Gold, golden identity
Sophia V Roberts
6 source records from 3 feeds.
MBR-003586Verified6 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Sophia
- Middle nameENR
- V
- Last nameENR
- Roberts
- Date of birthENR
- 1977-02-18
- GenderENR
- M
- Member IDENR
- UHC-64051-25
- SSNENR
- •••-••-3058
- PhoneENR
- 6162537893
- EmailENR
- sophia.roberts@icloud.com
- AddressCLM
- 6874 Canyon Rd
- CityCLM
- Miami
- StateCLM
- FL
- ZIPCLM
- 33123
- GroupENR
- GRP-3232
- PlanENR
- CORE-HMO
Min confidence
0.99
Sources
ENR ×2CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-117775 | ENR | 2026-01-12 | Sophia Robertsflagged | 1977-02-18 | UHC-64051-25 | 6162537893 | 2565 Forest Ave, Plano, TX | Scored | 0.99 | — |
| ENR-117776 | ENR | 2026-01-13 | Sophia Robertsflagged | 1977-02-18 | UHC-64051-25 | 6162537893 | 2565 Forest Ave, Plano, TX | Scored | 0.99 | — |
| CLM-413565 | CLM | 2026-02-25 | Sophia Robertsflagged | 1977-02-18 | UHC-64051-25 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-413563 | CLM | 2026-04-14 | Sopiha Robertsflagged | 1977-02-18 | UHC-64051-25 | — | 6874 Canyon Rd, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| TPA-55966 | TPA | 2026-08-22 | Sophia Roertsflagged | 1977-02-18 | — | 6162537893 | — | Scored | 0.99 | — |
| CLM-413564 | CLM | 2026-10-17 | Sophia Robertsflagged | 1977-02-18 | — | 6162537893 | — | Scored | 0.99 | — |
Evidence
13 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-55966TPACLM-413564CLM 0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117775ENRTPA-55966TPA0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117776ENRTPA-55966TPA0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117775ENRCLM-413563CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117776ENRCLM-413563CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-413565CLMCLM-413563CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117775ENRCLM-413565CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117776ENRCLM-413565CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117775ENRENR-117776ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 5Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117775ENRCLM-413564CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-117776ENRCLM-413564CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-413563CLMCLM-413564CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-413565CLMCLM-413564CLM 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-413564 → UHC-64051-25 (Sophia Roberts)ACT-004156, Claims processor
- Outreach address correctedProposedSophia Roberts: 2565 Forest Ave, Plano → 6874 Canyon Rd, MiamiACT-010789, Outreach
- Care coordination outreachProposedSophia Roberts: 3 claims, no attributed providerACT-018041, Next-best-action
- Duplicate member record retiredExecutedSophia Roberts: 2 enrollment records collapsed into UHC-64051-25ACT-022255, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyc8ad542fb5scoring_agent, CLM-413564, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya8a92047d2scoring_agent, TPA-55966, identity id MBR-003586, confidence 0.99, method probabilistic, matched record ENR-117775, policy version 1
- 2026-10-19 19:54:38Record linked automatically41a5f83a6dmatching_agent, CLM-413563, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:54:38Record linked automatically4d0abea971matching_agent, CLM-413565, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:54:38Record linked automatically817164918escoring_agent, ENR-117776, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:54:38Record linked automatically6bccbc4468scoring_agent, ENR-117775, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:52:08Record linked automatically3640e6537escoring_agent, CLM-413564, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:52:08Record linked automatically87771a0f81scoring_agent, TPA-55966, identity id MBR-003586, confidence 0.99, method probabilistic, matched record ENR-117775, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyfb26624becmatching_agent, CLM-413563, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:52:08Record linked automatically521afccc6dmatching_agent, CLM-413565, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:52:08Record linked automaticallydf3d43fab8scoring_agent, ENR-117776, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:52:08Record linked automatically16e41bffaescoring_agent, ENR-117775, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:45:42Record linked automaticallye0dc2a2d3ascoring_agent, CLM-413564, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:45:42Record linked automatically6d09a59c05scoring_agent, TPA-55966, identity id MBR-003586, confidence 0.99, method probabilistic, matched record ENR-117775, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf5a1a0dac6matching_agent, CLM-413563, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:45:42Record linked automatically6e822c7a99matching_agent, CLM-413565, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:45:42Record linked automatically08701537f6scoring_agent, ENR-117776, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:45:42Record linked automatically1f1f274d94scoring_agent, ENR-117775, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:32:31Record linked automatically6518671579scoring_agent, CLM-413564, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:32:31Record linked automatically232a778b2dscoring_agent, TPA-55966, identity id MBR-003586, confidence 0.99, method probabilistic, matched record ENR-117775, policy version 1
- 2026-10-19 19:32:31Record linked automatically8ed0de4d32matching_agent, CLM-413563, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:32:31Record linked automaticallya30c341558matching_agent, CLM-413565, identity id MBR-003586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117775
- 2026-10-19 19:32:31Record linked automatically3e716fa2cfscoring_agent, ENR-117776, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:32:31Record linked automaticallybe000e2036scoring_agent, ENR-117775, identity id MBR-003586, confidence 0.99, method probabilistic, matched record TPA-55966, policy version 1
- 2026-10-19 19:31:28Record linked automatically6f5c776f3fmatching_agent, CLM-413564, identity id MBR-037474, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413565
- 2026-10-19 19:31:28Record linked automatically7f66feb36bmatching_agent, CLM-413565, identity id MBR-037474, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117868
- 2026-10-19 19:31:28Record linked automatically726a54201dmatching_agent, CLM-413563, identity id MBR-030531, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-117867
- 2026-10-19 19:31:28Record linked automatically984ec353d4matching_agent, TPA-55966, identity id MBR-016632, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413658
- 2026-10-19 19:31:28Record linked automaticallyc5c707b55amatching_agent, ENR-117776, identity id MBR-005829, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117777
- 2026-10-19 19:31:28Record linked automatically0db3241ae1matching_agent, ENR-117775, identity id MBR-005829, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117777
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-010771 | 2026-09-11 | Pinecrest Heart Institute in network | 99214 | $329.00 | $153.98 | Approved | Approved |
| CLM-2026-010337 | 2026-04-11 | Pinecrest Diagnostic Imaging in network | 70553, 74177 | $4,165.00 | $1,948.02 | Approved | Approved |
| CLM-2026-032313 | 2026-02-12 | Pinecrest Behavioral Health in network | 99214 | $247.00 | $103.14 | Approved | Approved |