Identities/MBR-005816
Gold, golden identity

Priya Santos

6 source records from 3 feeds.

MBR-005816Verified6 records

Golden record

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

First nameENR
Priya
Middle name—
—
Last nameENR
Santos
Date of birthENR
1994-05-09
GenderENR
M
Member IDENR
UHC-17238-16
SSNCLM
•••-••-4359
PhoneENR
4818321581
EmailTPA
priya.santos11@icloud.com
AddressENR
686 Canyon Rd
CityENR
Tampa
StateENR
FL
ZIPENR
33615
GroupENR
GRP-8156
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×4TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.991.001.00CLMCLM-431410CLMCLM-431409CLMCLM-431408CLMCLM-431411TPATPA-63875ENRENR-141229IDMBR-005816
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
CLM-431410CLM2026-01-19Priya Santosflagged1993-05-09UHC-17238-16—686 Canyon Rd, Tampa, FLRule0.99D1 member id + dob exact
CLM-431409CLM2026-01-19Priya Santosflagged1993-05-09UHC-17238-16—686 Canyon Rd, Tampa, FLRule0.99D1 member id + dob exact
CLM-431408CLM2026-03-07Priya Santosflagged1994-05-09UHC-17238-16—686 Canyon Rd, Tampa, FLRule0.99D1 member id + dob exact
CLM-431411CLM2026-03-10Priya Santosflagged1994-05-09UHC-17238-16—686 Canyon Rd, Tampa, FLRule0.99D1 member id + dob exact
TPA-63875TPA2026-03-16Priya Santosflagged1994-05-09——686 Canyon Rd, Tampa, FLScored1.00—
ENR-141229ENR2026-10-07Priya Santosflagged1994-05-09UHC-17238-164818321581686 Canyon Rd, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63875TPAENR-141229ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431410CLMCLM-431409CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431408CLMCLM-431411CLM0.99RuleD1 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-431408CLMENR-141229ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431411CLMENR-141229ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431408CLMTPA-63875TPA0.97RuleD2 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-431411CLMTPA-63875TPA0.97RuleD2 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-431410CLMCLM-431408CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431409CLMCLM-431408CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431410CLMCLM-431411CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431409CLMCLM-431411CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431410CLMENR-141229ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431409CLMENR-141229ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431410CLMTPA-63875TPA0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431409CLMTPA-63875TPA0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Priya Santos: 4 claims, no attributed provider
    ACT-018235, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically04ff7d3ea7
    scoring_agent, ENR-141229, identity id MBR-005816, confidence 1, method probabilistic, matched record TPA-63875, policy version 1
  • 2026-10-22 12:43:53Record linked automatically5578e82bd7
    scoring_agent, TPA-63875, identity id MBR-005816, confidence 1, method probabilistic, matched record ENR-141229, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyf216e06d25
    matching_agent, CLM-431411, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431408
  • 2026-10-22 12:43:53Record linked automatically00199e43f1
    matching_agent, CLM-431408, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431411
  • 2026-10-22 12:43:53Record linked automatically34ec450197
    matching_agent, CLM-431409, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431410
  • 2026-10-22 12:43:53Record linked automatically8ebcf6fcff
    matching_agent, CLM-431410, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431409
  • 2026-10-19 19:54:38Record linked automaticallyc1fadc3c5f
    scoring_agent, ENR-141229, identity id MBR-005816, confidence 1, method probabilistic, matched record TPA-63875, policy version 1
  • 2026-10-19 19:54:38Record linked automatically46bd152a56
    scoring_agent, TPA-63875, identity id MBR-005816, confidence 1, method probabilistic, matched record ENR-141229, policy version 1
  • 2026-10-19 19:54:38Record linked automatically47f01578c0
    matching_agent, CLM-431411, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431408
  • 2026-10-19 19:54:38Record linked automaticallyf7b6dbf7e5
    matching_agent, CLM-431408, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431411
  • 2026-10-19 19:54:38Record linked automaticallyf62ec39bb1
