Identities/MBR-025682
Gold, golden identity

Samuel T Mendoza

4 source records from 2 feeds.

MBR-025682Verified4 records

Golden record

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

First nameENR
Samuel
Middle nameENR
T
Last nameENR
Mendoza
Date of birthENR
1979-01-02
GenderCLM
F
Member IDENR
UHC-48138-76
SSNENR
•••-••-9763
PhoneENR
6419253865
Email—
—
AddressENR
808 Park Pl
CityENR
San Diego
StateENR
CA
ZIPENR
92164
GroupENR
GRP-3575
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.000.99CLMCLM-422132CLMCLM-422133CLMCLM-422134ENRENR-129004IDMBR-025682
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
CLM-422132CLM2026-04-13Samuel Mendozaflagged1979-01-02—6419253865808 Park Pl, San Diego, CAScored1.00—
CLM-422133CLM2026-05-07Samuel Mendozaflagged1979-01-02UHC-48138-76—808 Park Pl, San Diego, CARule0.99D1 member id + dob exact
CLM-422134CLM2026-06-09Samuel Mendozaflagged1979-01-02UHC-48138-76—808 Park Pl, San Diego, CAScored1.00—
ENR-129004ENR2026-09-02Samuel Mendozaflagged1979-01-02UHC-48138-766419253865808 Park Pl, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422132CLMCLM-422134CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422133CLMCLM-422134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422133CLMENR-129004ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422134CLMENR-129004ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422132CLMCLM-422133CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422132CLMENR-129004ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422132 → UHC-48138-76 (Samuel Mendoza)
    ACT-007952, Claims processor
  • Care coordination outreachProposed
    Samuel Mendoza: 3 claims, no attributed provider
    ACT-019310, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyb9b75f2d42
    matching_agent, ENR-129004, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422133
  • 2026-10-22 12:43:54Record linked automaticallye0dd5d82af
    scoring_agent, CLM-422134, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422132, policy version 1
  • 2026-10-22 12:43:54Record linked automatically76aa449981
    matching_agent, CLM-422133, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422134
  • 2026-10-22 12:43:54Record linked automaticallyca2a61fae7
    scoring_agent, CLM-422132, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:54:38Record linked automatically252aeda26e
    matching_agent, ENR-129004, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422133
  • 2026-10-19 19:54:38Record linked automatically3f0088d9d8
    scoring_agent, CLM-422134, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422132, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye238506732
    matching_agent, CLM-422133, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422134
  • 2026-10-19 19:54:38Record linked automaticallye1d4bdd111
    scoring_agent, CLM-422132, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3b2987d24a
    matching_agent, ENR-129004, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422133
  • 2026-10-19 19:52:09Record linked automatically71d8ea44f9
    scoring_agent, CLM-422134, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422132, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf00b40a19e
    matching_agent, CLM-422133, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422134
  • 2026-10-19 19:52:09Record linked automatically5ff0b27f23
    scoring_agent, CLM-422132, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:45:42Record linked automatically80a0c48115
    matching_agent, ENR-129004, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422133
  • 2026-10-19 19:45:42Record linked automatically6208b4a666
    scoring_agent, CLM-422134, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422132, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye5debfde04
    matching_agent, CLM-422133, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422134
  • 2026-10-19 19:45:42Record linked automatically16e7da1c2a
    scoring_agent, CLM-422132, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2e31302763
    matching_agent, ENR-129004, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422133
  • 2026-10-19 19:32:31Record linked automatically32cbe6563f
    scoring_agent, CLM-422134, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422132, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6285724320
    matching_agent, CLM-422133, identity id MBR-025682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422134
  • 2026-10-19 19:32:31Record linked automaticallye8f2d6f295
    scoring_agent, CLM-422132, identity id MBR-025682, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9cdb8464d5
    matching_agent, ENR-129004, identity id MBR-014943, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26488
  • 2026-10-19 19:31:28Record linked automatically7bfbf07a89
    scoring_agent, CLM-422132, identity id MBR-005079, confidence 1, method probabilistic, matched record CLM-422134, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya2161e1c8f
    matching_agent, CLM-422133, identity id MBR-005079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422135
  • 2026-10-19 19:31:28Record linked automatically134175bbf0
    scoring_agent, CLM-422134, identity id MBR-005079, confidence 1, method probabilistic, matched record CLM-422132, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0217452026-05-11Northgate Clinical Laboratories
in network
80053, 80061, 85025, 83036$216.00$0.00ApprovedApproved
CLM-2026-0191822026-05-01Meadow Physical Therapy
out of network
70553$6,114.00—Needs reviewNeeds review
CLM-2026-0250732026-03-01Cornerstone Regional Medical Center
in network
99285, 99284$3,480.00$1,564.00ApprovedApproved