Identities/MBR-005454

Gold, golden identity

Mark Y Sandoval

5 source records from 4 feeds.

MBR-005454Verified5 records

Golden record

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

First nameENR: Mark
Middle nameCLM: Y
Last nameENR: Sandoval
Date of birthENR: 2006-03-22
GenderENR: F
Member IDENR: UHC-24042-47
SSNENR: •••-••-6839
PhoneENR: 9629371862
EmailENR: mark.sandoval10@icloud.com
AddressPRV: 6181 Mountain View Dr
CityPRV: Houston
StateENR: TX
ZIPPRV: 77048
GroupENR: GRP-0263
PlanENR: SELECT-EPO

Min confidence

0.99

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-416754	CLM	2026-01-18	Mark Sandovalflagged	2006-03-22	UHC-24042-47	—	6181 Mountain View Dr, Houston, TX	Scored	1.00	—
ENR-122000	ENR	2026-02-23	Mark Sandovalflagged	2006-03-22	UHC-24042-47	9629371862	2986 Forest Ave, San Antonio, TX	Rule	0.99	D1 member id + dob exact
PRV-24967	PRV	2026-06-09	Mark Sandoalflagged	2006-03-22	—	9629371862	6181 Mountain View Dr, Houston, TX	Scored	0.99	—
TPA-57380	TPA	2026-06-25	Mark Sandovalflagged	2006-03-22	—	—	6181 Mountain View Dr, Houston, TX	Scored	1.00	—
CLM-416755	CLM	2026-07-15	Mark Sandovalflagged	2006-03-22	UHC-24042-47	9629371862	6181 Mountain View Dr, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57380TPACLM-416755CLM1.00Scoredweighted 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-416754CLM TPA-57380TPA1.00Scoredweighted 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-24967PRVCLM-416755CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416754CLM CLM-416755CLM0.99RuleD1 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

▶ENR-122000ENRCLM-416755CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-416754CLM ENR-122000ENR0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-122000ENRTPA-57380TPA0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-122000ENRPRV-24967PRV0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Mark Sandoval: 2986 Forest Ave, San Antonio → 6181 Mountain View Dr, Houston
ACT-010963, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically2486aabc51
scoring_agent, CLM-416755, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-22 12:43:53Record linked automatically4020f0ef49
scoring_agent, TPA-57380, identity id MBR-005454, confidence 1, method probabilistic, matched record CLM-416754, policy version 1
2026-10-22 12:43:53Record linked automatically81c59dd590
scoring_agent, PRV-24967, identity id MBR-005454, confidence 0.99, method probabilistic, matched record CLM-416755, policy version 1
2026-10-22 12:43:53Record linked automatically8e797172c8
matching_agent, ENR-122000, identity id MBR-005454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416754
2026-10-22 12:43:53Record linked automatically3caf952dc8
scoring_agent, CLM-416754, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:54:38Record linked automatically85df70ad54
scoring_agent, CLM-416755, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:54:38Record linked automatically4f7dd8beb9
scoring_agent, TPA-57380, identity id MBR-005454, confidence 1, method probabilistic, matched record CLM-416754, policy version 1
2026-10-19 19:54:38Record linked automaticallye02c2160c9
scoring_agent, PRV-24967, identity id MBR-005454, confidence 0.99, method probabilistic, matched record CLM-416755, policy version 1
2026-10-19 19:54:38Record linked automatically643ce0eb3a
matching_agent, ENR-122000, identity id MBR-005454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416754
2026-10-19 19:54:38Record linked automaticallyc1214897d1
scoring_agent, CLM-416754, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:52:08Record linked automaticallyc8164f15a4
scoring_agent, CLM-416755, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:52:08Record linked automaticallyb780900ebf
scoring_agent, TPA-57380, identity id MBR-005454, confidence 1, method probabilistic, matched record CLM-416754, policy version 1
2026-10-19 19:52:08Record linked automatically4e83234bfb
scoring_agent, PRV-24967, identity id MBR-005454, confidence 0.99, method probabilistic, matched record CLM-416755, policy version 1
2026-10-19 19:52:08Record linked automatically651cb7745f
matching_agent, ENR-122000, identity id MBR-005454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416754
2026-10-19 19:52:08Record linked automaticallyfad5f28446
scoring_agent, CLM-416754, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:45:42Record linked automaticallyb5b46e141e
scoring_agent, CLM-416755, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:45:42Record linked automatically2793ff3bc6
scoring_agent, TPA-57380, identity id MBR-005454, confidence 1, method probabilistic, matched record CLM-416754, policy version 1
2026-10-19 19:45:42Record linked automatically7dd3581b63
scoring_agent, PRV-24967, identity id MBR-005454, confidence 0.99, method probabilistic, matched record CLM-416755, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5994d96d5
matching_agent, ENR-122000, identity id MBR-005454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416754
2026-10-19 19:45:42Record linked automatically2f65d2b760
scoring_agent, CLM-416754, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:32:31Record linked automaticallyfa77100c5c
scoring_agent, CLM-416755, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:32:31Record linked automatically83a3114e15
scoring_agent, TPA-57380, identity id MBR-005454, confidence 1, method probabilistic, matched record CLM-416754, policy version 1
2026-10-19 19:32:31Record linked automatically9931c3e628
scoring_agent, PRV-24967, identity id MBR-005454, confidence 0.99, method probabilistic, matched record CLM-416755, policy version 1
2026-10-19 19:32:31Record linked automaticallyf64034d594
matching_agent, ENR-122000, identity id MBR-005454, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416754
2026-10-19 19:32:31Record linked automatically2b4b3fe1d7
scoring_agent, CLM-416754, identity id MBR-005454, confidence 1, method probabilistic, matched record TPA-57380, policy version 1
2026-10-19 19:31:28Record linked automaticallyf4a85ff9bc
scoring_agent, CLM-416755, identity id MBR-034822, confidence 1, method probabilistic, matched record TPA-57327, policy version 1
2026-10-19 19:31:28Record linked automatically73f56ab402
matching_agent, CLM-416754, identity id MBR-023558, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121935
2026-10-19 19:31:28Record linked automaticallyd55ce15b68
matching_agent, ENR-122000, identity id MBR-011695, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57347
2026-10-19 19:31:28Record linked automaticallycc3f348e23
scoring_agent, TPA-57380, identity id MBR-005130, confidence 1, method probabilistic, matched record CLM-416896, policy version 1
2026-10-19 19:31:28Record linked automatically693a9a02e4
scoring_agent, PRV-24967, identity id MBR-001812, confidence 1, method probabilistic, matched record CLM-416978, 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-2026-026855	2026-07-10	Heritage Community Hospital in network	99285	$2,703.00	—	Denied	Denied
CLM-2026-017201	2025-12-05	Northgate Cardiovascular Associates in network	93458, 93015	$6,294.00	$1,809.86	Approved	Approved