    matching_agent, CLM-431409, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431410
  • 2026-10-19 19:54:38Record linked automatically1828204c7c
    matching_agent, CLM-431410, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431409
  • 2026-10-19 19:52:08Record linked automatically94d05a88f8
    scoring_agent, ENR-141229, identity id MBR-005816, confidence 1, method probabilistic, matched record TPA-63875, policy version 1
  • 2026-10-19 19:52:08Record linked automatically79dc40283e
    scoring_agent, TPA-63875, identity id MBR-005816, confidence 1, method probabilistic, matched record ENR-141229, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1632cf87da
    matching_agent, CLM-431411, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431408
  • 2026-10-19 19:52:08Record linked automaticallyccbb9950cb
    matching_agent, CLM-431408, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431411
  • 2026-10-19 19:52:08Record linked automatically8813cab7fa
    matching_agent, CLM-431409, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431410
  • 2026-10-19 19:52:08Record linked automatically40f72c4a64
    matching_agent, CLM-431410, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431409
  • 2026-10-19 19:45:42Record linked automaticallydce099216d
    scoring_agent, ENR-141229, identity id MBR-005816, confidence 1, method probabilistic, matched record TPA-63875, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9ba82c6c2a
    scoring_agent, TPA-63875, identity id MBR-005816, confidence 1, method probabilistic, matched record ENR-141229, policy version 1
  • 2026-10-19 19:45:42Record linked automatically446231ce34
    matching_agent, CLM-431411, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431408
  • 2026-10-19 19:45:42Record linked automatically5bb8017499
    matching_agent, CLM-431408, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431411
  • 2026-10-19 19:45:42Record linked automatically09cf2074c9
    matching_agent, CLM-431409, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431410
  • 2026-10-19 19:45:42Record linked automatically70d4319a0d
    matching_agent, CLM-431410, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431409
  • 2026-10-19 19:32:31Record linked automatically4d2d458eb0
    scoring_agent, ENR-141229, identity id MBR-005816, confidence 1, method probabilistic, matched record TPA-63875, policy version 1
  • 2026-10-19 19:32:31Record linked automatically067b11ce78
    scoring_agent, TPA-63875, identity id MBR-005816, confidence 1, method probabilistic, matched record ENR-141229, policy version 1
  • 2026-10-19 19:32:31Record linked automatically39a8740e5f
    matching_agent, CLM-431411, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431408
  • 2026-10-19 19:32:31Record linked automatically017bf048c0
    matching_agent, CLM-431408, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431411
  • 2026-10-19 19:32:31Record linked automaticallye776213c30
    matching_agent, CLM-431409, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431410
  • 2026-10-19 19:32:31Record linked automaticallye72caec29c
    matching_agent, CLM-431410, identity id MBR-005816, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431409
  • 2026-10-19 19:31:28Record linked automatically365581d2ac
    matching_agent, ENR-141229, identity id MBR-035457, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431252
  • 2026-10-19 19:31:28Record linked automaticallya5a279dcc8
    scoring_agent, TPA-63875, identity id MBR-013259, confidence 1, method probabilistic, matched record ENR-141782, policy version 1
  • 2026-10-19 19:31:28Record linked automatically52ca706aa2
    matching_agent, CLM-431409, identity id MBR-012515, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141453

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0282072026-02-18Evergreen Family Practice
in network
99214, 99395, 36415$545.00$307.90ApprovedApproved
CLM-2026-0334962026-03-04Lakeside Imaging Center
in network
74177, 77067$2,020.00$346.08ApprovedApproved
CLM-2026-0163552026-01-17Desert Regional Medical Center
in network
99283, 99284, 99285$4,150.00—Needs reviewNeeds review
CLM-2026-0163542026-01-17Desert Regional Medical Center
in network
99283, 99284, 99285$4,150.00$2,032.50ApprovedApproved
CLM-2026-0128682025-12-12Meadow Primary Care Associates
in network
99395$306.00$159.72ApprovedApproved