Identities/MBR-026448
Gold, golden identity

Lori J Cruz

4 source records from 2 feeds.

MBR-026448Verified4 records

Golden record

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

First nameENR
Lori
Middle nameENR
J
Last nameENR
Cruz
Date of birthENR
1990-04-25
GenderENR
F
Member IDENR
UHC-87156-17
SSNENR
•••-••-7904
PhoneENR
9102112334
EmailENR
lori.cruz19@yahoo.com
AddressENR
6582 Sage Ct
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55387
GroupENR
GRP-3498
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
CLM ×2ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.96CLMCLM-416815ENRENR-122079CLMCLM-416814ENRENR-122078IDMBR-026448
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-416815CLM2026-04-18Lori Cruzflagged1990-04-25—9102112334—Rule0.97D2 ssn4 + dob + last name
ENR-122079ENR2026-05-30Lori Cruzflagged1990-04-25UHC-87156-1791021123346582 Sage Ct, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-416814CLM2026-06-20Lori Cruzflagged1990-04-25UHC-87156-17—6582 Sage Ct # 449, Eden Prairie, MNRule0.99D1 member id + dob exact
ENR-122078ENR2026-08-20Lori Cruzflagged1989-04-25UHC-87156-1791021123346582 Sage Ct, Eden Prairie, MNRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-122079ENRCLM-416814CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416815CLMENR-122079ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-122079ENRENR-122078ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-416814CLMENR-122078ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416815CLMCLM-416814CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-416815CLMENR-122078ENR0.78Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416815 → UHC-87156-17 (Lori Cruz)
    ACT-007890, Claims processor
  • Duplicate member record retiredExecuted
    Lori Cruz: 2 enrollment records collapsed into UHC-87156-17
    ACT-025319, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9ff18e4561
    matching_agent, ENR-122078, identity id MBR-026448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:54:38Record linked automaticallyab44e9f572
    matching_agent, CLM-416814, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122079
  • 2026-10-19 19:54:38Record linked automatically79cf73ce3e
    matching_agent, ENR-122079, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416814
  • 2026-10-19 19:54:38Record linked automatically42628babc1
    matching_agent, CLM-416815, identity id MBR-026448, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:52:09Record linked automaticallyd0967ffd46
    matching_agent, ENR-122078, identity id MBR-026448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:52:09Record linked automatically8874704f17
    matching_agent, CLM-416814, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122079
  • 2026-10-19 19:52:09Record linked automaticallya847c1e7e1
    matching_agent, ENR-122079, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416814
  • 2026-10-19 19:52:09Record linked automaticallyfacd953404
    matching_agent, CLM-416815, identity id MBR-026448, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:45:42Record linked automaticallycd536405ce
    matching_agent, ENR-122078, identity id MBR-026448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:45:42Record linked automatically63fd95fd05
    matching_agent, CLM-416814, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122079
  • 2026-10-19 19:45:42Record linked automaticallyc15666e369
    matching_agent, ENR-122079, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416814
  • 2026-10-19 19:45:42Record linked automatically7444dfd2d3
    matching_agent, CLM-416815, identity id MBR-026448, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:32:31Record linked automaticallyad1b1f0571
    matching_agent, ENR-122078, identity id MBR-026448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:32:31Record linked automatically6faaf34325
    matching_agent, CLM-416814, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122079
  • 2026-10-19 19:32:31Record linked automatically32be356485
    matching_agent, ENR-122079, identity id MBR-026448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416814
  • 2026-10-19 19:32:31Record linked automaticallyc9e74d9e5b
    matching_agent, CLM-416815, identity id MBR-026448, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122079
  • 2026-10-19 19:31:28Record linked automaticallyb97e9bff2f
    matching_agent, CLM-416814, identity id MBR-011340, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416813
  • 2026-10-19 19:31:28Record linked automaticallybc3d82997d
    matching_agent, ENR-122079, identity id MBR-005645, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416880

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0159612026-05-27Valley Imaging Center
in network
71046, 70553$2,378.00$782.11ApprovedApproved
CLM-2026-0248302026-03-04Mesa Clinical Laboratories
in network
80053, 80061$133.00—DeniedDenied
CLM-2026-0248292026-03-04Mesa Clinical Laboratories
in network
80053, 80061$133.00$0.00ApprovedApproved