Identities/MBR-027313
Gold, golden identity

Carl Y Cruz

3 source records from 2 feeds.

MBR-027313Verified3 records

Golden record

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

First nameENR
Carl
Middle nameENR
Y
Last nameENR
Cruz
Date of birthENR
1948-04-12
GenderENR
M
Member IDENR
UHC-48607-37
SSNENR
•••-••-7351
PhoneENR
4852670845
EmailENR
carl.cruz@proton.me
AddressENR
8758 Spring St
CityENR
Charlotte
StateENR
NC
ZIPENR
28252
GroupENR
GRP-4498
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.99ENRENR-101215CLMCLM-400917CLMCLM-400918IDMBR-027313
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-101215ENR2026-04-23Carl Cruzflagged1948-04-12UHC-48607-3748526708458758 Spring St, Charlotte, NCScored1.00—
CLM-400917CLM2026-08-17Carl Cruzflagged1948-04-12—4852670845—Scored1.00—
CLM-400918CLM2026-10-07Carl Cruzflagged1948-04-12UHC-48607-37—8758 Spring St, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-101215ENRCLM-400917CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-101215ENRCLM-400918CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400917CLMCLM-400918CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400917 → UHC-48607-37 (Carl Cruz)
    ACT-008361, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7c4e76b7be
    matching_agent, CLM-400918, identity id MBR-027313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101215
  • 2026-10-22 12:43:54Record linked automatically5511fc3223
    scoring_agent, CLM-400917, identity id MBR-027313, confidence 1, method probabilistic, matched record ENR-101215, policy version 1
  • 2026-10-22 12:43:54Record linked automatically889ceee424
    scoring_agent, ENR-101215, identity id MBR-027313, confidence 1, method probabilistic, matched record CLM-400917, policy version 1
  • 2026-10-19 19:54:38Record linked automatically762bd2a1d3
    matching_agent, CLM-400918, identity id MBR-027313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101215
  • 2026-10-19 19:54:38Record linked automaticallydb9e558b81
    scoring_agent, CLM-400917, identity id MBR-027313, confidence 1, method probabilistic, matched record ENR-101215, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya032eccb66
    scoring_agent, ENR-101215, identity id MBR-027313, confidence 1, method probabilistic, matched record CLM-400917, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3e072d2eb3
    matching_agent, CLM-400918, identity id MBR-027313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101215
  • 2026-10-19 19:52:09Record linked automaticallyfbd067b8ca
    scoring_agent, CLM-400917, identity id MBR-027313, confidence 1, method probabilistic, matched record ENR-101215, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye6a7e915f0
    scoring_agent, ENR-101215, identity id MBR-027313, confidence 1, method probabilistic, matched record CLM-400917, policy version 1
  • 2026-10-19 19:45:42Record linked automatically024f770b09
    matching_agent, CLM-400918, identity id MBR-027313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101215
  • 2026-10-19 19:45:42Record linked automatically7f20429997
    scoring_agent, CLM-400917, identity id MBR-027313, confidence 1, method probabilistic, matched record ENR-101215, policy version 1
  • 2026-10-19 19:45:42Record linked automatically191f27c5ac
    scoring_agent, ENR-101215, identity id MBR-027313, confidence 1, method probabilistic, matched record CLM-400917, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc992dd4783
    matching_agent, CLM-400918, identity id MBR-027313, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101215
  • 2026-10-19 19:32:31Record linked automaticallyaf9f4e7fc6
    scoring_agent, CLM-400917, identity id MBR-027313, confidence 1, method probabilistic, matched record ENR-101215, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3e98b9115d
    scoring_agent, ENR-101215, identity id MBR-027313, confidence 1, method probabilistic, matched record CLM-400917, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf09580c24f
    matching_agent, CLM-400917, identity id MBR-025210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101272
  • 2026-10-19 19:31:28Record linked automaticallye66c4b4f76
    matching_agent, ENR-101215, identity id MBR-023108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400873
  • 2026-10-19 19:31:28Record linked automatically808b139389
    scoring_agent, CLM-400918, identity id MBR-008396, confidence 1, method probabilistic, matched record CLM-400919, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0136732026-09-28Pinecrest Internal Medicine Associates
in network
99214$255.00$138.10ApprovedApproved
CLM-2026-0266012026-07-30Canyon Primary Care Associates
in network
36415$24.00$0.00ApprovedApproved