Identities/MBR-001440
Gold, golden identity

Sofia A Gonzalez

4 source records from 2 feeds.

MBR-001440Verified4 records

Golden record

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

First nameENR
Sofia
Middle nameCLM
A
Last nameENR
Gonzalez
Date of birthENR
1989-06-16
GenderENR
F
Member IDENR
UHC-28733-52
SSNENR
•••-••-1800
PhoneCLM
5323619992
EmailENR
sofia.gonzalez@yahoo.com
AddressENR
2628 Washington St
CityENR
Nashville
StateENR
TN
ZIPCLM
37234
GroupENR
GRP-5114
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×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

1.001.000.991.00CLMCLM-426925CLMCLM-426924ENRENR-135307CLMCLM-426923IDMBR-001440
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-426925CLM2026-01-05Sofia Gonzalezflagged1989-06-16UHC-28733-5253236199922628 Washington St, Nashville, TNScored1.00—
CLM-426924CLM2026-02-07Sofia Gonzalezflagged1989-06-16UHC-28733-5253236199922628 Washington St, Nashville, TNScored1.00—
ENR-135307ENR2026-09-09Sofia Gonzalezflagged1989-06-16UHC-28733-52—2628 Washington St, Nashville, TNRule0.99D1 member id + dob exact
CLM-426923CLM2026-09-14Sofia Gonzalezflagged1989-06-16——2628 Washington St, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426925CLMCLM-426923CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426924CLMCLM-426923CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426925CLMCLM-426924CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426925CLMENR-135307ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426924CLMENR-135307ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-135307ENRCLM-426923CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426923 → UHC-28733-52 (Sofia Gonzalez)
    ACT-001666, Claims processor
  • Care coordination outreachProposed
    Sofia Gonzalez: 3 claims, no attributed provider
    ACT-017885, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9422065312
    scoring_agent, CLM-426923, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426925, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfdaf212a0a
    matching_agent, ENR-135307, identity id MBR-001440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426925
  • 2026-10-19 19:54:38Record linked automatically853c8ec5b1
    scoring_agent, CLM-426924, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydaf7232bed
    scoring_agent, CLM-426925, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:52:08Record linked automatically271951803b
    scoring_agent, CLM-426923, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426925, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7ce1f0d723
    matching_agent, ENR-135307, identity id MBR-001440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426925
  • 2026-10-19 19:52:08Record linked automatically1f3dc6fb0e
    scoring_agent, CLM-426924, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4e7b1794d2
    scoring_agent, CLM-426925, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:45:41Record linked automatically058ea30e15
    scoring_agent, CLM-426923, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426925, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyda3ef95ff7
    matching_agent, ENR-135307, identity id MBR-001440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426925
  • 2026-10-19 19:45:41Record linked automatically7294aef299
    scoring_agent, CLM-426924, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4485000ab9
    scoring_agent, CLM-426925, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:32:31Record linked automatically630d511cf4
    scoring_agent, CLM-426923, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426925, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1419683b11
    matching_agent, ENR-135307, identity id MBR-001440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426925
  • 2026-10-19 19:32:31Record linked automatically7a8f744586
    scoring_agent, CLM-426924, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6f5d0d7f8e
    scoring_agent, CLM-426925, identity id MBR-001440, confidence 1, method probabilistic, matched record CLM-426923, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5b028aaf76
    scoring_agent, CLM-426925, identity id MBR-003475, confidence 1, method probabilistic, matched record CLM-426924, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb5b1719e64
    scoring_agent, CLM-426923, identity id MBR-003475, confidence 1, method probabilistic, matched record CLM-426924, policy version 1
  • 2026-10-19 19:31:28Record linked automatically90c30ec3ea
    scoring_agent, CLM-426924, identity id MBR-003475, confidence 1, method probabilistic, matched record ENR-135577, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0013182026-09-02Riverside Diagnostic Imaging
in network
74177$1,268.00—Needs reviewNeeds review
CLM-2026-0270592026-01-14Canyon Clinical Laboratories
in network
83036$35.00$0.00ApprovedApproved
CLM-2026-0221332025-12-22Pinecrest Bone and Joint Center
in network
27447$31,035.00—DeniedDenied