Identities/MBR-000585
Gold, golden identity

Sandra Kim

5 source records from 2 feeds.

MBR-000585Verified5 records

Golden record

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

First nameENR
Sandra
Middle name—
—
Last nameENR
Kim
Date of birthENR
1996-01-07
GenderENR
F
Member IDENR
UHC-76520-73
SSNCLM
•••-••-8404
PhoneENR
6358161208
EmailENR
sandra.kim35@hotmail.com
AddressENR
4930 Apache Blvd
CityENR
San Diego
StateENR
CA
ZIPENR
92144
GroupENR
GRP-7721
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.970.970.99CLMCLM-404446CLMCLM-404445CLMCLM-404444CLMCLM-404443ENRENR-105866IDMBR-000585
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-404446CLM2026-01-02Sandra Kimflagged1996-01-07UHC-76520-73—4930 Apache Blvd, San Diego, CARule0.99D1 member id + dob exact
CLM-404445CLM2026-02-06Sandra Kimflagged1996-01-07UHC-76520-73——Rule0.99D1 member id + dob exact
CLM-404444CLM2026-02-28Sandra Kimflagged1996-01-07———Rule0.97D2 ssn4 + dob + last name
CLM-404443CLM2026-02-28Sandra Kimflagged1996-01-07———Rule0.97D2 ssn4 + dob + last name
ENR-105866ENR2026-04-04Sandra Kimflagged1996-01-07UHC-76520-7363581612084930 Apache Blvd, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404446CLMCLM-404445CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404446CLMENR-105866 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-404445CLMENR-105866 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404446CLMCLM-404443CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404445CLMCLM-404443CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404444CLMCLM-404443CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404446CLMCLM-404444CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404445CLMCLM-404444CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404444CLMENR-105866 ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-404443CLMENR-105866 ENR0.83Scoredweighted 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-404444 → UHC-76520-73 (Sandra Kim)
    ACT-002816, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-404443 → UHC-76520-73 (Sandra Kim)
    ACT-008420, Claims processor
  • Care coordination outreachProposed
    Sandra Kim: 4 claims, no attributed provider
    ACT-017809, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd5253a01da
    matching_agent, ENR-105866, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:54:38Record linked automatically4e12a72e96
    matching_agent, CLM-404443, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:54:38Record linked automatically8282f0aaf3
    matching_agent, CLM-404444, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:54:38Record linked automaticallybc93fa53c6
    matching_agent, CLM-404445, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:54:38Record linked automaticallyec4d9f94ad
    matching_agent, CLM-404446, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404445
  • 2026-10-19 19:52:08Record linked automaticallyd53a127e3d
    matching_agent, ENR-105866, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:52:08Record linked automatically8b32b81de9
    matching_agent, CLM-404443, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:52:08Record linked automaticallyda20a630c2
    matching_agent, CLM-404444, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:52:08Record linked automatically301e4c1948
    matching_agent, CLM-404445, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:52:08Record linked automatically735c48b3d3
    matching_agent, CLM-404446, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404445
  • 2026-10-19 19:45:41Record linked automaticallyfb025849ed
    matching_agent, ENR-105866, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:45:41Record linked automatically6174720b6e
    matching_agent, CLM-404443, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:45:41Record linked automatically93dcc1be52
    matching_agent, CLM-404444, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:45:41Record linked automaticallyc68a151940
    matching_agent, CLM-404445, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:45:41Record linked automatically393e97752c
    matching_agent, CLM-404446, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404445
  • 2026-10-19 19:32:31Record linked automatically84fb19c9cb
    matching_agent, ENR-105866, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:32:31Record linked automatically9be6241411
    matching_agent, CLM-404443, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:32:31Record linked automatically40e2b350df
    matching_agent, CLM-404444, identity id MBR-000585, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404446
  • 2026-10-19 19:32:31Record linked automatically95b426969d
    matching_agent, CLM-404445, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404446
  • 2026-10-19 19:32:31Record linked automatically854d44b2b5
    matching_agent, CLM-404446, identity id MBR-000585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404445
  • 2026-10-19 19:31:28Record linked automatically1a634f64a8
    matching_agent, CLM-404446, identity id MBR-024025, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21317
  • 2026-10-19 19:31:28Record linked automatically53c9207bfc
    matching_agent, CLM-404445, identity id MBR-024025, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21317
  • 2026-10-19 19:31:28Record linked automatically7c1b745227
    scoring_agent, CLM-404443, identity id MBR-021018, confidence 1, method probabilistic, matched record ENR-105800, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8b3fa09da4
    scoring_agent, CLM-404444, identity id MBR-012621, confidence 1, method probabilistic, matched record ENR-105801, policy version 1
  • 2026-10-19 19:31:28Record linked automatically503939fd54
    matching_agent, ENR-105866, identity id MBR-005938, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105865

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0268102026-01-26Evergreen Medical Group
out of network
99232$179.00—DeniedDenied
CLM-2026-0056062026-02-22Meadow Heart Institute
in network
93015, 93306$1,456.00—DeniedDenied
CLM-2026-0246702026-01-18Meadow Family Practice
in network
99395, 99214$542.00—DeniedDenied
CLM-2026-0219102025-12-04Canyon Primary Care Associates
in network
99213$142.00$63.04ApprovedApproved