Identities/MBR-004045

Gold, golden identity

Sandra G Hart

6 source records from 4 feeds.

MBR-004045Verified6 records

Golden record

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

First nameENR: Sandra
Middle nameENR: G
Last nameENR: Hart
Date of birthENR: 1957-12-16
GenderENR: M
Member IDENR: UHC-88610-44
SSNENR: •••-••-0081
PhonePRV: 9508397903
EmailENR: sandra.hart@hotmail.com
AddressENR: 9810 Jefferson Ave
CityENR: San Diego
StateENR: CA
ZIPENR: 92119
GroupENR: GRP-6806
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×3PRV ×1ENR ×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

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-429797	CLM	2026-01-13	Sandra Hartflagged	1957-12-16	UHC-88610-44	—	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—
PRV-28717	PRV	2026-02-14	Sandra Hartflagged	1957-12-16	UHC-88610-44	9508397903	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—
ENR-139068	ENR	2026-03-17	Sandra Hartflagged	1957-12-16	UHC-88610-44	—	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—
CLM-429798	CLM	2026-08-03	Sandra Hartflagged	1957-12-16	—	9508397903	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—
CLM-429796	CLM	2026-08-04	Sandra Hartflagged	1957-12-16	—	9508397903	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—
TPA-63159	TPA	2026-08-30	Sandra Hartflagged	1957-12-16	—	9508397903	9810 Jefferson Ave, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-28717PRVCLM-429796CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429798CLMCLM-429796CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429797CLMCLM-429798CLM1.00Scoredweighted 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

▶PRV-28717PRVCLM-429798CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-139068ENRCLM-429798CLM1.00Scoredweighted 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-429797CLMTPA-63159TPA1.00Scoredweighted 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

▶PRV-28717PRVTPA-63159TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-139068ENRTPA-63159TPA1.00Scoredweighted 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-429798CLMTPA-63159TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429796CLMTPA-63159TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429797CLMENR-139068ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-28717PRVENR-139068ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429797CLMPRV-28717PRV0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429797CLMCLM-429796CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-139068ENRCLM-429796CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429796 → UHC-88610-44 (Sandra Hart)
ACT-002985, Claims processor
Orphan claim re-pointedExecuted
CLM-429798 → UHC-88610-44 (Sandra Hart)
ACT-003574, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically702a14a5c7
scoring_agent, TPA-63159, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb3b944fd2
scoring_agent, CLM-429796, identity id MBR-004045, confidence 1, method probabilistic, matched record PRV-28717, policy version 1
2026-10-19 19:54:38Record linked automaticallyaf3af9b3e4
scoring_agent, CLM-429798, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:54:38Record linked automaticallyeda09e02b4
scoring_agent, ENR-139068, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:54:38Record linked automatically0b69b65987
scoring_agent, PRV-28717, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:54:38Record linked automatically70f24345cd
scoring_agent, CLM-429797, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:52:08Record linked automatically794725c2db
scoring_agent, TPA-63159, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:52:08Record linked automatically14762dcb9c
scoring_agent, CLM-429796, identity id MBR-004045, confidence 1, method probabilistic, matched record PRV-28717, policy version 1
2026-10-19 19:52:08Record linked automatically49934c92bb
scoring_agent, CLM-429798, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:52:08Record linked automatically9db4dae8a8
scoring_agent, ENR-139068, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:52:08Record linked automatically4f4b06feab
scoring_agent, PRV-28717, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:52:08Record linked automaticallyc985f75f94
scoring_agent, CLM-429797, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:45:42Record linked automatically915a45ab2e
scoring_agent, TPA-63159, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:45:42Record linked automatically06b76477ee
scoring_agent, CLM-429796, identity id MBR-004045, confidence 1, method probabilistic, matched record PRV-28717, policy version 1
2026-10-19 19:45:42Record linked automaticallyf58a947046
scoring_agent, CLM-429798, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:45:42Record linked automatically2d71e604ff
scoring_agent, ENR-139068, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:45:42Record linked automatically30e16d6752
scoring_agent, PRV-28717, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:45:42Record linked automaticallya22a8180db
scoring_agent, CLM-429797, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:32:31Record linked automatically52b9169196
scoring_agent, TPA-63159, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:32:31Record linked automaticallyd9c2d900c7
scoring_agent, CLM-429796, identity id MBR-004045, confidence 1, method probabilistic, matched record PRV-28717, policy version 1
2026-10-19 19:32:31Record linked automatically50fa064af1
scoring_agent, CLM-429798, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429797, policy version 1
2026-10-19 19:32:31Record linked automaticallya4bfc332b8
scoring_agent, ENR-139068, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:32:31Record linked automatically6b5197dbbd
scoring_agent, PRV-28717, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:32:31Record linked automaticallyf891244d42
scoring_agent, CLM-429797, identity id MBR-004045, confidence 1, method probabilistic, matched record CLM-429798, policy version 1
2026-10-19 19:31:28Record linked automaticallyc1206873a8
scoring_agent, PRV-28717, identity id MBR-043415, confidence 1, method probabilistic, matched record ENR-139228, policy version 1
2026-10-19 19:31:28Record linked automaticallyf2c763b3a4
scoring_agent, ENR-139068, identity id MBR-038790, confidence 1, method probabilistic, matched record TPA-62982, policy version 1
2026-10-19 19:31:28Record linked automatically87a2f1ad3c
scoring_agent, TPA-63159, identity id MBR-037351, confidence 1, method probabilistic, matched record CLM-429981, policy version 1
2026-10-19 19:31:28Record linked automatically017ba6224e
matching_agent, CLM-429798, identity id MBR-003638, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429799
2026-10-19 19:31:28Record linked automaticallyd10791673c
scoring_agent, CLM-429796, identity id MBR-003320, confidence 1, method probabilistic, matched record PRV-28750, 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-2026-006276	2026-07-28	Riverside Primary Care Associates in network	99213, 99395	$441.00	$248.42	Approved	Approved
CLM-2026-008456	2026-07-18	Unity Family Practice in network	36415, 99213	$244.00	$136.40	Approved	Approved
CLM-2026-018672	2025-12-26	Evergreen Reference Lab in network	80053, 83036, 87086	$215.00	$0.00	Approved	Approved