Identities/MBR-027880
Gold, golden identity

James Rojas

4 source records from 2 feeds.

MBR-027880Verified4 records

Golden record

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

First nameENR
James
Middle name—
—
Last nameENR
Rojas
Date of birthENR
1946-10-27
GenderENR
F
Member IDENR
UHC-49912-59
SSNENR
•••-••-8522
PhoneENR
3148260850
EmailENR
james.rojas77@gmail.com
AddressENR
7984 Camelback Rd
CityENR
Nashville
StateENR
TN
ZIPENR
37206
GroupENR
GRP-4226
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

0.990.990.990.99CLMCLM-416595CLMCLM-416597ENRENR-121808CLMCLM-416596IDMBR-027880
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-416595CLM2026-04-26James Rojasflagged1946-10-27UHC-49912-5931482608507984 Camelback Rd, Nashville, TNRule0.99D1 member id + dob exact
CLM-416597CLM2026-06-22James Roajsflagged1946-10-27—3148260850—Scored0.99—
ENR-121808ENR2026-08-02James Rojasflagged1946-10-27UHC-49912-5931482608507984 Camelback Rd, Nashville, TNRule0.99D1 member id + dob exact
CLM-416596CLM2026-10-04James Rojasflagged1946-10-27UHC-49912-593148260850—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416595 CLMCLM-416596CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121808ENRCLM-416596CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416595 CLMENR-121808ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-416597 CLMCLM-416596CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416595 CLMCLM-416597 CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416597 CLMENR-121808ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416597 → UHC-49912-59 (James Rojas)
    ACT-007472, Claims processor
  • Care coordination outreachProposed
    James Rojas: 3 claims, no attributed provider
    ACT-019391, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically2aa25fbd73
    matching_agent, CLM-416596, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-22 12:43:54Record linked automatically6513c7ba15
    matching_agent, ENR-121808, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-22 12:43:54Record linked automaticallyc49735d1f0
    scoring_agent, CLM-416597, identity id MBR-027880, confidence 0.99, method probabilistic, matched record CLM-416595, policy version 1
  • 2026-10-22 12:43:54Record linked automatically6398a28143
    matching_agent, CLM-416595, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121808
  • 2026-10-19 19:54:38Record linked automatically36584e0275
    matching_agent, CLM-416596, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:54:38Record linked automaticallyb539cff8cb
    matching_agent, ENR-121808, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:54:38Record linked automatically10c1faf2e7
    scoring_agent, CLM-416597, identity id MBR-027880, confidence 0.99, method probabilistic, matched record CLM-416595, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0d2f9454a4
    matching_agent, CLM-416595, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121808
  • 2026-10-19 19:52:09Record linked automatically14ced77f6a
    matching_agent, CLM-416596, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:52:09Record linked automaticallyff16bec991
    matching_agent, ENR-121808, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:52:09Record linked automatically51ae66b06a
    scoring_agent, CLM-416597, identity id MBR-027880, confidence 0.99, method probabilistic, matched record CLM-416595, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1bef2049cd
    matching_agent, CLM-416595, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121808
  • 2026-10-19 19:45:42Record linked automaticallyddf7f59779
    matching_agent, CLM-416596, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:45:42Record linked automatically588d0b3bad
    matching_agent, ENR-121808, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:45:42Record linked automaticallyc14d973aae
    scoring_agent, CLM-416597, identity id MBR-027880, confidence 0.99, method probabilistic, matched record CLM-416595, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3f36f87306
    matching_agent, CLM-416595, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121808
  • 2026-10-19 19:32:31Record linked automatically18d110d64d
    matching_agent, CLM-416596, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:32:31Record linked automatically0e909dd92e
    matching_agent, ENR-121808, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416595
  • 2026-10-19 19:32:31Record linked automatically5310884c3f
    scoring_agent, CLM-416597, identity id MBR-027880, confidence 0.99, method probabilistic, matched record CLM-416595, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9ed3077e20
    matching_agent, CLM-416595, identity id MBR-027880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121808
  • 2026-10-19 19:31:28Record linked automaticallyd015b1a0a8
    scoring_agent, CLM-416595, identity id MBR-019628, confidence 1, method probabilistic, matched record TPA-57237, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1dde87c3d5
    matching_agent, ENR-121808, identity id MBR-017041, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-57279
  • 2026-10-19 19:31:28Record linked automaticallybe22178386
    matching_agent, CLM-416596, identity id MBR-011080, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121739
  • 2026-10-19 19:31:28Record linked automatically612fe098f6
    matching_agent, CLM-416597, identity id MBR-005559, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121740

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0037652026-09-03Pinecrest Medical Group
in network
99395$300.00$161.00ApprovedApproved
CLM-2026-0232322026-05-18Riverside Digestive Health Center
in network
99214$243.00$90.66ApprovedApproved
CLM-2026-0050682026-03-18Canyon Skin Care Associates
in network
17110, 11102$427.00$204.74ApprovedApproved