Identities/MBR-031151
Gold, golden identity

Omar R Cruz

4 source records from 2 feeds.

MBR-031151Verified4 records

Golden record

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

First nameENR
Omar
Middle nameENR
R
Last nameENR
Cruz
Date of birthENR
1940-02-18
GenderENR
F
Member IDENR
UHC-81755-94
SSNENR
•••-••-7640
PhoneENR
5687368832
EmailENR
omar.cruz33@hotmail.com
AddressENR
4576 Jefferson Ave # 141
CityENR
Phoenix
StateENR
AZ
ZIPENR
85002
GroupENR
GRP-1892
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.000.99ENRENR-137669CLMCLM-428714CLMCLM-428713ENRENR-137668IDMBR-031151
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-137669ENR2026-05-18Omar Cruzflagged1940-02-18UHC-81755-9456873688324576 Jefferson Ave, Phoenix, AZRule0.99D1 member id + dob exact
CLM-428714CLM2026-06-18Omar Cruzflagged1940-02-18—56873688324576 Jefferson Ave, Phoenix, AZScored1.00—
CLM-428713CLM2026-07-18Omar Cruzflagged1940-02-18UHC-81755-9456873688324576 Jefferson Ave, Phoenix, AZScored1.00—
ENR-137668ENR2026-09-09Omar Cruzflagged1940-02-18UHC-81755-9456873688324576 Jefferson Ave # 141, Phoenix, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428714CLMCLM-428713CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137669ENRCLM-428713CLM0.99RuleD1 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
▶ENR-137669ENRENR-137668ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-428713CLMENR-137668ENR0.99RuleD1 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
▶ENR-137669ENRCLM-428714CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-428714CLMENR-137668ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428714 → UHC-81755-94 (Omar Cruz)
    ACT-001844, Claims processor
  • Outreach address correctedProposed
    Omar Cruz: 4576 Jefferson Ave, Phoenix → 4576 Jefferson Ave # 141, Phoenix
    ACT-012983, Outreach
  • Duplicate member record retiredExecuted
    Omar Cruz: 2 enrollment records collapsed into UHC-81755-94
    ACT-025762, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya577ba1d53
    matching_agent, ENR-137668, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137669
  • 2026-10-19 19:54:38Record linked automaticallycaaa355649
    scoring_agent, CLM-428713, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428714, policy version 1
  • 2026-10-19 19:54:38Record linked automatically39369e8b54
    scoring_agent, CLM-428714, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428713, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1334cc739b
    matching_agent, ENR-137669, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428713
  • 2026-10-19 19:52:09Record linked automatically6edd20de7d
    matching_agent, ENR-137668, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137669
  • 2026-10-19 19:52:09Record linked automaticallyf7cc11a142
    scoring_agent, CLM-428713, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428714, policy version 1
  • 2026-10-19 19:52:09Record linked automatically366af88d73
    scoring_agent, CLM-428714, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428713, policy version 1
  • 2026-10-19 19:52:09Record linked automatically04d7ca5dca
    matching_agent, ENR-137669, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428713
  • 2026-10-19 19:45:42Record linked automatically56da5da41f
    matching_agent, ENR-137668, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137669
  • 2026-10-19 19:45:42Record linked automatically4cf920f873
    scoring_agent, CLM-428713, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428714, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc0abdde041
    scoring_agent, CLM-428714, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428713, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb2718b8a8b
    matching_agent, ENR-137669, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428713
  • 2026-10-19 19:32:31Record linked automatically2aaa325cab
    matching_agent, ENR-137668, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137669
  • 2026-10-19 19:32:31Record linked automaticallyd8305cc368
    scoring_agent, CLM-428713, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428714, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd1cd0f53f3
    scoring_agent, CLM-428714, identity id MBR-031151, confidence 1, method probabilistic, matched record CLM-428713, policy version 1
  • 2026-10-19 19:32:31Record linked automatically801926ca7f
    matching_agent, ENR-137669, identity id MBR-031151, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428713
  • 2026-10-19 19:31:28Record linked automaticallyd1fa5ad2a1
    matching_agent, CLM-428714, identity id MBR-041315, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137926
  • 2026-10-19 19:31:28Record linked automatically8045505875
    matching_agent, ENR-137668, identity id MBR-028744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28365

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0274902026-06-26Valley Imaging Center
in network
70553, 71046$2,546.00—Needs reviewNeeds review
CLM-2026-0020152026-06-01Sunrise Cardiovascular Associates
in network
93224$356.00$160.72ApprovedApproved