Identities/MBR-005819

Gold, golden identity

Sandra Z Nelson

5 source records from 3 feeds.

MBR-005819Verified5 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: Z
Last nameENR: Nelson
Date of birthENR: 1965-05-01
GenderENR: M
Member IDENR: UHC-08541-69
SSNENR: •••-••-1480
PhoneENR: 3526148150
EmailENR: sandra.nelson@icloud.com
AddressENR: 699 Desert Sky Blvd
CityENR: Fresno
StateENR: CA
ZIPENR: 93771
GroupENR: GRP-6045
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

TPA ×2CLM ×2ENR ×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
TPA-55543	TPA	2026-01-19	Sandra Nelsonflagged	1965-05-01	—	3526148150	699 Desert Sky Blvd, Fresno, CA	Scored	1.00	—
CLM-412609	CLM	2026-07-01	Sandra Nelsonflagged	1965-05-01	—	—	699 Desert Sky Blvd, Fresno, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-412608	CLM	2026-07-25	Sandra Nelsonflagged	1965-05-01	UHC-08541-69	3526148150	699 Desert Sky Blvd, Fresno, CA	Scored	1.00	—
ENR-116560	ENR	2026-09-22	Sandra Nelsonflagged	1965-05-01	UHC-08541-69	3526148150	699 Desert Sky Blvd, Fresno, CA	Scored	1.00	—
TPA-55544	TPA	2026-10-07	Sadra Nelsonflagged	1965-05-01	—	—	699 Desert Sky Blvd, Fresno, CA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-55543TPACLM-412608CLM1.00Scoredweighted 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

▶TPA-55543TPAENR-116560ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55543TPATPA-55544TPA0.99Scoredweighted 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-412608CLMTPA-55544TPA0.99Scoredweighted 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

▶ENR-116560ENRTPA-55544TPA0.99Scoredweighted 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-412608CLMENR-116560ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-412609CLMCLM-412608CLM0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412609CLMENR-116560ENR0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55543TPACLM-412609CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412609CLMTPA-55544TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412609 → UHC-08541-69 (Sandra Nelson)
ACT-010373, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyde4478ff48
scoring_agent, TPA-55544, identity id MBR-005819, confidence 0.99, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:54:38Record linked automaticallya95eb1f7f6
scoring_agent, ENR-116560, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:54:38Record linked automatically4ca975e6d1
scoring_agent, CLM-412608, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:54:38Record linked automatically4c3f37adeb
matching_agent, CLM-412609, identity id MBR-005819, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412608
2026-10-19 19:54:38Record linked automatically3d6ac52cdf
scoring_agent, TPA-55543, identity id MBR-005819, confidence 1, method probabilistic, matched record CLM-412608, policy version 1
2026-10-19 19:52:08Record linked automatically6218cd328c
scoring_agent, TPA-55544, identity id MBR-005819, confidence 0.99, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:52:08Record linked automatically3080713111
scoring_agent, ENR-116560, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:52:08Record linked automaticallydbe25f5883
scoring_agent, CLM-412608, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:52:08Record linked automatically8451e93f95
matching_agent, CLM-412609, identity id MBR-005819, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412608
2026-10-19 19:52:08Record linked automatically5f5a92104f
scoring_agent, TPA-55543, identity id MBR-005819, confidence 1, method probabilistic, matched record CLM-412608, policy version 1
2026-10-19 19:45:42Record linked automatically27e2502819
scoring_agent, TPA-55544, identity id MBR-005819, confidence 0.99, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:45:42Record linked automaticallye909d1a50b
scoring_agent, ENR-116560, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:45:42Record linked automatically2e7cd53a74
scoring_agent, CLM-412608, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:45:42Record linked automatically0e7b141586
matching_agent, CLM-412609, identity id MBR-005819, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412608
2026-10-19 19:45:42Record linked automatically8da6a2dabf
scoring_agent, TPA-55543, identity id MBR-005819, confidence 1, method probabilistic, matched record CLM-412608, policy version 1
2026-10-19 19:32:31Record linked automaticallyfae875be87
scoring_agent, TPA-55544, identity id MBR-005819, confidence 0.99, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:32:31Record linked automatically4b73efab22
scoring_agent, ENR-116560, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:32:31Record linked automaticallyb0e71f7981
scoring_agent, CLM-412608, identity id MBR-005819, confidence 1, method probabilistic, matched record TPA-55543, policy version 1
2026-10-19 19:32:31Record linked automatically6ff8bf6433
matching_agent, CLM-412609, identity id MBR-005819, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-412608
2026-10-19 19:32:31Record linked automatically08d0f9f7e9
scoring_agent, TPA-55543, identity id MBR-005819, confidence 1, method probabilistic, matched record CLM-412608, policy version 1
2026-10-19 19:31:28Record linked automatically73a381497f
matching_agent, CLM-412608, identity id MBR-028214, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116696
2026-10-19 19:31:28Record linked automatically5f7b502b04
scoring_agent, TPA-55544, identity id MBR-014057, confidence 1, method probabilistic, matched record PRV-23718, policy version 1
2026-10-19 19:31:28Record linked automatically08fa2b04d0
matching_agent, CLM-412609, identity id MBR-008471, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412610
2026-10-19 19:31:28Record linked automaticallybd0c78642b
matching_agent, ENR-116560, identity id MBR-001574, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412498

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-2026-024599	2026-07-02	Sunrise Dermatology Clinic in network	11102, 99213, 17110	$669.00	$374.78	Approved	Approved
CLM-2026-034361	2026-06-21	Northgate Internal Medicine Associates in network	99232	$197.00	$0.00	Approved	Approved