Harold Soto

3 source records from 2 feeds.

MBR-001066Verified3 records

Golden record

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

First nameCLM: Harold
Middle name—: —
Last nameCLM: Soto
Date of birthCLM: 1999-02-06
GenderCLM: F
Member IDCLM: UHC-32025-84
SSNCLM: •••-••-2969
PhoneCLM: 6622833063
EmailCLM: harold.soto64@outlook.com
AddressCLM: 5478 Elm St
CityCLM: Miami
StateCLM: FL
ZIPCLM: 33123
GroupCLM: GRP-1156
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

TPA ×1CLM ×2

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
TPA-51086	TPA	2026-01-04	Harold Sotoflagged	1999-02-06	—	—	5478 Elm St, Miami, FL	Scored	1.00	—
CLM-402553	CLM	2026-02-04	Harold Sotoflagged	1999-02-06	—	—	5478 Elm St, Miami, FL	Scored	1.00	—
CLM-402554	CLM	2026-03-21	Harold Sotoflagged	1999-02-06	UHC-32025-84	6622833063	5478 Elm St, Miami, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51086TPACLM-402554CLM1.00Scoredweighted 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-402553 CLMCLM-402554CLM1.00Scoredweighted 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

▶TPA-51086TPACLM-402553 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Harold Soto: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000056, Eligibility engine
Orphan claim re-pointedExecuted
CLM-402553 → UHC-32025-84 (Harold Soto)
ACT-008772, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybc43407f00
scoring_agent, CLM-402554, identity id MBR-001066, confidence 1, method probabilistic, matched record TPA-51086, policy version 1
2026-10-19 19:54:38Record linked automatically0a38edf01b
scoring_agent, CLM-402553, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:54:38Record linked automatically2868a7ec89
scoring_agent, TPA-51086, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:52:08Record linked automatically33c2ef011a
scoring_agent, CLM-402554, identity id MBR-001066, confidence 1, method probabilistic, matched record TPA-51086, policy version 1
2026-10-19 19:52:08Record linked automatically2163066090
scoring_agent, CLM-402553, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:52:08Record linked automaticallyacc6c6e2fe
scoring_agent, TPA-51086, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:45:41Record linked automatically5943207d46
scoring_agent, CLM-402554, identity id MBR-001066, confidence 1, method probabilistic, matched record TPA-51086, policy version 1
2026-10-19 19:45:41Record linked automatically8a4725c25f
scoring_agent, CLM-402553, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:45:41Record linked automatically1ede52b62b
scoring_agent, TPA-51086, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:32:31Record linked automaticallyece8bf7ca1
scoring_agent, CLM-402554, identity id MBR-001066, confidence 1, method probabilistic, matched record TPA-51086, policy version 1
2026-10-19 19:32:31Record linked automatically362123c417
scoring_agent, CLM-402553, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:32:31Record linked automatically53148484ef
scoring_agent, TPA-51086, identity id MBR-001066, confidence 1, method probabilistic, matched record CLM-402554, policy version 1
2026-10-19 19:31:28Record linked automatically4686f0e879
matching_agent, TPA-51086, identity id MBR-026820, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402379
2026-10-19 19:31:28Record linked automatically987c95f412
scoring_agent, CLM-402553, identity id MBR-009766, confidence 1, method probabilistic, matched record ENR-103358, policy version 1
2026-10-19 19:31:28Record linked automatically5ac0e0f2bd
scoring_agent, CLM-402554, identity id MBR-009766, confidence 1, method probabilistic, matched record ENR-103358, 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-2026-015611	2026-03-01	Mesa Diabetes Center in network	83036	$74.00	$0.00	Approved	Approved
CLM-2026-028146	2026-01-25	Unity Clinical Laboratories in network	80061, 87086	$112.00	$0.00	Approved	Approved