Identities/MBR-022688

Gold, golden identity

Priya Lopez

5 source records from 3 feeds.

MBR-022688Verified5 records

Golden record

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

First namePRV: Priya
Middle name—: —
Last nameENR: Lopez
Date of birthENR: 1947-04-09
GenderPRV: F
Member IDENR: UHC-53383-79
SSNENR: •••-••-2663
PhonePRV: 2076566795
EmailENR: priya.lopez@aol.com
AddressENR: 6000 Harbor Blvd
CityENR: Chandler
StateENR: AZ
ZIPENR: 85296
GroupENR: GRP-4231
PlanENR: OPTIONS-PPO

Min confidence

0.97

Sources

CLM ×2PRV ×2ENR ×1

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
CLM-428115	CLM	2026-03-29	Priya Lopezflagged	1947-04-09	UHC-53383-79	—	6000 Harbor Blvd, Chandler, AZ	Scored	1.00	—
PRV-28242	PRV	2026-05-22	Priya Lopezflagged	1947-04-09	—	—	6000 Harbor Blvd, Chandler, AZ	Scored	1.00	—
CLM-428116	CLM	2026-06-23	Priya Lopezflagged	1947-04-09	—	2076566795	6000 Harbor Blvd, Chandler, AZ	Rule	0.97	D2 ssn4 + dob + last name
PRV-28241	PRV	2026-07-04	Priya Lopezflagged	1947-04-09	—	2076566795	6000 Harbor Blvd, Chandler, AZ	Scored	1.00	—
ENR-136860	ENR	2026-07-25	Priyya Lopezflagged	1947-04-09	UHC-53383-79	—	6000 Harbor Blvd, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-428115CLMPRV-28241PRV1.00Scoredweighted 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

▶PRV-28242PRVPRV-28241PRV1.00Scoredweighted 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

▶CLM-428115CLMPRV-28242PRV1.00Scoredweighted 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

▶PRV-28242PRVENR-136860ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428115CLMENR-136860ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428116CLMENR-136860ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28241PRVENR-136860ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-428116CLMPRV-28241PRV0.97RuleD2 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-428115CLMCLM-428116CLM0.93Scoredweighted 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

▶PRV-28242PRVCLM-428116CLM0.93Scoredweighted 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

Eligibility conflict resolvedProposed
Priya Lopez: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000929, Eligibility engine
Orphan claim re-pointedExecuted
CLM-428116 → UHC-53383-79 (Priya Lopez)
ACT-004194, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically80e6a16fe9
scoring_agent, ENR-136860, identity id MBR-022688, confidence 1.00, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:54:38Record linked automatically642f4480ed
scoring_agent, PRV-28241, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:54:38Record linked automaticallyedb998d615
matching_agent, CLM-428116, identity id MBR-022688, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28241
2026-10-19 19:54:38Record linked automaticallyd01ed5ca92
scoring_agent, PRV-28242, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:54:38Record linked automaticallyfc34da8db9
scoring_agent, CLM-428115, identity id MBR-022688, confidence 1, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:52:09Record linked automaticallyfd86e35bb2
scoring_agent, ENR-136860, identity id MBR-022688, confidence 1.00, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:52:09Record linked automaticallybe86dd9013
scoring_agent, PRV-28241, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:52:09Record linked automatically957ee859fb
matching_agent, CLM-428116, identity id MBR-022688, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28241
2026-10-19 19:52:09Record linked automatically51630a37fe
scoring_agent, PRV-28242, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:52:09Record linked automaticallydfbf4d50a7
scoring_agent, CLM-428115, identity id MBR-022688, confidence 1, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:45:42Record linked automaticallyd43af8dcda
scoring_agent, ENR-136860, identity id MBR-022688, confidence 1.00, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:45:42Record linked automatically633fbba771
scoring_agent, PRV-28241, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:45:42Record linked automatically2875f5cf6f
matching_agent, CLM-428116, identity id MBR-022688, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28241
2026-10-19 19:45:42Record linked automatically71bf911326
scoring_agent, PRV-28242, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:45:42Record linked automatically8a8f0b6a75
scoring_agent, CLM-428115, identity id MBR-022688, confidence 1, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:32:31Record linked automaticallycb6cf7fe1c
scoring_agent, ENR-136860, identity id MBR-022688, confidence 1.00, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:32:31Record linked automatically2bb240e74a
scoring_agent, PRV-28241, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:32:31Record linked automaticallyfddceb0037
matching_agent, CLM-428116, identity id MBR-022688, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-28241
2026-10-19 19:32:31Record linked automaticallyd7d1a9c6f8
scoring_agent, PRV-28242, identity id MBR-022688, confidence 1, method probabilistic, matched record CLM-428115, policy version 1
2026-10-19 19:32:31Record linked automatically9715248568
scoring_agent, CLM-428115, identity id MBR-022688, confidence 1, method probabilistic, matched record PRV-28242, policy version 1
2026-10-19 19:31:28Record linked automaticallya38412fadc
matching_agent, PRV-28241, identity id MBR-043123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137163
2026-10-19 19:31:28Record linked automatically03086ef04b
matching_agent, CLM-428116, identity id MBR-031489, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137173
2026-10-19 19:31:28Record linked automatically8b6eed5ec3
matching_agent, PRV-28242, identity id MBR-018340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428111
2026-10-19 19:31:28Record linked automaticallyfbc3e983e6
matching_agent, CLM-428115, identity id MBR-006919, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137171

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-2026-010911	2026-06-07	Summit Medical Group in network	80053	$89.00	$30.18	Approved	Approved
CLM-2026-011080	2026-03-02	Summit Reference Lab out of network	80053	$73.00	$0.00	Approved	Approved