Identities/MBR-038794
Gold, golden identity

Juan Y Jimenez

3 source records from 2 feeds.

MBR-038794Verified3 records

Golden record

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

First nameENR
Juan
Middle nameENR
Y
Last nameENR
Jimenez
Date of birthENR
1964-10-13
GenderENR
F
Member IDENR
UHC-84918-36
SSNENR
•••-••-2943
PhoneENR
6209491554
EmailCLM
juan.jimenez@outlook.com
AddressCLM
2041 Forest Ave # 776
CityENR
Dallas
StateENR
TX
ZIPENR
75237
GroupENR
GRP-1770
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.96ENRENR-112952CLMCLM-409826CLMCLM-409825IDMBR-038794
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-112952ENR2026-07-18Juan Jimenezflagged1964-10-13UHC-84918-3662094915542041 Forest Ave, Dallas, TXRule0.99D1 member id + dob exact
CLM-409826CLM2026-08-29Juan Jimenezflagged1964-10-13UHC-84918-3662094915542041 Forest Ave # 776, Dallas, TXRule0.99D1 member id + dob exact
CLM-409825CLM2026-10-17Juan Jimenezflagged1963-10-13UHC-84918-366209491554—Rule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-112952ENRCLM-409826CLM0.99RuleD1 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-112952ENRCLM-409825CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409826CLMCLM-409825CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Outreach address correctedProposed
    Juan Jimenez: 2041 Forest Ave, Dallas → 2041 Forest Ave # 776, Dallas
    ACT-013298, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyce11cb8395
    matching_agent, CLM-409825, identity id MBR-038794, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112952
  • 2026-10-19 19:54:39Record linked automatically612143dbd6
    matching_agent, CLM-409826, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112952
  • 2026-10-19 19:54:39Record linked automatically27fe380aed
    matching_agent, ENR-112952, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409826
  • 2026-10-19 19:52:09Record linked automaticallyc164c549ee
    matching_agent, CLM-409825, identity id MBR-038794, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112952
  • 2026-10-19 19:52:09Record linked automatically2fc9b81467
    matching_agent, CLM-409826, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112952
  • 2026-10-19 19:52:09Record linked automatically9a8663358c
    matching_agent, ENR-112952, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409826
  • 2026-10-19 19:45:42Record linked automatically82c4cb1010
    matching_agent, CLM-409825, identity id MBR-038794, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112952
  • 2026-10-19 19:45:42Record linked automatically0762ecd8fe
    matching_agent, CLM-409826, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112952
  • 2026-10-19 19:45:42Record linked automatically7834d5b6b0
    matching_agent, ENR-112952, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409826
  • 2026-10-19 19:32:31Record linked automaticallyff1c4424fa
    matching_agent, CLM-409825, identity id MBR-038794, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112952
  • 2026-10-19 19:32:31Record linked automatically8c72546373
    matching_agent, CLM-409826, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112952
  • 2026-10-19 19:32:31Record linked automatically8a87ae3256
    matching_agent, ENR-112952, identity id MBR-038794, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409826
  • 2026-10-19 19:31:28Record linked automaticallycac33f66f5
    scoring_agent, CLM-409825, identity id MBR-023880, confidence 1, method probabilistic, matched record ENR-112953, policy version 1
  • 2026-10-19 19:31:28Record linked automatically31a97f536f
    matching_agent, CLM-409826, identity id MBR-016969, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54374
  • 2026-10-19 19:31:28Record linked automaticallye2b2d577d5
    matching_agent, ENR-112952, identity id MBR-007193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54373

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0224942026-09-06Summit Community Hospital
in network
71046$242.00$0.00ApprovedApproved
CLM-2026-0119462026-08-12Desert Cardiovascular Associates
in network
93015, 93306$2,012.00—Needs reviewNeeds review
CLM-2026-0119452026-08-12Pinecrest Heart Institute
in network
93015, 93306$2,012.00$551.74ApprovedApproved