Identities/MBR-025368

Gold, golden identity

Justin L Cruz

5 source records from 2 feeds.

MBR-025368Verified5 records

Golden record

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

First nameCLM: Justin
Middle nameTPA: L
Last nameCLM: Cruz
Date of birthCLM: 1944-09-18
GenderCLM: F
Member IDCLM: UHC-59406-30
SSNTPA: •••-••-1016
PhoneCLM: 4196778148
EmailTPA: justin.cruz@icloud.com
AddressCLM: 2917 Ridge Rd
CityCLM: San Antonio
StateCLM: TX
ZIPTPA: 78273
GroupTPA: GRP-2211
PlanCLM: CORE-HMO

Min confidence

0.99

Sources

CLM ×2TPA ×3

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
CLM-432427	CLM	2026-04-12	Justin Cruzflagged	1944-09-18	UHC-59406-30	4196778148	2917 Ridge Rd, San Antonio, TX	Rule	0.99	D1 member id + dob exact
TPA-64308	TPA	2026-04-19	Juztin Cruzflagged	1944-09-18	—	—	2917 Ridge Rd Apt 1, San Antonio, TX	Scored	0.99	—
TPA-64306	TPA	2026-05-20	Justin Cruzflagged	1944-09-18	—	—	2917 Ridge Rd, San Antonio, TX	Scored	1.00	—
TPA-64307	TPA	2026-06-10	Justin Cruzflagged	1944-09-18	—	4196778148	2917 Ridge Rd, San Antonio, TX	Scored	1.00	—
CLM-432426	CLM	2026-09-20	Justin Cruzflagged	1944-09-18	UHC-59406-30	4196778148	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-64307TPACLM-432426CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64306TPATPA-64307TPA1.00Scoredweighted 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-432427CLMCLM-432426CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-64308 TPATPA-64306TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64308 TPATPA-64307TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.96	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

▶CLM-432427CLMTPA-64307TPA0.94Scoredweighted 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

▶CLM-432427CLMTPA-64306TPA0.93Scoredweighted 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-432427CLMTPA-64308 TPA0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64308 TPACLM-432426CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-64306TPACLM-432426CLM0.83Scoredweighted similaritySent to steward

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

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 automatically7617b271a3
scoring_agent, CLM-432426, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-22 12:43:54Record linked automatically7a7f517f5e
scoring_agent, TPA-64307, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-22 12:43:54Record linked automaticallya25e93f999
scoring_agent, TPA-64306, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-22 12:43:54Record linked automatically4149a8ecf0
scoring_agent, TPA-64308, identity id MBR-025368, confidence 0.99, method probabilistic, matched record TPA-64306, policy version 1
2026-10-22 12:43:54Record linked automaticallyfa7161fdf3
matching_agent, CLM-432427, identity id MBR-025368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432426
2026-10-19 19:54:38Record linked automatically6eb4a3dab8
scoring_agent, CLM-432426, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:54:38Record linked automatically4c75bdacdd
scoring_agent, TPA-64307, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:54:38Record linked automatically37d3711cae
scoring_agent, TPA-64306, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:54:38Record linked automaticallye64eae52df
scoring_agent, TPA-64308, identity id MBR-025368, confidence 0.99, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:54:38Record linked automatically919b4d5723
matching_agent, CLM-432427, identity id MBR-025368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432426
2026-10-19 19:52:09Record linked automatically6833f261e2
scoring_agent, CLM-432426, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:52:09Record linked automaticallyf595aa84da
scoring_agent, TPA-64307, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:52:09Record linked automatically3c8983e0bb
scoring_agent, TPA-64306, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:52:09Record linked automatically9452e32b5f
scoring_agent, TPA-64308, identity id MBR-025368, confidence 0.99, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:52:09Record linked automaticallye47e38675b
matching_agent, CLM-432427, identity id MBR-025368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432426
2026-10-19 19:45:42Record linked automaticallyee1420c7a7
scoring_agent, CLM-432426, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:45:42Record linked automatically313626bfb0
scoring_agent, TPA-64307, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:45:42Record linked automaticallya02f20e1d8
scoring_agent, TPA-64306, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:45:42Record linked automaticallya09bbad0f6
scoring_agent, TPA-64308, identity id MBR-025368, confidence 0.99, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:45:42Record linked automatically804f35d5e4
matching_agent, CLM-432427, identity id MBR-025368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432426
2026-10-19 19:32:31Record linked automatically14141bf109
scoring_agent, CLM-432426, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:32:31Record linked automatically77286da7eb
scoring_agent, TPA-64307, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:32:31Record linked automaticallyf60804c955
scoring_agent, TPA-64306, identity id MBR-025368, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:32:31Record linked automaticallyb41f2985b7
scoring_agent, TPA-64308, identity id MBR-025368, confidence 0.99, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:32:31Record linked automatically931978ebfb
matching_agent, CLM-432427, identity id MBR-025368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432426
2026-10-19 19:31:28Record linked automatically344b9210aa
scoring_agent, TPA-64307, identity id MBR-041876, confidence 1, method probabilistic, matched record TPA-64306, policy version 1
2026-10-19 19:31:28Record linked automatically9a70267d54
scoring_agent, TPA-64306, identity id MBR-041876, confidence 1, method probabilistic, matched record TPA-64307, policy version 1
2026-10-19 19:31:28Record linked automaticallyacd1449b9b
scoring_agent, TPA-64308, identity id MBR-025698, confidence 1, method probabilistic, matched record ENR-143128, policy version 1
2026-10-19 19:31:28Record linked automatically97f5a0915b
scoring_agent, CLM-432427, identity id MBR-015494, confidence 0.98, method probabilistic, matched record CLM-432426, policy version 1
2026-10-19 19:31:28Record linked automatically7d840eec7d
scoring_agent, CLM-432426, identity id MBR-015494, confidence 1, method probabilistic, matched record ENR-142759, policy version 1

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-2026-007309	2026-08-30	Evergreen Orthopedic Specialists in network	73721	$1,297.00	$0.00	Approved	Approved
CLM-2026-005708	2026-04-06	Meadow Physical Therapy in network	97110	$320.00	$173.40	Approved	Approved