Identities/MBR-001353
Gold, golden identity

Sofia Lewis

5 source records from 3 feeds.

MBR-001353Verified5 records

Golden record

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

First nameENR
Sofia
Middle name—
—
Last nameENR
Lewis
Date of birthENR
1938-03-27
GenderENR
M
Member IDENR
UHC-91831-67
SSNENR
•••-••-5611
PhoneENR
3615861706
Email—
—
AddressENR
3032 Valley View Dr
CityENR
Mesa
StateENR
AZ
ZIPENR
85261
GroupENR
GRP-5963
PlanENR
CORE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.990.991.00TPATPA-55758CLMCLM-413100CLMCLM-413101ENRENR-117201CLMCLM-413099IDMBR-001353
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
TPA-55758TPA2026-01-05Sofia Lewisflagged1938-03-27——3032 Valley View Dr, Mesa, AZScored1.00—
CLM-413100CLM2026-02-15Sofia Lewisflagged1938-03-27UHC-91831-6736158617063032 Valley View Dr, Mesa, AZRule0.99D1 member id + dob exact
CLM-413101CLM2026-03-26Sofia Lewisflagged1938-03-27UHC-91831-67——Rule0.99D1 member id + dob exact
ENR-117201ENR2026-07-06Sofia Lewisflagged1938-03-27UHC-91831-6736158617063032 Valley View Dr, Mesa, AZRule0.99D1 member id + dob exact
CLM-413099CLM2026-10-02Sofia Lewisflagged1938-03-27UHC-91831-67—3032 Valley View Dr, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55758TPACLM-413099CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413100CLMCLM-413099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413101CLMCLM-413099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117201ENRCLM-413099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413100CLMCLM-413101CLM0.99RuleD1 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-413100CLMENR-117201ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-413101CLMENR-117201ENR0.99RuleD1 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
▶TPA-55758TPACLM-413100CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55758TPACLM-413101CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55758TPAENR-117201ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Sofia Lewis: 3 claims, no attributed provider
    ACT-017877, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically74c133449e
    scoring_agent, CLM-413099, identity id MBR-001353, confidence 1, method probabilistic, matched record TPA-55758, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycf2c5a6895
    matching_agent, ENR-117201, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:54:38Record linked automatically8d6316b2d9
    matching_agent, CLM-413101, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:54:38Record linked automaticallyef99808cc3
    matching_agent, CLM-413100, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413101
  • 2026-10-19 19:54:38Record linked automatically2b48819b73
    scoring_agent, TPA-55758, identity id MBR-001353, confidence 1, method probabilistic, matched record CLM-413099, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfba435aa2f
    scoring_agent, CLM-413099, identity id MBR-001353, confidence 1, method probabilistic, matched record TPA-55758, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallydaceaac7cb
    matching_agent, ENR-117201, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:52:08Record linked automaticallyb98b820b39
    matching_agent, CLM-413101, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:52:08Record linked automatically81eaa361da
    matching_agent, CLM-413100, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413101
  • 2026-10-19 19:52:08Record linked automatically9daac6d538
    scoring_agent, TPA-55758, identity id MBR-001353, confidence 1, method probabilistic, matched record CLM-413099, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyc11f0c43c6
    scoring_agent, CLM-413099, identity id MBR-001353, confidence 1, method probabilistic, matched record TPA-55758, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9c4d5b1c9a
    matching_agent, ENR-117201, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:45:41Record linked automatically8ac78a2ba1
    matching_agent, CLM-413101, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:45:41Record linked automaticallyd40de8483e
    matching_agent, CLM-413100, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413101
  • 2026-10-19 19:45:41Record linked automatically6dfc070f2f
    scoring_agent, TPA-55758, identity id MBR-001353, confidence 1, method probabilistic, matched record CLM-413099, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9b399483a9
    scoring_agent, CLM-413099, identity id MBR-001353, confidence 1, method probabilistic, matched record TPA-55758, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6f34829b99
    matching_agent, ENR-117201, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:32:31Record linked automatically9b40522e85
    matching_agent, CLM-413101, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413100
  • 2026-10-19 19:32:31Record linked automatically8730363eb0
    matching_agent, CLM-413100, identity id MBR-001353, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413101
  • 2026-10-19 19:32:31Record linked automatically3716ce867b
    scoring_agent, TPA-55758, identity id MBR-001353, confidence 1, method probabilistic, matched record CLM-413099, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7ffe8432c1
    scoring_agent, CLM-413100, identity id MBR-041709, confidence 1, method probabilistic, matched record PRV-23871, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb23be78508
    scoring_agent, CLM-413101, identity id MBR-017837, confidence 1, method probabilistic, matched record TPA-55738, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb0ca12a33b
    matching_agent, TPA-55758, identity id MBR-011886, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117389
  • 2026-10-19 19:31:28Record linked automatically55b046096e
    scoring_agent, ENR-117201, identity id MBR-001760, confidence 1, method probabilistic, matched record ENR-117199, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0146912026-08-23Canyon Reference Lab
out of network
83036, 87086$116.00—DeniedDenied
CLM-2026-0163822026-03-19Summit Digestive Health Center
in network
43239, 45378$3,617.00—Needs reviewNeeds review
CLM-2026-0163812026-03-19Summit Digestive Health Center
in network
43239, 45378$3,617.00$905.44ApprovedApproved
CLM-2026-0103872026-01-26Evergreen Family Practice
in network
99395$270.00$147.40ApprovedApproved