Identities/MBR-031063
Gold, golden identity

Lisa Mendez

3 source records from 2 feeds.

MBR-031063Verified3 records

Golden record

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

First nameCLM
Lisa
Middle name—
—
Last nameCLM
Mendez
Date of birthCLM
1953-09-05
GenderCLM
F
Member IDCLM
UHC-19854-24
SSNCLM
•••-••-4947
PhoneCLM
5005642611
Email—
—
AddressCLM
9253 Jefferson Ave
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92186
GroupTPA
GRP-0916
Plan—
—
Min confidence
0.99
Sources
CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.001.00CLMCLM-413241TPATPA-55827CLMCLM-413240IDMBR-031063
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-413241CLM2026-05-17Lisa Mendezflagged1953-09-05UHC-19854-2450056426119253 Jefferson Ave, San Diego, CARule0.99D1 member id + dob exact
TPA-55827TPA2026-05-21Lisa Mendezflagged1953-09-05—50056426119253 Jefferson Ave Apt 12, San Diego, CAScored1.00—
CLM-413240CLM2026-05-27Lisa Mendezflagged1953-09-05UHC-19854-24—9253 Jefferson Ave, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55827TPACLM-413240CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413241CLMCLM-413240CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413241CLMTPA-55827TPA0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: 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

  • 2026-10-22 12:43:54Record linked automatically5b40e3bc61
    scoring_agent, CLM-413240, identity id MBR-031063, confidence 1, method probabilistic, matched record TPA-55827, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2185c39cf5
    scoring_agent, TPA-55827, identity id MBR-031063, confidence 1, method probabilistic, matched record CLM-413240, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallye02123fcab
    matching_agent, CLM-413241, identity id MBR-031063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413240
  • 2026-10-19 19:54:38Record linked automatically13ddd601a4
    scoring_agent, CLM-413240, identity id MBR-031063, confidence 1, method probabilistic, matched record TPA-55827, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye24588d4d5
    scoring_agent, TPA-55827, identity id MBR-031063, confidence 1, method probabilistic, matched record CLM-413240, policy version 1
  • 2026-10-19 19:54:38Record linked automatically810e753c7a
    matching_agent, CLM-413241, identity id MBR-031063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413240
  • 2026-10-19 19:52:09Record linked automatically057c895ef2
    scoring_agent, CLM-413240, identity id MBR-031063, confidence 1, method probabilistic, matched record TPA-55827, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf4ccc1d75f
    scoring_agent, TPA-55827, identity id MBR-031063, confidence 1, method probabilistic, matched record CLM-413240, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9798ac4db0
    matching_agent, CLM-413241, identity id MBR-031063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413240
  • 2026-10-19 19:45:42Record linked automatically79dcf011db
    scoring_agent, CLM-413240, identity id MBR-031063, confidence 1, method probabilistic, matched record TPA-55827, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9a1e12fac7
    scoring_agent, TPA-55827, identity id MBR-031063, confidence 1, method probabilistic, matched record CLM-413240, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9ec80bc363
    matching_agent, CLM-413241, identity id MBR-031063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413240
  • 2026-10-19 19:32:31Record linked automatically0ee31fe166
    scoring_agent, CLM-413240, identity id MBR-031063, confidence 1, method probabilistic, matched record TPA-55827, policy version 1
  • 2026-10-19 19:32:31Record linked automatically527c41c05a
    scoring_agent, TPA-55827, identity id MBR-031063, confidence 1, method probabilistic, matched record CLM-413240, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b2d4e9bba
    matching_agent, CLM-413241, identity id MBR-031063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413240
  • 2026-10-19 19:31:28Record linked automaticallyb2ad4a804b
    matching_agent, CLM-413240, identity id MBR-005006, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117492
  • 2026-10-19 19:31:28Record linked automatically17cfc21e58
    matching_agent, CLM-413241, identity id MBR-005006, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413239
  • 2026-10-19 19:31:28Record linked automaticallybf27723f04
    scoring_agent, TPA-55827, identity id MBR-000310, confidence 1, method probabilistic, matched record CLM-413364, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0078722026-04-28Meadow Primary Care Associates
in network
99213, 99203$451.00—DeniedDenied
CLM-2026-0078712026-04-28Meadow Primary Care Associates
in network
99213, 99203$451.00$249.62ApprovedApproved
CLM-2026-0232922026-04-18Mesa Diabetes Center
in network
99215, 83036$448.00$237.76ApprovedApproved