Identities/MBR-024344
Gold, golden identity

Douglas D Cruz

3 source records from 3 feeds.

MBR-024344Verified3 records

Golden record

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

First nameENR
Douglas
Middle nameENR
D
Last nameENR
Cruz
Date of birthENR
1961-04-01
GenderENR
M
Member IDENR
UHC-70015-67
SSNENR
•••-••-4280
PhoneENR
2817939656
Email—
—
AddressENR
9571 Baseline Rd
CityENR
Columbus
StateENR
OH
ZIPENR
43278
GroupENR
GRP-4487
PlanENR
NAVIGATE-HMO
Min confidence
1.00
Sources
ENR ×1CLM ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00ENRENR-141538CLMCLM-431636PRVPRV-29249IDMBR-024344
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
ENR-141538ENR2026-04-06Douglas Cruzflagged1961-04-01UHC-70015-6728179396569571 Baseline Rd, Columbus, OHScored1.00—
CLM-431636CLM2026-05-13Douglas Cruzflagged1961-04-01—28179396569571 Baseline Rd, Columbus, OHScored1.00—
PRV-29249PRV2026-06-04Douglas Cruzflagged1961-04-01—28179396569571 Baseline Rd, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-141538ENRCLM-431636CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141538ENRPRV-29249PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431636CLMPRV-29249PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Douglas Cruz: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000983, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-431636 → UHC-70015-67 (Douglas Cruz)
    ACT-009625, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf570c82660
    scoring_agent, PRV-29249, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya37b6f4043
    scoring_agent, CLM-431636, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb7d4663fe2
    scoring_agent, ENR-141538, identity id MBR-024344, confidence 1, method probabilistic, matched record CLM-431636, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf31d8c9d5f
    scoring_agent, PRV-29249, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:52:09Record linked automatically529b463d7d
    scoring_agent, CLM-431636, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:52:09Record linked automatically198f99e361
    scoring_agent, ENR-141538, identity id MBR-024344, confidence 1, method probabilistic, matched record CLM-431636, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7899c9b40a
    scoring_agent, PRV-29249, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye8bd1d76eb
    scoring_agent, CLM-431636, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9bd48b90e8
    scoring_agent, ENR-141538, identity id MBR-024344, confidence 1, method probabilistic, matched record CLM-431636, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydb076f6a5f
    scoring_agent, PRV-29249, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:32:31Record linked automatically148f0d2f97
    scoring_agent, CLM-431636, identity id MBR-024344, confidence 1, method probabilistic, matched record ENR-141538, policy version 1
  • 2026-10-19 19:32:31Record linked automatically631da5066b
    scoring_agent, ENR-141538, identity id MBR-024344, confidence 1, method probabilistic, matched record CLM-431636, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyaca66421b1
    matching_agent, PRV-29249, identity id MBR-000312, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141892

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0315542026-04-26Sunrise Skin Care Associates
in network
99213$200.00$84.00ApprovedApproved