Identities/MBR-003561
Gold, golden identity

Cynthia Sandoval

6 source records from 2 feeds.

MBR-003561Verified6 records

Golden record

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

First nameCLM
Cynthia
Middle name—
—
Last nameCLM
Sandoval
Date of birthCLM
2002-04-06
GenderCLM
F
Member IDCLM
UHC-40936-82
SSNCLM
•••-••-4776
PhoneCLM
8522717482
EmailTPA
cynthia.sandoval46@proton.me
AddressCLM
9753 Lake View Rd
CityCLM
Austin
StateCLM
TX
ZIPCLM
78787
GroupCLM
GRP-0371
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
TPA ×2CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.000.991.00TPATPA-55933CLMCLM-413489CLMCLM-413490TPATPA-55932CLMCLM-413487CLMCLM-413488IDMBR-003561
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-55933TPA2026-01-12Cynthia Sandovalflagged2002-04-06——9753 Lake View Rd, Austin, TXScored1.00—
CLM-413489CLM2026-07-17Cynthia Sandovalflagged2002-04-06UHC-40936-82——Rule0.99D1 member id + dob exact
CLM-413490CLM2026-07-27Cynthia Sandovalflagged2002-04-06UHC-40936-8285227174829753 Lake View Rd, Austin, TXRule0.99D1 member id + dob exact
TPA-55932TPA2026-08-21Cynthia Sandovalflagged2002-04-06——9753 Lake View Rd, Austin, TXScored1.00—
CLM-413487CLM2026-08-29Cynthia Sandovalflagged2002-04-06UHC-40936-82—9753 Lake View Rd, Austin, TXRule0.99D1 member id + dob exact
CLM-413488CLM2026-10-09Cynthia Sandovalflagged2002-04-06UHC-40936-8285227174829753 Lake View Rd, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55933TPACLM-413488CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55932TPACLM-413488CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413489CLMCLM-413487CLM0.99RuleD1 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-413490CLMCLM-413487CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413489CLMCLM-413488CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413490CLMCLM-413488CLM0.99RuleD1 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-413487CLMCLM-413488CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413489CLMCLM-413490CLM0.99RuleD1 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-55933TPACLM-413487CLM0.97RuleD2 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-55932TPACLM-413487CLM0.97RuleD2 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-55933TPACLM-413489CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55933TPACLM-413490CLM0.97RuleD2 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-55933TPATPA-55932TPA0.97RuleD2 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-413489CLMTPA-55932TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413490CLMTPA-55932TPA0.97RuleD2 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

  • Eligibility conflict resolvedProposed
    Cynthia Sandoval: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000175, Eligibility engine
  • Care coordination outreachProposed
    Cynthia Sandoval: 4 claims, no attributed provider
    ACT-018040, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye1e5268fe4
    scoring_agent, CLM-413488, identity id MBR-003561, confidence 1, method probabilistic, matched record TPA-55933, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf71686a2e9
    matching_agent, CLM-413487, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:54:38Record linked automatically07f6872cb2
    scoring_agent, TPA-55932, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7c831eb760
    matching_agent, CLM-413490, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:54:38Record linked automaticallyeb39a529b2
    matching_agent, CLM-413489, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413490
  • 2026-10-19 19:54:38Record linked automaticallybd66c9564f
    scoring_agent, TPA-55933, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallya9726b4bb0
    scoring_agent, CLM-413488, identity id MBR-003561, confidence 1, method probabilistic, matched record TPA-55933, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyccee72abb0
    matching_agent, CLM-413487, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:52:08Record linked automatically285589b71f
    scoring_agent, TPA-55932, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1d59b7eaef
    matching_agent, CLM-413490, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:52:08Record linked automaticallyfed9957a76
    matching_agent, CLM-413489, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413490
  • 2026-10-19 19:52:08Record linked automatically0d0fea6f11
    scoring_agent, TPA-55933, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7aa1a5dd9f
    scoring_agent, CLM-413488, identity id MBR-003561, confidence 1, method probabilistic, matched record TPA-55933, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc0b3f5e843
    matching_agent, CLM-413487, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:45:42Record linked automatically7e286b47e9
    scoring_agent, TPA-55932, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf9714b67ac
    matching_agent, CLM-413490, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:45:42Record linked automatically5765fbdec9
    matching_agent, CLM-413489, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413490
  • 2026-10-19 19:45:42Record linked automatically76738062a9
    scoring_agent, TPA-55933, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:32:31Record linked automatically23e2f1d148
    scoring_agent, CLM-413488, identity id MBR-003561, confidence 1, method probabilistic, matched record TPA-55933, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfbd5ffdd1e
    matching_agent, CLM-413487, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:32:31Record linked automaticallyd768d14f2a
    scoring_agent, TPA-55932, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:32:31Record linked automatically96b44635c3
    matching_agent, CLM-413490, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413489
  • 2026-10-19 19:32:31Record linked automatically188a70177a
    matching_agent, CLM-413489, identity id MBR-003561, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413490
  • 2026-10-19 19:32:31Record linked automatically1b3cd340ff
    scoring_agent, TPA-55933, identity id MBR-003561, confidence 1, method probabilistic, matched record CLM-413488, policy version 1
  • 2026-10-19 19:31:28Record linked automatically54d50f272f
    scoring_agent, TPA-55933, identity id MBR-027114, confidence 1, method probabilistic, matched record CLM-413599, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye8f3a9b329
    scoring_agent, TPA-55932, identity id MBR-027114, confidence 1, method probabilistic, matched record CLM-413599, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyecdc5d3b21
    matching_agent, CLM-413489, identity id MBR-014187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117769
  • 2026-10-19 19:31:28Record linked automatically5435e46ec1
    matching_agent, CLM-413490, identity id MBR-011363, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117770
  • 2026-10-19 19:31:28Record linked automatically9fa610cc72
    matching_agent, CLM-413487, identity id MBR-011087, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117766
  • 2026-10-19 19:31:28Record linked automaticallyb53224b29d
    matching_agent, CLM-413488, identity id MBR-007427, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117767

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0321902026-10-01Canyon Clinical Laboratories
in network
80053$45.00$0.00ApprovedApproved
CLM-2026-0258642026-08-05Desert Internal Medicine Associates
in network
93000, 80053$163.00$76.06ApprovedApproved
CLM-2026-0062002026-07-05Riverside Clinical Laboratories
in network
70553$2,608.00—Needs reviewNeeds review
CLM-2026-0180712026-07-14Sunrise Internal Medicine Associates
in network
80053, 93000, 99214$335.00$182.70ApprovedApproved