Identities/MBR-037164
Gold, golden identity

Paul Z Jimenez

4 source records from 3 feeds.

MBR-037164Verified4 records

Golden record

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

First nameENR
Paul
Middle nameENR
Z
Last nameENR
Jimenez
Date of birthENR
1977-10-17
GenderENR
F
Member IDENR
UHC-80721-02
SSNENR
•••-••-0241
PhoneENR
7525558763
EmailENR
paul.jimenez77@hotmail.com
AddressPRV
1194 Pine Dr
CityENR
Tempe
StateENR
AZ
ZIPENR
85257
GroupENR
GRP-5898
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.971.000.991.00CLMCLM-400655CLMCLM-400656ENRENR-100887PRVPRV-20201IDMBR-037164
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-400655CLM2026-07-03Paul Jimenezflagged1977-10-17———Rule0.97D2 ssn4 + dob + last name
CLM-400656CLM2026-07-13Paul Jimenezflagged1977-10-17UHC-80721-02—1194 Pine Dr, Tempe, AZScored1.00—
ENR-100887ENR2026-09-08Paul Jimenezflagged1977-10-17UHC-80721-0275255587631194 Pine Dr Apt 28, Tempe, AZRule0.99D1 member id + dob exact
PRV-20201PRV2026-09-12Paul Jimenezflagged1977-10-17——1194 Pine Dr, Tempe, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400656CLMPRV-20201PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400656CLMENR-100887ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400655CLMENR-100887ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400655CLMPRV-20201PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-100887ENRPRV-20201PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400655CLMCLM-400656CLM0.83Scoredweighted 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-400655 → UHC-80721-02 (Paul Jimenez)
    ACT-007360, Claims processor
  • Outreach address correctedProposed
    Paul Jimenez: 1194 Pine Dr Apt 28, Tempe → 1194 Pine Dr, Tempe
    ACT-013244, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically8e1f014ba3
    scoring_agent, PRV-20201, identity id MBR-037164, confidence 1, method probabilistic, matched record CLM-400656, policy version 1
  • 2026-10-22 12:43:55Record linked automatically83854b5d51
    matching_agent, ENR-100887, identity id MBR-037164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400656
  • 2026-10-22 12:43:55Record linked automatically8103807330
    scoring_agent, CLM-400656, identity id MBR-037164, confidence 1, method probabilistic, matched record PRV-20201, policy version 1
  • 2026-10-22 12:43:55Record linked automatically4e4a0d155e
    matching_agent, CLM-400655, identity id MBR-037164, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100887
  • 2026-10-19 19:54:39Record linked automatically6556a0d663
    scoring_agent, PRV-20201, identity id MBR-037164, confidence 1, method probabilistic, matched record CLM-400656, policy version 1
  • 2026-10-19 19:54:39Record linked automatically62eddcc244
    matching_agent, ENR-100887, identity id MBR-037164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400656
  • 2026-10-19 19:54:39Record linked automaticallyd3e61275b0
    scoring_agent, CLM-400656, identity id MBR-037164, confidence 1, method probabilistic, matched record PRV-20201, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyb8031dc74a
    matching_agent, CLM-400655, identity id MBR-037164, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100887
  • 2026-10-19 19:52:09Record linked automatically05a29469ef
    scoring_agent, PRV-20201, identity id MBR-037164, confidence 1, method probabilistic, matched record CLM-400656, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3abf189f5f
    matching_agent, ENR-100887, identity id MBR-037164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400656
  • 2026-10-19 19:52:09Record linked automaticallyf7f15b26d2
    scoring_agent, CLM-400656, identity id MBR-037164, confidence 1, method probabilistic, matched record PRV-20201, policy version 1
  • 2026-10-19 19:52:09Record linked automatically643364911c
    matching_agent, CLM-400655, identity id MBR-037164, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100887
  • 2026-10-19 19:45:42Record linked automatically783530f747
    scoring_agent, PRV-20201, identity id MBR-037164, confidence 1, method probabilistic, matched record CLM-400656, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydd1c086091
    matching_agent, ENR-100887, identity id MBR-037164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400656
  • 2026-10-19 19:45:42Record linked automatically99ef4d0395
    scoring_agent, CLM-400656, identity id MBR-037164, confidence 1, method probabilistic, matched record PRV-20201, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3dc494b97f
    matching_agent, CLM-400655, identity id MBR-037164, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100887
  • 2026-10-19 19:32:31Record linked automatically35619885f9
    scoring_agent, PRV-20201, identity id MBR-037164, confidence 1, method probabilistic, matched record CLM-400656, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf41be00a4b
    matching_agent, ENR-100887, identity id MBR-037164, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400656
  • 2026-10-19 19:32:31Record linked automatically038a86983e
    scoring_agent, CLM-400656, identity id MBR-037164, confidence 1, method probabilistic, matched record PRV-20201, policy version 1
  • 2026-10-19 19:32:31Record linked automatically97d7afadd3
    matching_agent, CLM-400655, identity id MBR-037164, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-100887
  • 2026-10-19 19:31:28Record linked automaticallye73778222b
    matching_agent, ENR-100887, identity id MBR-032844, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400605
  • 2026-10-19 19:31:28Record linked automatically1969b85b7e
    matching_agent, CLM-400656, identity id MBR-004838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100929
  • 2026-10-19 19:31:28Record linked automaticallyb1ed898bec
    scoring_agent, CLM-400655, identity id MBR-004838, confidence 0.99, method probabilistic, matched record CLM-400654, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2e64fc2831
    scoring_agent, PRV-20201, identity id MBR-002408, confidence 0.98, method probabilistic, matched record CLM-400705, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0066362026-07-02Summit Clinical Laboratories
in network
80053, 80061, 87086$173.00$0.00ApprovedApproved
CLM-2026-0227642026-06-13Summit Reference Lab
out of network
87086$31.00$0.00ApprovedApproved