Gold, golden identity
Austin Santos
5 source records from 3 feeds.
MBR-001096Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Austin
- Middle name—
- —
- Last nameENR
- Santos
- Date of birthENR
- 2004-09-16
- GenderENR
- M
- Member IDENR
- UHC-27796-57
- SSNENR
- •••-••-1526
- PhoneENR
- 3052768455
- EmailENR
- austin.santos85@yahoo.com
- AddressENR
- 9199 Church St
- CityENR
- Dallas
- StateENR
- TX
- ZIPENR
- 75207
- GroupENR
- GRP-2181
- PlanENR
- OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×3TPA ×1ENR ×1
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-430728 | CLM | 2026-01-04 | Austin Santosflagged | 2004-09-16 | — | 3052768455 | 9199 Church St, Dallas, TX | Scored | 1.00 | — |
| TPA-63578 | TPA | 2026-02-08 | Austin Santosflagged | 2004-09-16 | — | 3052768455 | 9199 Church St Apt 5, Dallas, TX | Scored | 1.00 | — |
| ENR-140368 | ENR | 2026-07-10 | Austin Santosflagged | 2004-09-16 | UHC-27796-57 | 3052768455 | 9199 Church St, Dallas, TX | Scored | 1.00 | — |
| CLM-430730 | CLM | 2026-08-18 | Austin Santosflagged | 2004-09-16 | — | — | 9199 Church St, Dallas, TX | Scored | 1.00 | — |
| CLM-430729 | CLM | 2026-09-21 | Austin Santosflagged | 2004-09-16 | UHC-27796-57 | 3052768455 | 9199 Church St, Dallas, TX | Scored | 1.00 | — |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-430728 CLMCLM-430729CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-63578TPACLM-430729CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430730CLMCLM-430729CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-63578TPACLM-430730CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-63578TPAENR-140368ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430728 CLMTPA-63578TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-140368ENRCLM-430729CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430728 CLMCLM-430730CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-140368ENRCLM-430730CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430728 CLMENR-140368ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-430730 → UHC-27796-57 (Austin Santos)ACT-004790, Claims processor
- Orphan claim re-pointedExecutedCLM-430728 → UHC-27796-57 (Austin Santos)ACT-005337, Claims processor
- Care coordination outreachProposedAustin Santos: 3 claims, no attributed providerACT-017857, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyf996ab4a99scoring_agent, CLM-430729, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyb194292b19scoring_agent, CLM-430730, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:54:38Record linked automatically8e30fbb522scoring_agent, ENR-140368, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyb6832b113dscoring_agent, TPA-63578, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:54:38Record linked automatically6fe2b799d4scoring_agent, CLM-430728, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:52:08Record linked automaticallya93c6100c4scoring_agent, CLM-430729, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyf3c5ca0d48scoring_agent, CLM-430730, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:52:08Record linked automaticallye36ef72d21scoring_agent, ENR-140368, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:52:08Record linked automatically081388e467scoring_agent, TPA-63578, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:52:08Record linked automatically7576a39e90scoring_agent, CLM-430728, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:45:41Record linked automatically1723836ff6scoring_agent, CLM-430729, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:45:41Record linked automatically38a711a9c2scoring_agent, CLM-430730, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:45:41Record linked automatically08bc85a63ascoring_agent, ENR-140368, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:45:41Record linked automatically0ee357602dscoring_agent, TPA-63578, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:45:41Record linked automatically3404ecf8f8scoring_agent, CLM-430728, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf3754650a3scoring_agent, CLM-430729, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:32:31Record linked automatically09111155eescoring_agent, CLM-430730, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:32:31Record linked automatically766caac2dcscoring_agent, ENR-140368, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:32:31Record linked automatically94c8c5b280scoring_agent, TPA-63578, identity id MBR-001096, confidence 1, method probabilistic, matched record CLM-430728, policy version 1
- 2026-10-19 19:32:31Record linked automatically7d451b4906scoring_agent, CLM-430728, identity id MBR-001096, confidence 1, method probabilistic, matched record TPA-63578, policy version 1
- 2026-10-19 19:31:28Record linked automatically39fc8d29c6scoring_agent, CLM-430730, identity id MBR-016935, confidence 1, method probabilistic, matched record CLM-430731, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyb8cae1737cscoring_agent, CLM-430728, identity id MBR-012935, confidence 1, method probabilistic, matched record TPA-63472, policy version 1
- 2026-10-19 19:31:28Record linked automatically6f7e5030b4scoring_agent, CLM-430729, identity id MBR-004703, confidence 1, method probabilistic, matched record PRV-28986, policy version 1
- 2026-10-19 19:31:28Record linked automatically36f832ad50scoring_agent, ENR-140368, identity id MBR-004118, confidence 1, method probabilistic, matched record CLM-430596, policy version 1
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-2026-031594 | 2026-09-14 | Desert Imaging Center in network | 76700, 74177 | $2,509.00 | $812.42 | Approved | Approved |
| CLM-2026-013117 | 2026-07-16 | Desert Cardiovascular Associates in network | 99214 | $256.00 | $108.72 | Approved | Approved |
| CLM-2026-015164 | 2025-12-26 | Mesa Family Practice in network | 36415, 99395 | $319.00 | $187.24 | Approved | Approved |