Identities/MBR-025859
Gold, golden identity

Paul A Martinez

3 source records from 2 feeds.

MBR-025859Verified3 records

Golden record

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

First nameENR
Paul
Middle nameENR
A
Last nameENR
Martinez
Date of birthENR
1953-03-19
GenderENR
F
Member IDENR
UHC-85993-86
SSNENR
•••-••-9028
PhoneENR
8315175723
EmailENR
paul.martinez@aol.com
AddressENR
2801 Grand Ave
CityENR
Fresno
StateENR
CA
ZIPENR
93739
GroupENR
GRP-5783
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
ENR ×2CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.970.99ENRENR-124612CLMCLM-418702ENRENR-124613IDMBR-025859
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-124612ENR2026-04-14Paul Martinezflagged1953-03-19UHC-85993-8683151757232801 Grand Ave, Fresno, CARule0.99D1 member id + dob exact
CLM-418702CLM2026-07-21Paul Martinezflagged1953-03-19—83151757232801 Grand Ave, Fresno, CARule0.97D2 ssn4 + dob + last name
ENR-124613ENR2026-10-18Pal Martinezflagged1953-03-19UHC-85993-8683151757232801 Grand Ave, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-124612ENR ENR-124613ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-124612ENR CLM-418702 CLM0.97RuleD2 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
▶CLM-418702 CLMENR-124613ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-418702 → UHC-85993-86 (Paul Martinez)
    ACT-002685, Claims processor
  • Duplicate member record retiredExecuted
    Paul Martinez: 2 enrollment records collapsed into UHC-85993-86
    ACT-025246, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyf022800c25
    matching_agent, ENR-124613, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124612
  • 2026-10-22 12:43:54Record linked automaticallyc5eaf8227c
    matching_agent, CLM-418702, identity id MBR-025859, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124612
  • 2026-10-22 12:43:54Record linked automatically359624aab8
    matching_agent, ENR-124612, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124613
  • 2026-10-19 19:54:38Record linked automatically14f475564c
    matching_agent, ENR-124613, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124612
  • 2026-10-19 19:54:38Record linked automaticallyad58273382
    matching_agent, CLM-418702, identity id MBR-025859, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124612
  • 2026-10-19 19:54:38Record linked automatically49c252d862
    matching_agent, ENR-124612, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124613
  • 2026-10-19 19:52:09Record linked automatically88f1a482fc
    matching_agent, ENR-124613, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124612
  • 2026-10-19 19:52:09Record linked automatically978359bbb9
    matching_agent, CLM-418702, identity id MBR-025859, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124612
  • 2026-10-19 19:52:09Record linked automatically6e2aaf4539
    matching_agent, ENR-124612, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124613
  • 2026-10-19 19:45:42Record linked automatically3da9bb0e62
    matching_agent, ENR-124613, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124612
  • 2026-10-19 19:45:42Record linked automaticallydee8613af1
    matching_agent, CLM-418702, identity id MBR-025859, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124612
  • 2026-10-19 19:45:42Record linked automatically8b5f14291d
    matching_agent, ENR-124612, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124613
  • 2026-10-19 19:32:31Record linked automaticallyf85ebc8575
    matching_agent, ENR-124613, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124612
  • 2026-10-19 19:32:31Record linked automaticallyd8f69a966a
    matching_agent, CLM-418702, identity id MBR-025859, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124612
  • 2026-10-19 19:32:31Record linked automatically13b4981891
    matching_agent, ENR-124612, identity id MBR-025859, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124613
  • 2026-10-19 19:31:28Record linked automatically43d9c09a6b
    matching_agent, CLM-418702, identity id MBR-029737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124445
  • 2026-10-19 19:31:28Record linked automatically1083fe9400
    matching_agent, ENR-124612, identity id MBR-005285, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418824

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0050892026-06-26Heritage Family Practice
in network
36415, 90471$58.00—Needs reviewNeeds review
CLM-2026-0050882026-06-26Heritage Family Practice
in network
36415, 90471$58.00$25.42ApprovedApproved