Identities/MBR-041505
Gold, golden identity

Gary Espinoza

3 source records from 1 feed.

MBR-041505Verified3 records

Golden record

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

First nameCLM
Gary
Middle name—
—
Last nameCLM
Espinoza
Date of birthCLM
1942-02-25
GenderCLM
F
Member IDCLM
UHC-09582-44
SSNCLM
•••-••-5991
PhoneCLM
4234665072
Email—
—
AddressCLM
1967 Union St
CityCLM
Scottsdale
StateCLM
AZ
ZIPCLM
85237
GroupCLM
GRP-3386
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.96
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

0.990.990.96CLMCLM-422414CLMCLM-422415CLMCLM-422416IDMBR-041505
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-422414CLM2026-08-14Gary Espinozaflagged1942-02-25UHC-09582-4442346650728150 Mesa Dr, Mesa, AZRule0.99D1 member id + dob exact
CLM-422415CLM2026-09-28Gary Espinozaflagged1942-02-25UHC-09582-4442346650721967 Union St, Scottsdale, AZRule0.99D1 member id + dob exact
CLM-422416CLM2026-10-06Gary Espinozaflagged1941-02-25UHC-09582-4442346650721967 Union St, Scottsdale, AZRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422414CLMCLM-422415CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422414CLMCLM-422416CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422415CLMCLM-422416CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Gary Espinoza: 3 claims, no attributed provider
    ACT-019580, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically8a6f3cb67a
    matching_agent, CLM-422416, identity id MBR-041505, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422414
  • 2026-10-19 19:54:39Record linked automatically025ab49e91
    matching_agent, CLM-422415, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422414
  • 2026-10-19 19:54:39Record linked automatically218dcc8319
    matching_agent, CLM-422414, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422415
  • 2026-10-19 19:52:09Record linked automaticallye32ba9f6f1
    matching_agent, CLM-422416, identity id MBR-041505, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422414
  • 2026-10-19 19:52:09Record linked automatically9498c06f98
    matching_agent, CLM-422415, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422414
  • 2026-10-19 19:52:09Record linked automatically2a3eec3d2d
    matching_agent, CLM-422414, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422415
  • 2026-10-19 19:45:42Record linked automatically418d395f39
    matching_agent, CLM-422416, identity id MBR-041505, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422414
  • 2026-10-19 19:45:42Record linked automatically5da81770b6
    matching_agent, CLM-422415, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422414
  • 2026-10-19 19:45:42Record linked automaticallycd2994e783
    matching_agent, CLM-422414, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422415
  • 2026-10-19 19:32:31Record linked automaticallye5f05ce9bb
    matching_agent, CLM-422416, identity id MBR-041505, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422414
  • 2026-10-19 19:32:31Record linked automatically04f81d5522
    matching_agent, CLM-422415, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422414
  • 2026-10-19 19:32:31Record linked automaticallyc2c46e9d26
    matching_agent, CLM-422414, identity id MBR-041505, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422415
  • 2026-10-19 19:31:28Record linked automatically1292fb6a50
    scoring_agent, CLM-422415, identity id MBR-009663, confidence 1, method probabilistic, matched record ENR-129476, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye20a5806f2
    scoring_agent, CLM-422414, identity id MBR-009663, confidence 1, method probabilistic, matched record CLM-422415, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6503a81c68
    scoring_agent, CLM-422416, identity id MBR-000194, confidence 1, method probabilistic, matched record CLM-422417, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0003562026-08-24Riverside Digestive Health Center
in network
99214, 43239$2,617.00—Needs reviewNeeds review
CLM-2026-0119822026-09-10Evergreen Family Practice
in network
99213, 99395, 99203$696.00$406.52ApprovedApproved
CLM-2026-0020472026-07-23Northgate Medical Group
in network
93000, 99214, 99215$663.00$386.06ApprovedApproved