Identities/MBR-029992
Gold, golden identity

Hiroshi A Martinez

4 source records from 1 feed.

MBR-029992Verified4 records

Golden record

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

First nameCLM
Hiroshi
Middle nameCLM
A
Last nameCLM
Martinez
Date of birthCLM
1993-08-16
GenderCLM
F
Member IDCLM
UHC-21659-34
SSNCLM
•••-••-2583
PhoneCLM
8992714513
Email—
—
AddressCLM
6792 Valley View Dr
CityCLM
Fresno
StateCLM
CA
ZIPCLM
93756
GroupCLM
GRP-6003
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-427044CLMCLM-427045CLMCLM-427047CLMCLM-427046IDMBR-029992
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-427044CLM2026-05-10Hiroshi Martinezflagged1993-08-16UHC-21659-3489927145136792 Valley View Dr # 147, Fresno, CARule0.99D1 member id + dob exact
CLM-427045CLM2026-08-10Hiroshi Marttinezflagged1993-08-16UHC-21659-348992714513—Rule0.99D1 member id + dob exact
CLM-427047CLM2026-08-26Hiroshi Martinezflagged1993-08-16UHC-21659-3489927145136792 Valley View Dr Apt 2, Fresno, CARule0.99D1 member id + dob exact
CLM-427046CLM2026-10-04Hiroshi Martinzflagged1993-08-16UHC-21659-3489927145136792 Valley View Dr, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427044CLMCLM-427045 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427044CLMCLM-427046CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-427045 CLMCLM-427046CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427047CLMCLM-427046CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427044CLMCLM-427047CLM0.99RuleD1 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-427045 CLMCLM-427047CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Hiroshi Martinez: 4 claims, no attributed provider
    ACT-019442, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically812e7ab369
    matching_agent, CLM-427046, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:54:38Record linked automaticallycffe4896f4
    matching_agent, CLM-427047, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:54:38Record linked automatically424b33a8db
    matching_agent, CLM-427045, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:54:38Record linked automatically70ff88c0c3
    matching_agent, CLM-427044, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427045
  • 2026-10-19 19:52:09Record linked automaticallybe412990cd
    matching_agent, CLM-427046, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:52:09Record linked automatically8c852dd6bf
    matching_agent, CLM-427047, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:52:09Record linked automatically0e8e97aa8f
    matching_agent, CLM-427045, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:52:09Record linked automaticallyc2054286fa
    matching_agent, CLM-427044, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427045
  • 2026-10-19 19:45:42Record linked automaticallydcd82b9527
    matching_agent, CLM-427046, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:45:42Record linked automatically37ccd2c331
    matching_agent, CLM-427047, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:45:42Record linked automatically24d5676ba7
    matching_agent, CLM-427045, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:45:42Record linked automatically262e915165
    matching_agent, CLM-427044, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427045
  • 2026-10-19 19:32:31Record linked automaticallyeeed905e98
    matching_agent, CLM-427046, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:32:31Record linked automatically31a4effe4b
    matching_agent, CLM-427047, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:32:31Record linked automaticallyef81462524
    matching_agent, CLM-427045, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427044
  • 2026-10-19 19:32:31Record linked automaticallyf74b09cc1d
    matching_agent, CLM-427044, identity id MBR-029992, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427045
  • 2026-10-19 19:31:28Record linked automatically15ebd176ae
    scoring_agent, CLM-427047, identity id MBR-037976, confidence 1, method probabilistic, matched record TPA-61892, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2b629bd223
    scoring_agent, CLM-427044, identity id MBR-012758, confidence 1, method probabilistic, matched record TPA-61885, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0107762026-09-11Valley Bone and Joint Center
out of network
27447$51,314.00—DeniedDenied
CLM-2026-0231302026-08-07Meadow Heart Institute
out of network
93306$1,218.00—DeniedDenied
CLM-2026-0117552026-07-24Evergreen Diagnostic Imaging
in network
71046$115.00$0.00ApprovedApproved
CLM-2026-0288182026-04-02Sunrise Clinical Laboratories
in network
80053$51.00$0.00ApprovedApproved