Wayne Santos

4 source records from 2 feeds.

MBR-001573Verified4 recordsOpen steward case

Golden record

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

First nameENR: Wayne
Middle name—: —
Last nameENR: Santos
Date of birthENR: 1967-08-04
GenderENR: F
Member IDENR: UHC-74830-37
SSNENR: •••-••-5155
PhoneENR: 6799132206
EmailENR: wayne.santos@icloud.com
AddressENR: 9077 Lake View Rd
CityENR: Nashville
StateENR: TN
ZIPENR: 37234
GroupENR: GRP-1031
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

CLM ×3ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-406001	CLM	2026-01-05	Wayne Santosflagged	1967-08-04	UHC-74830-37	—	—	Rule	0.99	D1 member id + dob exact
CLM-405999	CLM	2026-05-19	Wayne Santosflagged	1967-08-04	—	—	9077 Lake View Rd, Nashville, TN	Scored	1.00	—
ENR-107915	ENR	2026-06-25	Wayne Santosflagged	1967-08-04	UHC-74830-37	6799132206	9077 Lake View Rd, Nashville, TN	Scored	1.00	—
CLM-406000	CLM	2026-07-14	Wayne Santosflagged	1967-08-04	UHC-74830-37	6799132206	9077 Lake View Rd, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-405999CLMCLM-406000CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-405999CLMENR-107915ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406001CLMCLM-406000CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-107915ENRCLM-406000CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406001CLMENR-107915ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406001CLMCLM-405999CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405999 → UHC-74830-37 (Wayne Santos)
ACT-009084, Claims processor
Care coordination outreachProposed
Wayne Santos: 3 claims, no attributed provider
ACT-017893, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically870edab95f
scoring_agent, CLM-406000, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-22 12:43:53Record linked automatically8f47462082
scoring_agent, ENR-107915, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-22 12:43:53Record linked automatically58a43dfd15
scoring_agent, CLM-405999, identity id MBR-001573, confidence 1, method probabilistic, matched record ENR-107915, policy version 1
2026-10-22 12:43:53Record linked automatically31645b439a
matching_agent, CLM-406001, identity id MBR-001573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107915
2026-10-19 19:54:38Record linked automatically84f022fc2c
scoring_agent, CLM-406000, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:54:38Record linked automatically6455e70d10
scoring_agent, ENR-107915, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:54:38Record linked automaticallyf5c6abdae2
scoring_agent, CLM-405999, identity id MBR-001573, confidence 1, method probabilistic, matched record ENR-107915, policy version 1
2026-10-19 19:54:38Record linked automatically09e50cd97d
matching_agent, CLM-406001, identity id MBR-001573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107915
2026-10-19 19:52:08Record linked automatically28414ab0f3
scoring_agent, CLM-406000, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:52:08Record linked automatically6300657de7
scoring_agent, ENR-107915, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:52:08Record linked automaticallydc80be0831
scoring_agent, CLM-405999, identity id MBR-001573, confidence 1, method probabilistic, matched record ENR-107915, policy version 1
2026-10-19 19:52:08Record linked automatically219b9fa23f
matching_agent, CLM-406001, identity id MBR-001573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107915
2026-10-19 19:45:41Record linked automatically1d4808163d
scoring_agent, CLM-406000, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:45:41Record linked automatically699f3c8eef
scoring_agent, ENR-107915, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:45:41Record linked automaticallyfadaa514b1
scoring_agent, CLM-405999, identity id MBR-001573, confidence 1, method probabilistic, matched record ENR-107915, policy version 1
2026-10-19 19:45:41Record linked automatically90f29e617a
matching_agent, CLM-406001, identity id MBR-001573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107915
2026-10-19 19:32:31Record linked automatically372b862621
scoring_agent, CLM-406000, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:32:31Record linked automaticallycbee2bbe17
scoring_agent, ENR-107915, identity id MBR-001573, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:32:31Record linked automatically81ec36e02b
scoring_agent, CLM-405999, identity id MBR-001573, confidence 1, method probabilistic, matched record ENR-107915, policy version 1
2026-10-19 19:32:31Record linked automaticallyad7ac27cd5
matching_agent, CLM-406001, identity id MBR-001573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107915
2026-10-19 19:31:28Record linked automatically616932bc71
scoring_agent, CLM-406001, identity id MBR-035159, confidence 1, method probabilistic, matched record PRV-21793, policy version 1
2026-10-19 19:31:28Record linked automaticallyb96a405e47
scoring_agent, CLM-406000, identity id MBR-032200, confidence 1, method probabilistic, matched record CLM-405999, policy version 1
2026-10-19 19:31:28Record linked automaticallya5a4145ee2
scoring_agent, CLM-405999, identity id MBR-032200, confidence 1, method probabilistic, matched record CLM-406000, policy version 1
2026-10-19 19:31:28Record linked automaticallyb9fb3583b1
scoring_agent, ENR-107915, identity id MBR-008496, confidence 1, method probabilistic, matched record TPA-52698, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-016945	2026-05-30	Pinecrest Primary Care Associates in network	99214	$309.00	—	Denied	Denied
CLM-2026-029379	2026-04-15	Meadow Primary Care Associates in network	99203, 99395	$497.00	—	Denied	Denied
CLM-2026-012588	2025-12-19	Unity Diagnostic Imaging in network	77067	$341.00	$0.00	Approved	Approved