Identities/MBR-033159
Gold, golden identity

Andrew Fernandez

3 source records from 1 feed.

MBR-033159Verified3 records

Golden record

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

First nameCLM
Andrew
Middle name—
—
Last nameCLM
Fernandez
Date of birthCLM
1954-12-06
GenderCLM
F
Member IDCLM
UHC-63371-59
SSNCLM
•••-••-9324
PhoneCLM
9835588894
EmailCLM
andrew.fernandez@hotmail.com
AddressCLM
3013 Pine Dr
CityCLM
Dallas
StateCLM
TX
ZIPCLM
75280
GroupCLM
GRP-4833
PlanCLM
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00CLMCLM-420981CLMCLM-420979CLMCLM-420980IDMBR-033159
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-420981CLM2026-06-01Andrew Fernandezflagged1954-12-06——3013 Pine Dr, Dallas, TXScored1.00—
CLM-420979CLM2026-08-29Andrew Fernandezflagged1954-12-06UHC-63371-5998355888943013 Pine Dr, Dallas, TXScored1.00—
CLM-420980CLM2026-09-13Andrew Fernandezflagged1954-12-06—9835588894—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-420981CLMCLM-420979CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420979CLMCLM-420980CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420981CLMCLM-420980CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420980 → UHC-63371-59 (Andrew Fernandez)
    ACT-003565, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-420981 → UHC-63371-59 (Andrew Fernandez)
    ACT-009806, Claims processor
  • Care coordination outreachProposed
    Andrew Fernandez: 3 claims, no attributed provider
    ACT-019496, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye6eada0468
    scoring_agent, CLM-420980, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3ef3fe8e2c
    scoring_agent, CLM-420979, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420981, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8647462df3
    scoring_agent, CLM-420981, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6d9b0eb417
    scoring_agent, CLM-420980, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:52:09Record linked automatically749b0fe5c4
    scoring_agent, CLM-420979, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420981, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb3823caab0
    scoring_agent, CLM-420981, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2291c1342a
    scoring_agent, CLM-420980, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyed8b8efaba
    scoring_agent, CLM-420979, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420981, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a5c88501d
    scoring_agent, CLM-420981, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya943a9a7c9
    scoring_agent, CLM-420980, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0329f9a071
    scoring_agent, CLM-420979, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420981, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4ff0b48f68
    scoring_agent, CLM-420981, identity id MBR-033159, confidence 1, method probabilistic, matched record CLM-420979, policy version 1
  • 2026-10-19 19:31:28Record linked automatically62bd244aea
    matching_agent, CLM-420979, identity id MBR-015159, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127520
  • 2026-10-19 19:31:28Record linked automatically9800cabc93
    matching_agent, CLM-420980, identity id MBR-005487, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127522

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0084322026-08-11Northgate Counseling Center
in network
90837$235.00$105.70ApprovedApproved
CLM-2026-0146632026-08-22Heritage Clinical Laboratories
in network
83036, 85025, 80053$186.00$0.00ApprovedApproved
CLM-2026-0322422026-05-27Northgate Reference Lab
in network
80053, 80061$142.00$0.00ApprovedApproved