Identities/MBR-027157
Gold, golden identity

Andrea R Mendoza

3 source records from 2 feeds.

MBR-027157Verified3 records

Golden record

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

First nameENR
Andrea
Middle nameENR
R
Last nameENR
Mendoza
Date of birthENR
1949-05-24
GenderENR
F
Member IDENR
UHC-31553-52
SSNENR
•••-••-8587
PhoneENR
6143632941
EmailENR
andrea.mendoza@hotmail.com
AddressENR
3821 Willow Ct
CityENR
Denver
StateENR
CO
ZIPENR
80230
GroupENR
GRP-0616
PlanENR
MEDICARE-ADV-A
Min confidence
0.91
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.910.99ENRENR-100288CLMCLM-400196CLMCLM-400195IDMBR-027157
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-100288ENR2026-04-22Andrea Mendozaflagged1949-05-24UHC-31553-5261436329413821 Willow Ct, Denver, CORule0.99D1 member id + dob exact
CLM-400196CLM2026-05-30Andrea Mendozaflagged———3821 Willow Ct, Denver, COScored0.91—
CLM-400195CLM2026-06-10Andrea Mendozaflagged1949-05-24UHC-31553-52—3821 Willow Ct, Denver, CORule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-100288ENRCLM-400195 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-100288ENRCLM-400196CLM0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Email1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400196 → UHC-31553-52 (Andrea Mendoza)
    ACT-010159, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb775908568
    matching_agent, CLM-400195, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100288
  • 2026-10-19 19:54:38Record linked automatically5d5c7092ec
    scoring_agent, CLM-400196, identity id MBR-027157, confidence 0.91, method probabilistic, matched record ENR-100288, policy version 1
  • 2026-10-19 19:54:38Record linked automatically73e448f6cf
    matching_agent, ENR-100288, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400195
  • 2026-10-19 19:52:09Record linked automatically7831d506ee
    matching_agent, CLM-400195, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100288
  • 2026-10-19 19:52:09Record linked automatically5787f6f56c
    scoring_agent, CLM-400196, identity id MBR-027157, confidence 0.91, method probabilistic, matched record ENR-100288, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd13898305c
    matching_agent, ENR-100288, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400195
  • 2026-10-19 19:45:42Record linked automatically77397a6af1
    matching_agent, CLM-400195, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100288
  • 2026-10-19 19:45:42Record linked automatically137ffdcdfa
    scoring_agent, CLM-400196, identity id MBR-027157, confidence 0.91, method probabilistic, matched record ENR-100288, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyac1d31faea
    matching_agent, ENR-100288, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400195
  • 2026-10-19 19:32:31Record linked automaticallyba2e3c5135
    matching_agent, CLM-400195, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100288
  • 2026-10-19 19:32:31Record linked automaticallydc49574869
    scoring_agent, CLM-400196, identity id MBR-027157, confidence 0.91, method probabilistic, matched record ENR-100288, policy version 1
  • 2026-10-19 19:32:31Record linked automatically428fe996e5
    matching_agent, ENR-100288, identity id MBR-027157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400195
  • 2026-10-19 19:31:28Record linked automatically322ab7e685
    scoring_agent, CLM-400196, identity id MBR-027011, confidence 0.99, method probabilistic, matched record ENR-100291, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye927bc1617
    matching_agent, CLM-400195, identity id MBR-011721, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100290
  • 2026-10-19 19:31:28Record linked automatically6168ebaa18
    matching_agent, ENR-100288, identity id MBR-009985, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20054

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0273352026-05-11Unity Medical Group
in network
99214, 80053$363.00$200.06ApprovedApproved
CLM-2026-0335662026-05-23Harbor Physical Therapy
in network
97110, 97161$415.00$232.30ApprovedApproved