroupENR
GRP-0425
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.960.96CLMCLM-419337CLMCLM-419339CLMCLM-419338ENRENR-125491IDMBR-021476
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-419337CLM2026-03-23Fatima Espinozaflagged1987-11-15——27 Central Ave Apt 1, Miami, FLScored1.00—
CLM-419339CLM2026-08-10Fatima Espinozaflagged1987-11-15——27 Central Ave, Miami, FLScored1.00—
CLM-419338CLM2026-08-17Fatyma Espinozaflagged1987-11-15UHC-85345-13——Rule0.96D3 member id + name
ENR-125491ENR2026-08-20Fatima Espinozaflagged1978-11-15UHC-85345-13479857524227 Central Ave, Miami, FLRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419337CLMCLM-419339CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419338CLMENR-125491ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth0.603transposition
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419337CLMENR-125491ENR0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419339CLMENR-125491ENR0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419337CLMCLM-419338CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-419339CLMCLM-419338CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Fatima Espinoza: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000888, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-419339 → UHC-85345-13 (Fatima Espinoza)
    ACT-007799, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-419337 → UHC-85345-13 (Fatima Espinoza)
    ACT-007929, Claims processor
  • Care coordination outreachProposed
    Fatima Espinoza: 3 claims, no attributed provider
    ACT-019154, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf447cc69bc
    matching_agent, ENR-125491, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-419338
  • 2026-10-19 19:54:38Record linked automatically0a026ae056
    matching_agent, CLM-419338, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125491
  • 2026-10-19 19:54:38Record linked automaticallydc9944eb72
    scoring_agent, CLM-419339, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419337, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydfd532b416
    scoring_agent, CLM-419337, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5df4313d97
    matching_agent, ENR-125491, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-419338
  • 2026-10-19 19:52:09Record linked automaticallya49bd6dbeb
    matching_agent, CLM-419338, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125491
  • 2026-10-19 19:52:09Record linked automatically02885ff91e
    scoring_agent, CLM-419339, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419337, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf6e82f1b52
    scoring_agent, CLM-419337, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye22019e2e1
    matching_agent, ENR-125491, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-419338
  • 2026-10-19 19:45:42Record linked automatically9e3a332c44
    matching_agent, CLM-419338, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125491
  • 2026-10-19 19:45:42Record linked automaticallyf9d7ea9243
    scoring_agent, CLM-419339, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419337, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyca48a06efa
    scoring_agent, CLM-419337, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1714bef69f
    matching_agent, ENR-125491, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-419338
  • 2026-10-19 19:32:31Record linked automaticallydfcd8630df
    matching_agent, CLM-419338, identity id MBR-021476, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125491
  • 2026-10-19 19:32:31Record linked automatically1db11daa98
    scoring_agent, CLM-419339, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419337, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6ea178167a
    scoring_agent, CLM-419337, identity id MBR-021476, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycd0c696104
    scoring_agent, CLM-419338, identity id MBR-020898, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye8aa05bfe1
    scoring_agent, CLM-419339, identity id MBR-020898, confidence 1, method probabilistic, matched record CLM-419338, policy version 1
  • 2026-10-19 19:31:28Record linked automatically67a79e44e6
    matching_agent, CLM-419337, identity id MBR-019142, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419336
  • 2026-10-19 19:31:28Record linked automatically0fc43e0b33
    matching_agent, ENR-125491, identity id MBR-006725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125492

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0244892026-08-07Northgate Reference Lab
in network
80061, 80053$151.00—DeniedDenied
CLM-2026-0045592026-07-13Mesa Clinical Laboratories
in network
85025$50.00$0.00ApprovedApproved
CLM-2026-0244882026-08-07Northgate Reference Lab
in network
80061, 80053$151.00$0.00ApprovedApproved
CLM-2026-0249692025-10-11Meadow Family Practice
in network
99214$281.00—DeniedDenied