Identities/MBR-001550
Gold, golden identity

Kimberly Sandoval

4 source records from 3 feeds.

MBR-001550Verified4 records

Golden record

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

First nameENR
Kimberly
Middle name—
—
Last nameENR
Sandoval
Date of birthENR
1942-08-19
GenderENR
M
Member IDENR
UHC-46976-65
SSNENR
•••-••-4748
PhoneCLM
8598791876
Email—
—
AddressENR
4288 Pine Dr
CityENR
Mesa
StateENR
AZ
ZIPENR
85282
GroupENR
GRP-8497
PlanENR
MEDICARE-ADV-A
Min confidence
0.96
Sources
TPA ×1CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.960.99TPATPA-60723CLMCLM-424338CLMCLM-424337ENRENR-131814IDMBR-001550
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-60723TPA2026-01-05Kimberly Sandovalflagged1942-08-19——4288 Pine Dr, Mesa, AZScored1.00—
CLM-424338CLM2026-02-10Kimberly Sandovalflagged1942-08-19UHC-46976-6585987918764288 Pine Dr, Mesa, AZScored1.00—
CLM-424337CLM2026-07-01Kimberly Sandovalflagged1941-08-19UHC-46976-65—4288 Pine Dr, Mesa, AZRule0.96D3 member id + name
ENR-131814ENR2026-07-02Kimberly Sandovalflagged1942-08-19UHC-46976-65—4288 Pine Dr, Mesa, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60723TPACLM-424338CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424338CLM ENR-131814ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60723TPAENR-131814ENR0.97RuleD2 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-424338CLM CLM-424337CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424337CLMENR-131814ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60723TPACLM-424337CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically5af13ffe4b
    matching_agent, ENR-131814, identity id MBR-001550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424338
  • 2026-10-22 12:43:53Record linked automaticallye688397c8f
    matching_agent, CLM-424337, identity id MBR-001550, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424338
  • 2026-10-22 12:43:53Record linked automatically5b27c8eb73
    scoring_agent, CLM-424338, identity id MBR-001550, confidence 1, method probabilistic, matched record TPA-60723, policy version 1
  • 2026-10-22 12:43:53Record linked automatically16ed502ee1
    scoring_agent, TPA-60723, identity id MBR-001550, confidence 1, method probabilistic, matched record CLM-424338, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf501f824a7
    matching_agent, ENR-131814, identity id MBR-001550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424338
  • 2026-10-19 19:54:38Record linked automaticallye90f8b8629
    matching_agent, CLM-424337, identity id MBR-001550, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424338
  • 2026-10-19 19:54:38Record linked automatically24d95cf13f
    scoring_agent, CLM-424338, identity id MBR-001550, confidence 1, method probabilistic, matched record TPA-60723, policy version 1
  • 2026-10-19 19:54:38Record linked automatically229c23b639
    scoring_agent, TPA-60723, identity id MBR-001550, confidence 1, method probabilistic, matched record CLM-424338, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf155d4653d
    matching_agent, ENR-131814, identity id MBR-001550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424338
  • 2026-10-19 19:52:08Record linked automaticallyeddcdcb2dd
    matching_agent, CLM-424337, identity id MBR-001550, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424338
  • 2026-10-19 19:52:08Record linked automatically5235dd3acd
    scoring_agent, CLM-424338, identity id MBR-001550, confidence 1, method probabilistic, matched record TPA-60723, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya4e9c15fc5
    scoring_agent, TPA-60723, identity id MBR-001550, confidence 1, method probabilistic, matched record CLM-424338, policy version 1
  • 2026-10-19 19:45:41Record linked automatically7459c001f2
    matching_agent, ENR-131814, identity id MBR-001550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424338
  • 2026-10-19 19:45:41Record linked automaticallyec3da3694a
    matching_agent, CLM-424337, identity id MBR-001550, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424338
  • 2026-10-19 19:45:41Record linked automaticallyc2a1334423
    scoring_agent, CLM-424338, identity id MBR-001550, confidence 1, method probabilistic, matched record TPA-60723, policy version 1
  • 2026-10-19 19:45:41Record linked automatically637d084b4d
    scoring_agent, TPA-60723, identity id MBR-001550, confidence 1, method probabilistic, matched record CLM-424338, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4998d7d360
    matching_agent, ENR-131814, identity id MBR-001550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424338
  • 2026-10-19 19:32:31Record linked automatically5000dfdff5
    matching_agent, CLM-424337, identity id MBR-001550, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424338
  • 2026-10-19 19:32:31Record linked automatically25ac75802d
    scoring_agent, CLM-424338, identity id MBR-001550, confidence 1, method probabilistic, matched record TPA-60723, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5bf2c523bf
    scoring_agent, TPA-60723, identity id MBR-001550, confidence 1, method probabilistic, matched record CLM-424338, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7f84b7a362
    matching_agent, CLM-424338, identity id MBR-025270, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132029
  • 2026-10-19 19:31:28Record linked automatically4f865d2f3e
    matching_agent, CLM-424337, identity id MBR-021468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132027
  • 2026-10-19 19:31:28Record linked automaticallya633da6a33
    scoring_agent, TPA-60723, identity id MBR-001937, confidence 1.00, method probabilistic, matched record CLM-424372, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0023062026-06-15Heritage Medical Group
out of network
99214, 99203, 99395$800.00$330.00ApprovedApproved
CLM-2026-0320532026-01-25Harbor Primary Care Associates
in network
99213$220.00$106.40ApprovedApproved