Douglas Mendez

3 source records from 3 feeds.

MBR-031190Verified3 records

Golden record

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

First nameENR: Douglas
Middle name—: —
Last nameENR: Mendez
Date of birthENR: 1947-12-11
GenderENR: M
Member IDENR: UHC-96845-13
SSNENR: •••-••-5864
Phone—: —
EmailENR: douglas.mendez66@aol.com
AddressENR: 5921 Washington St
CityENR: Miami
StateENR: FL
ZIPENR: 33188
GroupENR: GRP-9992
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1ENR ×1CLM ×1

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
TPA-56352	TPA	2026-05-18	Douglas Mendezflagged	1947-12-11	UHC-96845-13	—	5921 Washington St, Miami, FL	Scored	1.00	—
ENR-118921	ENR	2026-05-25	Douglas Mendezflagged	1947-12-11	UHC-96845-13	—	5921 Washington St, Miami, FL	Rule	0.99	D1 member id + dob exact
CLM-414384	CLM	2026-06-17	Douglas Mendezflagged	1947-12-11	—	—	5921 Washington St, Miami, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-56352 TPACLM-414384CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-56352 TPAENR-118921ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-118921ENRCLM-414384CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414384 → UHC-96845-13 (Douglas Mendez)
ACT-002474, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya14736da16
scoring_agent, CLM-414384, identity id MBR-031190, confidence 1, method probabilistic, matched record TPA-56352, policy version 1
2026-10-19 19:54:38Record linked automatically80e2a4ef7c
matching_agent, ENR-118921, identity id MBR-031190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56352
2026-10-19 19:54:38Record linked automatically4e7c055475
scoring_agent, TPA-56352, identity id MBR-031190, confidence 1, method probabilistic, matched record CLM-414384, policy version 1
2026-10-19 19:52:09Record linked automatically5dfa5f1f06
scoring_agent, CLM-414384, identity id MBR-031190, confidence 1, method probabilistic, matched record TPA-56352, policy version 1
2026-10-19 19:52:09Record linked automatically654231d0d9
matching_agent, ENR-118921, identity id MBR-031190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56352
2026-10-19 19:52:09Record linked automatically73e94670fd
scoring_agent, TPA-56352, identity id MBR-031190, confidence 1, method probabilistic, matched record CLM-414384, policy version 1
2026-10-19 19:45:42Record linked automatically1c9c6074ed
scoring_agent, CLM-414384, identity id MBR-031190, confidence 1, method probabilistic, matched record TPA-56352, policy version 1
2026-10-19 19:45:42Record linked automatically33e983babb
matching_agent, ENR-118921, identity id MBR-031190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56352
2026-10-19 19:45:42Record linked automaticallyd846e1a5c7
scoring_agent, TPA-56352, identity id MBR-031190, confidence 1, method probabilistic, matched record CLM-414384, policy version 1
2026-10-19 19:32:31Record linked automatically5cf72838bc
scoring_agent, CLM-414384, identity id MBR-031190, confidence 1, method probabilistic, matched record TPA-56352, policy version 1
2026-10-19 19:32:31Record linked automatically2d2ee47397
matching_agent, ENR-118921, identity id MBR-031190, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56352
2026-10-19 19:32:31Record linked automatically6c579ef832
scoring_agent, TPA-56352, identity id MBR-031190, confidence 1, method probabilistic, matched record CLM-414384, policy version 1
2026-10-19 19:31:28Record linked automatically76d4c9919b
matching_agent, ENR-118921, identity id MBR-018941, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-56268
2026-10-19 19:31:28Record linked automatically7e2bd471ac
matching_agent, CLM-414384, identity id MBR-003901, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-24222
2026-10-19 19:31:28Record linked automatically4c1d1053b4
scoring_agent, TPA-56352, identity id MBR-003160, confidence 1, method probabilistic, matched record ENR-119158, 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-2026-004275	2026-06-04	Desert Internal Medicine Associates in network	99214	$263.00	$133.06	Approved	Approved