Identities/MBR-022564

Gold, golden identity

George T Lopez

5 source records from 3 feeds.

MBR-022564Verified5 records

Golden record

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

First nameENR: George
Middle nameCLM: T
Last nameENR: Lopez
Date of birthENR: 1951-11-13
GenderENR: F
Member IDENR: UHC-53502-65
SSNENR: •••-••-0978
PhoneENR: 5942626767
EmailENR: george.lopez@outlook.com
AddressENR: 9472 Sunset Blvd
CityENR: San Diego
StateENR: CA
ZIPENR: 92182
GroupENR: GRP-4301
PlanENR: MEDICARE-ADV-B

Min confidence

0.97

Sources

TPA ×2CLM ×2ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-59024	TPA	2026-03-28	George Lopezflagged	1951-11-13	—	—	9472 Sunset Blvd, San Diego, CA	Scored	1.00	—
CLM-420526	CLM	2026-04-03	George Lopezflagged	1951-11-13	—	—	9472 Sunset Blvd, San Diego, CA	Scored	1.00	—
CLM-420527	CLM	2026-07-30	George Lopezflagged	1951-11-13	—	5942626767	9472 Sunset Blvd, San Diego, CA	Rule	0.97	D2 ssn4 + dob + last name
ENR-127003	ENR	2026-09-24	George Lopezflagged	1951-11-13	UHC-53502-65	5942626767	9472 Sunset Blvd, San Diego, CA	Scored	1.00	—
TPA-59023	TPA	2026-10-15	George Lopezflagged	1951-11-13	UHC-53502-65	5942626767	9472 Sunset Blvd, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59024TPACLM-420526CLM1.00Scoredweighted 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-59024TPAENR-127003ENR1.00Scoredweighted 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-420526CLMENR-127003ENR1.00Scoredweighted 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-59024TPATPA-59023TPA1.00Scoredweighted 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-420526CLMTPA-59023TPA1.00Scoredweighted 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-127003ENRTPA-59023TPA0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420527CLMENR-127003ENR0.97RuleD2 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420527CLMTPA-59023TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59024TPACLM-420527CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420526CLMCLM-420527CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420526 → UHC-53502-65 (George Lopez)
ACT-002447, Claims processor
Orphan claim re-pointedExecuted
CLM-420527 → UHC-53502-65 (George Lopez)
ACT-003305, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically2c780ddbe2
scoring_agent, TPA-59023, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-22 12:43:54Record linked automaticallyced793c9ce
scoring_agent, ENR-127003, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-22 12:43:54Record linked automatically79e35fc9ae
matching_agent, CLM-420527, identity id MBR-022564, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127003
2026-10-22 12:43:54Record linked automatically522382b6f4
scoring_agent, CLM-420526, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-22 12:43:54Record linked automatically18a722d0b6
scoring_agent, TPA-59024, identity id MBR-022564, confidence 1, method probabilistic, matched record CLM-420526, policy version 1
2026-10-19 19:54:38Record linked automatically0e2e3cbbaf
scoring_agent, TPA-59023, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:54:38Record linked automaticallyc9aa173150
scoring_agent, ENR-127003, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:54:38Record linked automaticallydf01dada4b
matching_agent, CLM-420527, identity id MBR-022564, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127003
2026-10-19 19:54:38Record linked automatically2a04ef81a6
scoring_agent, CLM-420526, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:54:38Record linked automatically244b37a790
scoring_agent, TPA-59024, identity id MBR-022564, confidence 1, method probabilistic, matched record CLM-420526, policy version 1
2026-10-19 19:52:09Record linked automatically1070883e5e
scoring_agent, TPA-59023, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:52:09Record linked automatically3b7f81d174
scoring_agent, ENR-127003, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:52:09Record linked automatically4ae8ae31f4
matching_agent, CLM-420527, identity id MBR-022564, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127003
2026-10-19 19:52:09Record linked automaticallyb9d9af7cfd
scoring_agent, CLM-420526, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:52:09Record linked automaticallye0269b9619
scoring_agent, TPA-59024, identity id MBR-022564, confidence 1, method probabilistic, matched record CLM-420526, policy version 1
2026-10-19 19:45:42Record linked automatically17c4fb8bbf
scoring_agent, TPA-59023, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:45:42Record linked automaticallycfed7bfe87
scoring_agent, ENR-127003, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:45:42Record linked automaticallyd4d2d04c62
matching_agent, CLM-420527, identity id MBR-022564, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127003
2026-10-19 19:45:42Record linked automatically44cf13f378
scoring_agent, CLM-420526, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:45:42Record linked automaticallya051f8246b
scoring_agent, TPA-59024, identity id MBR-022564, confidence 1, method probabilistic, matched record CLM-420526, policy version 1
2026-10-19 19:32:31Record linked automatically8b5ca1ba49
scoring_agent, TPA-59023, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:32:31Record linked automatically419a43dadf
scoring_agent, ENR-127003, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:32:31Record linked automaticallyd8bc6793af
matching_agent, CLM-420527, identity id MBR-022564, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-127003
2026-10-19 19:32:31Record linked automaticallye5ac1cef80
scoring_agent, CLM-420526, identity id MBR-022564, confidence 1, method probabilistic, matched record TPA-59024, policy version 1
2026-10-19 19:32:31Record linked automatically3d6d9c54a0
scoring_agent, TPA-59024, identity id MBR-022564, confidence 1, method probabilistic, matched record CLM-420526, policy version 1
2026-10-19 19:31:28Record linked automatically47abf88923
matching_agent, CLM-420526, identity id MBR-034765, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126950
2026-10-19 19:31:28Record linked automatically89accbbad4
scoring_agent, TPA-59024, identity id MBR-020255, confidence 0.97, method probabilistic, matched record ENR-127184, policy version 1
2026-10-19 19:31:28Record linked automatically64782546d7
scoring_agent, TPA-59023, identity id MBR-018718, confidence 1, method probabilistic, matched record CLM-420699, policy version 1
2026-10-19 19:31:28Record linked automaticallydaef7458c6
matching_agent, ENR-127003, identity id MBR-001310, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127002

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-007462	2026-07-17	Summit Diagnostic Imaging in network	71046, 77067	$387.00	$56.98	Approved	Approved
CLM-2026-004173	2026-03-02	Lakeside Imaging Center in network	74177, 71046	$1,886.00	—	Needs review	Needs review