Identities/MBR-028988

Gold, golden identity

Walter X Espinoza

5 source records from 2 feeds.

MBR-028988Verified5 records

Golden record

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

First namePRV: Walter
Middle namePRV: X
Last namePRV: Espinoza
Date of birthPRV: 1976-05-06
GenderPRV: F
Member IDPRV: UHC-40017-55
SSNCLM: •••-••-8816
PhonePRV: 5095932183
EmailPRV: walter.espinoza@gmail.com
AddressPRV: 9590 Bayshore Dr
CityPRV: Gilbert
StatePRV: AZ
ZIPPRV: 85229
GroupCLM: GRP-1008
PlanPRV: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3PRV ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-405431	CLM	2026-05-03	Walter Espinozaflagged	1976-05-06	UHC-40017-55	5095932183	9590 Bayshore Dr # 323, Gilbert, AZ	Scored	1.00	—
PRV-21573	PRV	2026-05-11	Walter Espinozaflagged	1976-05-06	—	5095932183	9590 Bayshore Dr, Gilbert, AZ	Scored	1.00	—
CLM-405432	CLM	2026-06-28	Walter Espinozaflagged	1976-05-06	UHC-40017-55	5095932183	—	Scored	1.00	—
CLM-405433	CLM	2026-08-03	Walter Espinozaflagged	1976-05-06	UHC-40017-55	—	—	Scored	1.00	—
PRV-21574	PRV	2026-10-06	Walter Espinozaflagged	1976-05-06	UHC-40017-55	5095932183	9590 Bayshore Dr, Gilbert, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-21573PRVCLM-405432CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-21573PRVCLM-405433 CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405431CLMPRV-21573PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21573PRVPRV-21574PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405431CLMCLM-405432CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405431CLMCLM-405433 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405432CLMCLM-405433 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405431CLMPRV-21574PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405432CLMPRV-21574PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405433 CLMPRV-21574PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically1ed974d017
scoring_agent, PRV-21574, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:54:38Record linked automaticallyef4850e1af
scoring_agent, CLM-405433, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:54:38Record linked automatically61f0fa87f8
scoring_agent, CLM-405432, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:54:38Record linked automatically66c70186b4
scoring_agent, PRV-21573, identity id MBR-028988, confidence 1, method probabilistic, matched record CLM-405431, policy version 1
2026-10-19 19:54:38Record linked automatically0a8813ea9d
scoring_agent, CLM-405431, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:52:09Record linked automaticallyf339ca2e0d
scoring_agent, PRV-21574, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:52:09Record linked automatically35226890b3
scoring_agent, CLM-405433, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:52:09Record linked automatically46ebd75faa
scoring_agent, CLM-405432, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:52:09Record linked automaticallye5273e1929
scoring_agent, PRV-21573, identity id MBR-028988, confidence 1, method probabilistic, matched record CLM-405431, policy version 1
2026-10-19 19:52:09Record linked automatically72f1dd5d7c
scoring_agent, CLM-405431, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:45:42Record linked automaticallyae8c072e8d
scoring_agent, PRV-21574, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:45:42Record linked automatically66144fc446
scoring_agent, CLM-405433, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:45:42Record linked automaticallye022291005
scoring_agent, CLM-405432, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:45:42Record linked automatically8c3c4ce821
scoring_agent, PRV-21573, identity id MBR-028988, confidence 1, method probabilistic, matched record CLM-405431, policy version 1
2026-10-19 19:45:42Record linked automatically024be114e6
scoring_agent, CLM-405431, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:32:31Record linked automatically6df5921059
scoring_agent, PRV-21574, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:32:31Record linked automatically682f79cc8b
scoring_agent, CLM-405433, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:32:31Record linked automaticallybdb4320f45
scoring_agent, CLM-405432, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:32:31Record linked automaticallyab864218ad
scoring_agent, PRV-21573, identity id MBR-028988, confidence 1, method probabilistic, matched record CLM-405431, policy version 1
2026-10-19 19:32:31Record linked automaticallyb3b78d7f52
scoring_agent, CLM-405431, identity id MBR-028988, confidence 1, method probabilistic, matched record PRV-21573, policy version 1
2026-10-19 19:31:28Record linked automaticallyf11b1c98bb
matching_agent, CLM-405432, identity id MBR-018909, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107104
2026-10-19 19:31:28Record linked automaticallyf90b27e6d0
scoring_agent, CLM-405433, identity id MBR-014820, confidence 1, method probabilistic, matched record ENR-107105, policy version 1
2026-10-19 19:31:28Record linked automaticallyce456212d3
scoring_agent, PRV-21574, identity id MBR-005149, confidence 1, method probabilistic, matched record CLM-405268, policy version 1
2026-10-19 19:31:28Record linked automaticallya447168d22
scoring_agent, PRV-21573, identity id MBR-005149, confidence 1, method probabilistic, matched record CLM-405268, policy version 1
2026-10-19 19:31:28Record linked automaticallyb867f9b8a4
scoring_agent, CLM-405431, identity id MBR-001655, confidence 0.94, method probabilistic, matched record ENR-107101, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-011275	2026-07-31	Summit Heart Institute in network	93224, 99214	$618.00	$308.16	Approved	Approved
CLM-2026-006703	2026-05-21	Heritage Medical Group out of network	36415, 99213	$187.00	—	Denied	Denied
CLM-2026-016745	2026-03-22	Sunrise Behavioral Health in network	99214	$216.00	$58.92	Approved	Approved