Identities/MBR-024604
Gold, golden identity

Beverly Cruz

3 source records from 2 feeds.

MBR-024604Verified3 records

Golden record

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

First nameCLM
Beverly
Middle name—
—
Last nameCLM
Cruz
Date of birthCLM
2004-12-13
GenderCLM
F
Member IDCLM
UHC-12852-42
SSNTPA
•••-••-3712
PhoneCLM
4532848788
Email—
—
AddressCLM
9587 Palm Dr
CityCLM
Atlanta
StateCLM
GA
ZIPCLM
30367
GroupCLM
GRP-8868
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
TPA ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.99TPATPA-53130CLMCLM-407166CLMCLM-407165IDMBR-024604
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
TPA-53130TPA2026-04-08Beverly Cruzflagged2004-12-13—45328487889587 Palm Dr, Atlanta, GAScored1.00—
CLM-407166CLM2026-07-14Beverly Cruzflagged2004-12-13UHC-12852-4245328487889587 Palm Dr, Atlanta, GAScored1.00—
CLM-407165CLM2026-09-15Beverly Cruzflagged2004-12-13UHC-12852-42——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-53130TPACLM-407166CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407166CLMCLM-407165CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53130TPACLM-407165CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically878102caa9
    matching_agent, CLM-407165, identity id MBR-024604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407166
  • 2026-10-22 12:43:54Record linked automatically2dbb68bcf1
    scoring_agent, CLM-407166, identity id MBR-024604, confidence 1, method probabilistic, matched record TPA-53130, policy version 1
  • 2026-10-22 12:43:54Record linked automatically17879fb374
    scoring_agent, TPA-53130, identity id MBR-024604, confidence 1, method probabilistic, matched record CLM-407166, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4241e565bf
    matching_agent, CLM-407165, identity id MBR-024604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407166
  • 2026-10-19 19:54:38Record linked automaticallyad25b8e181
    scoring_agent, CLM-407166, identity id MBR-024604, confidence 1, method probabilistic, matched record TPA-53130, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc2f87aae40
    scoring_agent, TPA-53130, identity id MBR-024604, confidence 1, method probabilistic, matched record CLM-407166, policy version 1
  • 2026-10-19 19:52:09Record linked automatically982ee05b32
    matching_agent, CLM-407165, identity id MBR-024604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407166
  • 2026-10-19 19:52:09Record linked automatically6baf7d5178
    scoring_agent, CLM-407166, identity id MBR-024604, confidence 1, method probabilistic, matched record TPA-53130, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7e3ec05cd2
    scoring_agent, TPA-53130, identity id MBR-024604, confidence 1, method probabilistic, matched record CLM-407166, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4be50c5588
    matching_agent, CLM-407165, identity id MBR-024604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407166
  • 2026-10-19 19:45:42Record linked automatically8eab5f8a4f
    scoring_agent, CLM-407166, identity id MBR-024604, confidence 1, method probabilistic, matched record TPA-53130, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye5d62b4a6b
    scoring_agent, TPA-53130, identity id MBR-024604, confidence 1, method probabilistic, matched record CLM-407166, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4f64c0ed95
    matching_agent, CLM-407165, identity id MBR-024604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407166
  • 2026-10-19 19:32:31Record linked automatically874f247c95
    scoring_agent, CLM-407166, identity id MBR-024604, confidence 1, method probabilistic, matched record TPA-53130, policy version 1
  • 2026-10-19 19:32:31Record linked automatically69a3a1d038
    scoring_agent, TPA-53130, identity id MBR-024604, confidence 1, method probabilistic, matched record CLM-407166, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfc36fc3775
    matching_agent, CLM-407165, identity id MBR-036327, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407166
  • 2026-10-19 19:31:28Record linked automaticallya06c56826b
    matching_agent, CLM-407166, identity id MBR-036327, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407165
  • 2026-10-19 19:31:28Record linked automatically34740cbe41
    matching_agent, TPA-53130, identity id MBR-012551, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109241

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0085492026-08-26Unity Clinical Laboratories
in network
80053$41.00$0.00ApprovedApproved
CLM-2026-0192132026-06-07Desert Internal Medicine Associates
in network
99214$303.00—DeniedDenied
CLM-2026-0192122026-06-07Desert Internal Medicine Associates
in network
99214$303.00$162.86ApprovedApproved