Gold, golden identity
Richard O Santiago
6 source records from 2 feeds.
MBR-000123Verified6 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Richard
- Middle nameENR
- O
- Last nameENR
- Santiago
- Date of birthENR
- 1986-05-09
- GenderENR
- M
- Member IDENR
- UHC-26774-18
- SSNENR
- •••-••-9830
- PhoneENR
- 6607451570
- EmailENR
- richard.santiago@gmail.com
- AddressENR
- 9782 Bayshore Dr
- CityENR
- Austin
- StateENR
- TX
- ZIPENR
- 78722
- GroupENR
- GRP-3077
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.97
Sources
ENR ×2CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-129723 | ENR | 2026-01-01 | Richard Santiago | 1986-05-09 | UHC-26774-18 | — | 9782 Bayshore Dr, Austin, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-422693 | CLM | 2026-01-09 | Richard Santiagoflagged | 1986-05-09 | UHC-26774-18 | 6607451570 | — | Rule | 0.99 | D1 member id + dob exact |
| ENR-129722 | ENR | 2026-03-02 | Richard Santiagoflagged | 1986-05-09 | UHC-26774-18 | 6607451570 | 9782 Bayshore Dr, Austin, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-422692 | CLM | 2026-04-14 | Richard Santiagoflagged | 1986-05-09 | UHC-26774-18 | 6607451570 | 9782 Bayshore Dr, Austin, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-422690 | CLM | 2026-06-14 | Richard Santiagoflagged | 1986-05-09 | UHC-26774-18 | 6607451570 | 9782 Bayshore Dr, Austin, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-422691 | CLM | 2026-08-01 | Richard Santiagoflagged | 1986-05-09 | — | — | — | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
15 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-129723ENRCLM-422690CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422693CLMCLM-422690CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129722ENR CLM-422690CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422692CLMCLM-422690CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129723ENRCLM-422692CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422693CLMCLM-422692CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129722ENR CLM-422692CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129723ENRCLM-422693CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129723ENRENR-129722ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422693CLMENR-129722ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129723ENRCLM-422691CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-129722ENR CLM-422691CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422692CLMCLM-422691CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-422693CLMCLM-422691CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
▶CLM-422690CLMCLM-422691CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-422691 → UHC-26774-18 (Richard Santiago)ACT-003547, Claims processor
- Care coordination outreachProposedRichard Santiago: 4 claims, no attributed providerACT-017776, Next-best-action
- Duplicate member record retiredExecutedRichard Santiago: 2 enrollment records collapsed into UHC-26774-18ACT-021689, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyd406caf86amatching_agent, CLM-422691, identity id MBR-000123, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129723
- 2026-10-19 19:54:38Record linked automatically83ff91147dmatching_agent, CLM-422690, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:54:38Record linked automaticallyd88a884c70matching_agent, CLM-422692, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:54:38Record linked automatically0ac628aff8matching_agent, ENR-129722, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:54:38Record linked automatically6f1d50eda7matching_agent, CLM-422693, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:54:38Record linked automaticallyba90351cd0matching_agent, ENR-129723, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422693
- 2026-10-19 19:52:08Record linked automatically77401d9b1amatching_agent, CLM-422691, identity id MBR-000123, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129723
- 2026-10-19 19:52:08Record linked automaticallye6278bdcf3matching_agent, CLM-422690, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:52:08Record linked automaticallyfc27e24632matching_agent, CLM-422692, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:52:08Record linked automatically91bb2d9226matching_agent, ENR-129722, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:52:08Record linked automaticallye0bb6af5a1matching_agent, CLM-422693, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:52:08Record linked automatically0b2c54646dmatching_agent, ENR-129723, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422693
- 2026-10-19 19:45:41Record linked automatically38e034962amatching_agent, CLM-422691, identity id MBR-000123, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129723
- 2026-10-19 19:45:41Record linked automaticallyfbeba4fd01matching_agent, CLM-422690, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:45:41Record linked automatically922ea99663matching_agent, CLM-422692, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:45:41Record linked automaticallyb3539daa4amatching_agent, ENR-129722, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:45:41Record linked automaticallyc555198fb3matching_agent, CLM-422693, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:45:41Record linked automatically5845e54f86matching_agent, ENR-129723, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422693
- 2026-10-19 19:32:30Record linked automaticallyf5766322cbmatching_agent, CLM-422691, identity id MBR-000123, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129723
- 2026-10-19 19:32:30Record linked automatically7c4f3d6ae3matching_agent, CLM-422690, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:32:30Record linked automaticallydccd5dec09matching_agent, CLM-422692, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:32:30Record linked automatically74c7290f35matching_agent, ENR-129722, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:32:30Record linked automatically5cfdd9a1f4matching_agent, CLM-422693, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129723
- 2026-10-19 19:32:30Record linked automatically8cb0632464matching_agent, ENR-129723, identity id MBR-000123, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422693
- 2026-10-19 19:31:28Record linked automatically0c9b8ea20ascoring_agent, CLM-422693, identity id MBR-032880, confidence 1, method probabilistic, matched record TPA-59976, policy version 1
- 2026-10-19 19:31:28Record linked automatically336eda4cb8scoring_agent, CLM-422692, identity id MBR-023766, confidence 1, method probabilistic, matched record TPA-59975, policy version 1
- 2026-10-19 19:31:28Record linked automatically97a7d48c86scoring_agent, ENR-129723, identity id MBR-016125, confidence 1, method probabilistic, matched record CLM-422577, policy version 1
- 2026-10-19 19:31:28Record linked automatically7934ce0511matching_agent, CLM-422690, identity id MBR-012330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422689
- 2026-10-19 19:31:28Record linked automaticallydede84a158matching_agent, CLM-422691, identity id MBR-006370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26678
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-008376 | 2026-07-16 | Heritage Community Hospital in network | 96374, 71046, 99284 | $1,920.00 | $948.20 | Approved | Approved |
| CLM-2026-006372 | 2026-05-02 | Heritage Community Hospital in network | 99284 | $1,767.00 | $721.85 | Approved | Approved |
| CLM-2026-000710 | 2026-04-12 | Unity Cardiovascular Associates in network | 93224 | $432.00 | $192.84 | Approved | Approved |
| CLM-2026-002470 | 2025-12-03 | Evergreen Orthopedic Specialists in network | 29881 | $6,570.00 | $1,887.20 | Approved | Approved |