Identities/MBR-021769

Gold, golden identity

Donald V Gomez

5 source records from 3 feeds.

MBR-021769Verified5 records

Golden record

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

First nameENR: Donald
Middle nameENR: V
Last nameENR: Gomez
Date of birthENR: 1938-04-07
GenderENR: F
Member IDENR: UHC-17486-80
SSNCLM: •••-••-9931
PhoneENR: 6138443660
EmailENR: donald.gomez42@yahoo.com
AddressENR: 6300 Ocean Ave
CityENR: Plano
StateENR: TX
ZIPENR: 75011
GroupENR: GRP-1428
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

ENR ×1CLM ×2TPA ×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
ENR-137545	ENR	2026-03-24	Donald Gomezflagged	1938-04-07	UHC-17486-80	6138443660	6300 Ocean Ave, Plano, TX	Scored	1.00	—
CLM-428597	CLM	2026-03-28	Donald Gomezflagged	1938-04-07	UHC-17486-80	—	6300 Ocean Ave, Plano, TX	Scored	1.00	—
TPA-62641	TPA	2026-05-23	Donald Gomezflagged	1938-04-07	—	—	6300 Ocean Ave Apt 18, Plano, TX	Scored	1.00	—
TPA-62640	TPA	2026-05-28	Donald Gomezflagged	1938-04-07	—	—	6300 Ocean Ave, Plano, TX	Scored	1.00	—
CLM-428598	CLM	2026-08-10	Donald Gomezflagged	1938-04-07	—	—	6300 Ocean Ave, Plano, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-137545ENRCLM-428598CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428597CLMCLM-428598CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62641TPACLM-428598CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62640TPACLM-428598CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-137545ENRTPA-62640TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428597CLMTPA-62640TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62641TPATPA-62640TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-137545ENRTPA-62641TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-137545ENRCLM-428597CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428597CLMTPA-62641TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Donald Gomez: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000897, Eligibility engine
Orphan claim re-pointedExecuted
CLM-428598 → UHC-17486-80 (Donald Gomez)
ACT-002807, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically363915a8b7
scoring_agent, CLM-428598, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:54:38Record linked automatically4b673c4841
scoring_agent, TPA-62640, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:54:38Record linked automaticallydd925aa543
scoring_agent, TPA-62641, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:54:38Record linked automaticallyba5062eb17
scoring_agent, CLM-428597, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62640, policy version 1
2026-10-19 19:54:38Record linked automatically0aaeb3c2a0
scoring_agent, ENR-137545, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62641, policy version 1
2026-10-19 19:52:09Record linked automaticallye607b21c05
scoring_agent, CLM-428598, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:52:09Record linked automatically8910fbe2a3
scoring_agent, TPA-62640, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:52:09Record linked automatically988a2eda72
scoring_agent, TPA-62641, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:52:09Record linked automatically97db7db23d
scoring_agent, CLM-428597, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62640, policy version 1
2026-10-19 19:52:09Record linked automatically845dcb3a88
scoring_agent, ENR-137545, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62641, policy version 1
2026-10-19 19:45:42Record linked automaticallyc71ddb1226
scoring_agent, CLM-428598, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:45:42Record linked automaticallyda58ac4155
scoring_agent, TPA-62640, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:45:42Record linked automatically1c1b79050a
scoring_agent, TPA-62641, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:45:42Record linked automatically6ed12a3977
scoring_agent, CLM-428597, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62640, policy version 1
2026-10-19 19:45:42Record linked automaticallyab62962073
scoring_agent, ENR-137545, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62641, policy version 1
2026-10-19 19:32:31Record linked automaticallyec204e41d7
scoring_agent, CLM-428598, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:32:31Record linked automatically39e97828e4
scoring_agent, TPA-62640, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:32:31Record linked automaticallyffe967a2d8
scoring_agent, TPA-62641, identity id MBR-021769, confidence 1, method probabilistic, matched record ENR-137545, policy version 1
2026-10-19 19:32:31Record linked automatically219b42aa1e
scoring_agent, CLM-428597, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62640, policy version 1
2026-10-19 19:32:31Record linked automaticallycaee7ccbae
scoring_agent, ENR-137545, identity id MBR-021769, confidence 1, method probabilistic, matched record TPA-62641, policy version 1
2026-10-19 19:31:28Record linked automatically52cf37040e
scoring_agent, CLM-428597, identity id MBR-024982, confidence 1, method probabilistic, matched record TPA-62566, policy version 1
2026-10-19 19:31:28Record linked automatically6485da0e95
scoring_agent, TPA-62641, identity id MBR-014823, confidence 1, method probabilistic, matched record ENR-138009, policy version 1
2026-10-19 19:31:28Record linked automaticallyaacd54c6bb
matching_agent, CLM-428598, identity id MBR-013967, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28402

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-005580	2026-08-04	Desert Reference Lab in network	83036	$40.00	$0.00	Approved	Approved
CLM-2026-004708	2026-02-11	Valley Skin Care Associates out of network	17110, 11102	$437.00	—	Denied	Denied