Identities/MBR-000721
Gold, golden identity

Shirley Soto

7 source records from 3 feeds.

MBR-000721Verified7 records

Golden record

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

First nameENR
Shirley
Middle name—
—
Last nameENR
Soto
Date of birthENR
1948-09-15
GenderENR
F
Member IDENR
UHC-96595-31
SSNENR
•••-••-7381
PhoneENR
3274211075
EmailENR
shirley.soto@icloud.com
AddressENR
6577 Baseline Rd
CityENR
Nashville
StateENR
TN
ZIPENR
37217
GroupENR
GRP-9339
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×1TPA ×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

0.990.991.000.991.001.001.00ENRENR-134580TPATPA-61655TPATPA-61654CLMCLM-426385CLMCLM-426384CLMCLM-426382CLMCLM-426383IDMBR-000721
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-134580ENR2026-01-03Shirley Sotoflagged1948-09-15UHC-96595-3132742110756577 Baseline Rd, Nashville, TNRule0.99D1 member id + dob exact
TPA-61655TPA2026-01-16Shirley Sotoflagged1948-09-15UHC-96595-3132742110756577 Baseline Rd Apt 20, Nashville, TNRule0.99D1 member id + dob exact
TPA-61654TPA2026-02-08Shirley Sotoflagged1948-09-15—32742110756577 Baseline Rd Apt 20, Nashville, TNScored1.00—
CLM-426385CLM2026-05-14Shirley Sotoflagged1948-09-15UHC-96595-31—6577 Baseline Rd, Nashville, TNRule0.99D1 member id + dob exact
CLM-426384CLM2026-08-01Shirley Sotoflagged1948-09-15UHC-96595-31—6577 Baseline Rd, Nashville, TNScored1.00—
CLM-426382CLM2026-08-19Shirley Sotoflagged—UHC-96595-3132742110756577 Baseline Rd, Nashville, TNScored1.00—
CLM-426383CLM2026-08-19Shirley Sotoflagged—UHC-96595-3132742110756577 Baseline Rd, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-61654TPACLM-426382CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61654TPACLM-426383CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61654TPACLM-426384CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-134580ENRCLM-426384CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61655TPACLM-426384CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426385CLMCLM-426384CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-134580ENRCLM-426385CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61655TPACLM-426385CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-134580ENRTPA-61655TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-134580ENRTPA-61654TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-61655TPATPA-61654TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-134580ENRCLM-426382CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-61655TPACLM-426382CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-426385CLMCLM-426382CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426384CLMCLM-426382CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-134580ENRCLM-426383CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-61655TPACLM-426383CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-426385CLMCLM-426383CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426384CLMCLM-426383CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426382CLMCLM-426383CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-61654TPACLM-426385CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Shirley Soto: 4 claims, no attributed provider
    ACT-017821, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically536e23693b
    scoring_agent, CLM-426383, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycc9b9ce882
    scoring_agent, CLM-426382, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf4e161b038
    scoring_agent, CLM-426384, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6a978d7eae
    matching_agent, CLM-426385, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:54:38Record linked automatically59adab5d95
    scoring_agent, TPA-61654, identity id MBR-000721, confidence 1, method probabilistic, matched record CLM-426384, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1858e68435
    matching_agent, TPA-61655, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:54:38Record linked automatically972d2473ce
    matching_agent, ENR-134580, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61655
  • 2026-10-19 19:52:08Record linked automatically833ac7ad78
    scoring_agent, CLM-426383, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf58bfc6510
    scoring_agent, CLM-426382, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc6c7e9cef6
    scoring_agent, CLM-426384, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7c51ce3093
    matching_agent, CLM-426385, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:52:08Record linked automatically9cc98b12d1
    scoring_agent, TPA-61654, identity id MBR-000721, confidence 1, method probabilistic, matched record CLM-426384, policy version 1
  • 2026-10-19 19:52:08Record linked automatically02f9a18c38
    matching_agent, TPA-61655, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:52:08Record linked automaticallyfae119a1fb
    matching_agent, ENR-134580, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61655
  • 2026-10-19 19:45:41Record linked automatically6aa5ceec53
    scoring_agent, CLM-426383, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:45:41Record linked automatically7cc5e7aefc
    scoring_agent, CLM-426382, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyce4d1c3ea2
    scoring_agent, CLM-426384, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyf3e3a78ede
    matching_agent, CLM-426385, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:45:41Record linked automatically4d93deacc7
    scoring_agent, TPA-61654, identity id MBR-000721, confidence 1, method probabilistic, matched record CLM-426384, policy version 1
  • 2026-10-19 19:45:41Record linked automatically1b08f988d6
    matching_agent, TPA-61655, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:45:41Record linked automatically58192eb490
    matching_agent, ENR-134580, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61655
  • 2026-10-19 19:32:31Record linked automatically17201c2c8f
    scoring_agent, CLM-426383, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2b391964dc
    scoring_agent, CLM-426382, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya85f5611c3
    scoring_agent, CLM-426384, identity id MBR-000721, confidence 1, method probabilistic, matched record TPA-61654, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5a6afaf019
    matching_agent, CLM-426385, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:32:31Record linked automatically69ce51a253
    scoring_agent, TPA-61654, identity id MBR-000721, confidence 1, method probabilistic, matched record CLM-426384, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9aa1b9fbc5
    matching_agent, TPA-61655, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134580
  • 2026-10-19 19:32:31Record linked automaticallyfa48f711b4
    matching_agent, ENR-134580, identity id MBR-000721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61655
  • 2026-10-19 19:31:28Record linked automaticallyb6090dd204
    matching_agent, CLM-426385, identity id MBR-044149, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134881
  • 2026-10-19 19:31:28Record linked automatically350bce2e3b
    scoring_agent, CLM-426383, identity id MBR-033601, confidence 1, method probabilistic, matched record CLM-426384, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya159fccb8f
    scoring_agent, CLM-426384, identity id MBR-033601, confidence 1, method probabilistic, matched record CLM-426383, policy version 1
  • 2026-10-19 19:31:28Record linked automatically29ea4d3a51
    scoring_agent, TPA-61654, identity id MBR-026019, confidence 1, method probabilistic, matched record ENR-135055, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8abafcef92
    matching_agent, TPA-61655, identity id MBR-014743, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426506
  • 2026-10-19 19:31:28Record linked automatically9c7600cfac
    matching_agent, ENR-134580, identity id MBR-009060, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426162

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0212492026-07-08Unity Dermatology Clinic
in network
11102$312.00$133.44ApprovedApproved
CLM-2026-0203082026-07-26Riverside Primary Care Associates
in network
99395, 90471, 99213$546.00$313.52ApprovedApproved
CLM-2026-0200382026-07-25Evergreen Counseling Center
in network
99214$238.00—Needs reviewNeeds review
CLM-2026-0200372026-07-25Evergreen Counseling Center
in network
99214$238.00$87.56ApprovedApproved
CLM-2026-0126212026-04-14Desert Clinical Laboratories
in network
80053, 87086, 85025$173.00$0.00ApprovedApproved