Identities/MBR-039564

Gold, golden identity

John S Gomez

5 source records from 3 feeds.

MBR-039564Verified5 records

Golden record

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

First nameENR: John
Middle nameENR: S
Last nameENR: Gomez
Date of birthENR: 1958-03-19
GenderENR: M
Member IDENR: UHC-49320-75
SSNENR: •••-••-0000
PhoneENR: 5354630642
EmailCLM: john.gomez@gmail.com
AddressENR: 5201 Park Pl
CityENR: Orlando
StateENR: FL
ZIPCLM: 32873
GroupENR: GRP-1033
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×2ENR ×1TPA ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-411188	CLM	2026-07-25	Johnny Gomezflagged	1958-03-19	UHC-49320-75	5354630642	5201 Park Pl, Orlando, FL	Scored	1.00	—
CLM-411187	CLM	2026-07-25	Johnny Gomezflagged	1958-03-19	UHC-49320-75	5354630642	5201 Park Pl, Orlando, FL	Scored	1.00	—
ENR-114712	ENR	2026-09-18	John Gomezflagged	1958-03-19	UHC-49320-75	5354630642	5201 Park Pl, Orlando, FL	Rule	0.99	D1 member id + dob exact
TPA-54911	TPA	2026-10-12	John Gomezflagged	1958-03-19	—	—	5201 Park Pl, Orlando, FL	Scored	1.00	—
TPA-54910	TPA	2026-10-12	John Gomezflagged	1958-03-19	—	—	5201 Park Pl, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-411188CLMTPA-54910TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411187CLMTPA-54910TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54911TPATPA-54910TPA1.00Scoredweighted 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

▶CLM-411188CLMTPA-54911TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411187CLMTPA-54911TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411188CLMCLM-411187CLM0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-411188CLMENR-114712ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-411187CLMENR-114712ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-114712ENRTPA-54910TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-114712ENRTPA-54911TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically85c129e1d8
scoring_agent, TPA-54910, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-22 12:43:55Record linked automaticallyee618a4863
scoring_agent, TPA-54911, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-22 12:43:55Record linked automaticallyb571df5392
matching_agent, ENR-114712, identity id MBR-039564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411188
2026-10-22 12:43:55Record linked automaticallya6f9b9eadf
scoring_agent, CLM-411187, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-22 12:43:55Record linked automatically68d5ac5b49
scoring_agent, CLM-411188, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:54:39Record linked automaticallya18eb4ffe1
scoring_agent, TPA-54910, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:54:39Record linked automatically193ab1ebef
scoring_agent, TPA-54911, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:54:39Record linked automatically9d0957af65
matching_agent, ENR-114712, identity id MBR-039564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411188
2026-10-19 19:54:39Record linked automaticallye2dee2d83d
scoring_agent, CLM-411187, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:54:39Record linked automatically0c20904a04
scoring_agent, CLM-411188, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:52:09Record linked automatically9774236618
scoring_agent, TPA-54910, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:52:09Record linked automaticallye9946313db
scoring_agent, TPA-54911, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:52:09Record linked automatically15d4b82dba
matching_agent, ENR-114712, identity id MBR-039564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411188
2026-10-19 19:52:09Record linked automatically0a63da0198
scoring_agent, CLM-411187, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:52:09Record linked automatically742326da18
scoring_agent, CLM-411188, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:45:42Record linked automatically85560ff3d7
scoring_agent, TPA-54910, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:45:42Record linked automatically3d49b97331
scoring_agent, TPA-54911, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:45:42Record linked automaticallyfddac147b6
matching_agent, ENR-114712, identity id MBR-039564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411188
2026-10-19 19:45:42Record linked automatically6927b0c5b6
scoring_agent, CLM-411187, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:45:42Record linked automaticallyd87ba6eebf
scoring_agent, CLM-411188, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:32:31Record linked automatically8df0c536e8
scoring_agent, TPA-54910, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:32:31Record linked automaticallyae84c77bc6
scoring_agent, TPA-54911, identity id MBR-039564, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:32:31Record linked automatically23f3946a47
matching_agent, ENR-114712, identity id MBR-039564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411188
2026-10-19 19:32:31Record linked automatically3af72f93f2
scoring_agent, CLM-411187, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:32:31Record linked automatically6b933ff437
scoring_agent, CLM-411188, identity id MBR-039564, confidence 1, method probabilistic, matched record TPA-54911, policy version 1
2026-10-19 19:31:28Record linked automaticallyb2799c148e
matching_agent, ENR-114712, identity id MBR-042721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411100
2026-10-19 19:31:28Record linked automatically47e798c074
scoring_agent, CLM-411187, identity id MBR-036421, confidence 1, method probabilistic, matched record CLM-411188, policy version 1
2026-10-19 19:31:28Record linked automatically60a701d0e8
scoring_agent, CLM-411188, identity id MBR-036421, confidence 1, method probabilistic, matched record ENR-114814, policy version 1
2026-10-19 19:31:28Record linked automatically29c2561f96
scoring_agent, TPA-54910, identity id MBR-021333, confidence 0.98, method probabilistic, matched record PRV-23294, policy version 1
2026-10-19 19:31:28Record linked automatically40d78fe897
scoring_agent, TPA-54911, identity id MBR-013308, confidence 1.00, method probabilistic, matched record PRV-23297, 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-2026-021038	2026-07-02	Northgate Cardiovascular Associates in network	93015	$415.00	$0.00	Approved	Approved
CLM-2026-001721	2026-07-06	Evergreen Medical Group in network	99395	$321.00	$159.02	Approved	Approved