Identities/MBR-001542
Gold, golden identity

Sean L Castro

5 source records from 3 feeds.

MBR-001542Verified5 records

Golden record

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

First nameENR
Sean
Middle nameENR
L
Last nameENR
Castro
Date of birthENR
1973-07-25
GenderENR
F
Member IDENR
UHC-78224-40
SSNENR
•••-••-2743
PhoneENR
9756356992
Email—
—
AddressENR
9846 Bayshore Dr
CityENR
Tampa
StateENR
FL
ZIPENR
33672
GroupENR
GRP-7828
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.94
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.940.991.000.991.00CLMCLM-417848ENRENR-123462CLMCLM-417846CLMCLM-417847TPATPA-57873IDMBR-001542
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-417848CLM2026-01-05Sean Castroflagged1973-07-25—97563569929846 Bayshore Dr, Tampa, FLScored0.94—
ENR-123462ENR2026-02-10Sean Castroflagged1973-07-25UHC-78224-4097563569929846 Bayshore Dr, Tampa, FLRule0.99D1 member id + dob exact
CLM-417846CLM2026-02-25Sean Castroflagged1973-07-25UHC-78224-40—9846 Bayshore Dr, Tampa, FLScored1.00—
CLM-417847CLM2026-03-09Sean Castroflagged1973-07-25UHC-78224-4097563569929846 Bayshore Dr, Tampa, FLRule0.99D1 member id + dob exact
TPA-57873TPA2026-04-11Sean Castroflagged1973-07-25——9846 Bayshore Dr, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-417846CLMTPA-57873TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123462ENRCLM-417846CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123462ENRCLM-417847 CLM0.99RuleD1 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-417846CLMCLM-417847 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123462ENRTPA-57873TPA0.97RuleD2 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
▶CLM-417847 CLMTPA-57873TPA0.97RuleD2 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
▶CLM-417848CLMCLM-417847 CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417848CLMENR-123462ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417848CLMCLM-417846CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417848CLMTPA-57873TPA0.93Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Sean Castro: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000078, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-417848 → UHC-78224-40 (Sean Castro)
    ACT-007085, Claims processor
  • Care coordination outreachProposed
    Sean Castro: 3 claims, no attributed provider
    ACT-017892, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7f917a42b9
    scoring_agent, TPA-57873, identity id MBR-001542, confidence 1, method probabilistic, matched record CLM-417846, policy version 1
  • 2026-10-19 19:54:38Record linked automatically08f8201ef5
    matching_agent, CLM-417847, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123462
  • 2026-10-19 19:54:38Record linked automatically836a729f57
    scoring_agent, CLM-417846, identity id MBR-001542, confidence 1, method probabilistic, matched record TPA-57873, policy version 1
  • 2026-10-19 19:54:38Record linked automatically04a44f48a3
    matching_agent, ENR-123462, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417846
  • 2026-10-19 19:54:38Record linked automatically2bd78c3b47
    scoring_agent, CLM-417848, identity id MBR-001542, confidence 0.94, method probabilistic, matched record ENR-123462, policy version 1
  • 2026-10-19 19:52:08Record linked automatically9ad0b35349
    scoring_agent, TPA-57873, identity id MBR-001542, confidence 1, method probabilistic, matched record CLM-417846, policy version 1
  • 2026-10-19 19:52:08Record linked automatically477429c0f0
    matching_agent, CLM-417847, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123462
  • 2026-10-19 19:52:08Record linked automaticallyd6f4414d08
    scoring_agent, CLM-417846, identity id MBR-001542, confidence 1, method probabilistic, matched record TPA-57873, policy version 1
  • 2026-10-19 19:52:08Record linked automatically064020c79f
    matching_agent, ENR-123462, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417846
  • 2026-10-19 19:52:08Record linked automaticallya70157af6c
    scoring_agent, CLM-417848, identity id MBR-001542, confidence 0.94, method probabilistic, matched record ENR-123462, policy version 1
  • 2026-10-19 19:45:41Record linked automatically014377a59a
    scoring_agent, TPA-57873, identity id MBR-001542, confidence 1, method probabilistic, matched record CLM-417846, policy version 1
  • 2026-10-19 19:45:41Record linked automatically20b85008d0
    matching_agent, CLM-417847, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123462
  • 2026-10-19 19:45:41Record linked automatically1172c6d302
    scoring_agent, CLM-417846, identity id MBR-001542, confidence 1, method probabilistic, matched record TPA-57873, policy version 1
  • 2026-10-19 19:45:41Record linked automatically045691106e
    matching_agent, ENR-123462, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417846
  • 2026-10-19 19:45:41Record linked automatically4099d9b3e2
    scoring_agent, CLM-417848, identity id MBR-001542, confidence 0.94, method probabilistic, matched record ENR-123462, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyade8bebc80
    scoring_agent, TPA-57873, identity id MBR-001542, confidence 1, method probabilistic, matched record CLM-417846, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc65c579ca0
    matching_agent, CLM-417847, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123462
  • 2026-10-19 19:32:31Record linked automatically3385002226
    scoring_agent, CLM-417846, identity id MBR-001542, confidence 1, method probabilistic, matched record TPA-57873, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyeef9e2c604
    matching_agent, ENR-123462, identity id MBR-001542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417846
  • 2026-10-19 19:32:31Record linked automaticallyafe71b7c2e
    scoring_agent, CLM-417848, identity id MBR-001542, confidence 0.94, method probabilistic, matched record ENR-123462, policy version 1
  • 2026-10-19 19:31:28Record linked automatically77f40ce752
    matching_agent, CLM-417847, identity id MBR-035565, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123360
  • 2026-10-19 19:31:28Record linked automaticallyf19fb1856c
    scoring_agent, CLM-417848, identity id MBR-035565, confidence 1, method probabilistic, matched record TPA-57801, policy version 1
  • 2026-10-19 19:31:28Record linked automatically525520fe37
    matching_agent, CLM-417846, identity id MBR-029245, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417844
  • 2026-10-19 19:31:28Record linked automatically6f940bee07
    scoring_agent, TPA-57873, identity id MBR-002431, confidence 0.99, method probabilistic, matched record ENR-123594, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0185772026-02-22Unity Counseling Center
in network
90791, 90834$509.00—Needs reviewNeeds review
CLM-2026-0313742026-01-23Sunrise Diabetes Center
in network
99214$323.00$160.26ApprovedApproved
CLM-2026-0216542025-12-21Meadow Family Practice
in network
90471, 99214$349.00$194.06ApprovedApproved