Identities/MBR-004400

Gold, golden identity

Sandra B Stewart

5 source records from 4 feeds.

MBR-004400Verified5 records

Golden record

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

First namePRV: Sandra
Middle nameENR: B
Last nameENR: Stewart
Date of birthENR: 1955-07-25
GenderENR: M
Member IDENR: UHC-38871-63
SSNENR: •••-••-2267
PhoneENR: 8257557553
EmailPRV: sandra.stewart@proton.me
AddressENR: 7198 Harbor Blvd
CityENR: Seattle
StateENR: WA
ZIPENR: 98140
GroupENR: GRP-1223
PlanENR: NAVIGATE-HMO

Min confidence

0.87

Sources

CLM ×2ENR ×1PRV ×1TPA ×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-428838	CLM	2026-01-14	Sandra Stewartflagged	1955-07-25	—	—	7198 Harbor Blvd, Seattle, WA	Scored	1.00	—
CLM-428837	CLM	2026-03-19	Sandra Stewartflagged	1955-07-25	UHC-38871-63	8257557553	—	Rule	0.99	D1 member id + dob exact
ENR-137820	ENR	2026-03-19	Sanrda Stewartflagged	1955-07-25	UHC-38871-63	8257557553	7198 Harbor Blvd, Seattle, WA	Scored	0.99	—
PRV-28476	PRV	2026-05-29	Sandra Stewartflagged	1955-07-25	UHC-38871-63	8257557553	7198 Harbor Blvd, Seattle, WA	Scored	1.00	—
TPA-62736	TPA	2026-10-03	Sandra Stewartflagged	1956-07-25	—	8257557553	7198 Harbor Blvd, Seattle, WA	Scored	0.87	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-428838CLMPRV-28476PRV1.00Scoredweighted 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-428838CLMENR-137820ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428837CLMENR-137820ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428837CLMPRV-28476PRV0.99RuleD1 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
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-137820ENRPRV-28476PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶ENR-137820ENRTPA-62736TPA0.87Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-28476PRVTPA-62736TPA0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-428838CLMCLM-428837CLM0.83Scoredweighted 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

▶CLM-428838CLMTPA-62736TPA0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428837CLMTPA-62736TPA0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-428838 → UHC-38871-63 (Sandra Stewart)
ACT-004053, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically2028904717
scoring_agent, TPA-62736, identity id MBR-004400, confidence 0.87, method probabilistic, matched record ENR-137820, policy version 1
2026-10-22 12:43:53Record linked automaticallye3f8dc0b03
scoring_agent, PRV-28476, identity id MBR-004400, confidence 1, method probabilistic, matched record CLM-428838, policy version 1
2026-10-22 12:43:53Record linked automatically9a88b8a4aa
scoring_agent, ENR-137820, identity id MBR-004400, confidence 0.99, method probabilistic, matched record CLM-428838, policy version 1
2026-10-22 12:43:53Record linked automatically60620d90df
matching_agent, CLM-428837, identity id MBR-004400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137820
2026-10-22 12:43:53Record linked automaticallya5dc719520
scoring_agent, CLM-428838, identity id MBR-004400, confidence 1, method probabilistic, matched record PRV-28476, policy version 1
2026-10-19 19:54:38Record linked automatically7f39f7e919
scoring_agent, TPA-62736, identity id MBR-004400, confidence 0.87, method probabilistic, matched record ENR-137820, policy version 1
2026-10-19 19:54:38Record linked automaticallycc2eaa5276
scoring_agent, PRV-28476, identity id MBR-004400, confidence 1, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:54:38Record linked automatically12f8339645
scoring_agent, ENR-137820, identity id MBR-004400, confidence 0.99, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:54:38Record linked automatically7ebfe57a89
matching_agent, CLM-428837, identity id MBR-004400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137820
2026-10-19 19:54:38Record linked automaticallyb57b1a7f87
scoring_agent, CLM-428838, identity id MBR-004400, confidence 1, method probabilistic, matched record PRV-28476, policy version 1
2026-10-19 19:52:08Record linked automatically7efe7e5eed
scoring_agent, TPA-62736, identity id MBR-004400, confidence 0.87, method probabilistic, matched record ENR-137820, policy version 1
2026-10-19 19:52:08Record linked automaticallye4794abef0
scoring_agent, PRV-28476, identity id MBR-004400, confidence 1, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:52:08Record linked automatically0db7cb32c0
scoring_agent, ENR-137820, identity id MBR-004400, confidence 0.99, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:52:08Record linked automatically6c26e5926e
matching_agent, CLM-428837, identity id MBR-004400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137820
2026-10-19 19:52:08Record linked automaticallybe683dbec1
scoring_agent, CLM-428838, identity id MBR-004400, confidence 1, method probabilistic, matched record PRV-28476, policy version 1
2026-10-19 19:45:42Record linked automatically6939047a12
scoring_agent, TPA-62736, identity id MBR-004400, confidence 0.87, method probabilistic, matched record ENR-137820, policy version 1
2026-10-19 19:45:42Record linked automaticallyc70908dcf8
scoring_agent, PRV-28476, identity id MBR-004400, confidence 1, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:45:42Record linked automatically015dda09ff
scoring_agent, ENR-137820, identity id MBR-004400, confidence 0.99, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:45:42Record linked automaticallye0f34936f7
matching_agent, CLM-428837, identity id MBR-004400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137820
2026-10-19 19:45:42Record linked automaticallyc93ef293d7
scoring_agent, CLM-428838, identity id MBR-004400, confidence 1, method probabilistic, matched record PRV-28476, policy version 1
2026-10-19 19:32:31Record linked automatically7320e4e0c5
scoring_agent, TPA-62736, identity id MBR-004400, confidence 0.87, method probabilistic, matched record ENR-137820, policy version 1
2026-10-19 19:32:31Record linked automatically35aa0bb61b
scoring_agent, PRV-28476, identity id MBR-004400, confidence 1, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:32:31Record linked automatically6bbecdf7be
scoring_agent, ENR-137820, identity id MBR-004400, confidence 0.99, method probabilistic, matched record CLM-428838, policy version 1
2026-10-19 19:32:31Record linked automaticallyf5947e9035
matching_agent, CLM-428837, identity id MBR-004400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137820
2026-10-19 19:32:31Record linked automaticallyd7d43c811d
scoring_agent, CLM-428838, identity id MBR-004400, confidence 1, method probabilistic, matched record PRV-28476, policy version 1
2026-10-19 19:31:28Record linked automatically521de24a2c
scoring_agent, ENR-137820, identity id MBR-015170, confidence 1, method probabilistic, matched record CLM-428619, policy version 1
2026-10-19 19:31:28Record linked automatically6e0c442e0c
scoring_agent, PRV-28476, identity id MBR-012181, confidence 1, method probabilistic, matched record TPA-62669, policy version 1
2026-10-19 19:31:28Record linked automaticallyb38f61a23b
matching_agent, CLM-428837, identity id MBR-002590, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138082
2026-10-19 19:31:28Record linked automatically0e5d3b4f88
matching_agent, TPA-62736, identity id MBR-001147, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138311

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-2026-017053	2026-02-15	Lakeside Endocrine Associates out of network	99214	$210.00	—	Denied	Denied
CLM-2026-010391	2025-12-01	Evergreen Internal Medicine Associates in network	99215, 99214	$612.00	$339.44	Approved	Approved