Identities/MBR-008213

Gold, golden identity

Christina Sandoval

5 source records from 2 feeds.

MBR-008213Verified5 recordsOpen steward case

Golden record

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

First namePRV: Christina
Middle name—: —
Last namePRV: Sandoval
Date of birthPRV: 1983-12-28
GenderPRV: F
Member IDPRV: UHC-51663-15
SSNCLM: •••-••-3925
PhonePRV: 6713807910
Email—: —
AddressCLM: 257 Meadow Ln
CityCLM: Fresno
StateCLM: CA
ZIPCLM: 93762
GroupCLM: GRP-0237
PlanCLM: MEDICARE-ADV-B

Min confidence

0.96

Sources

CLM ×4PRV ×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-401661	CLM	2026-01-27	Christina Sandovalflagged	1983-12-28	—	6713807910	257 Meadow Ln, Fresno, CA	Scored	1.00	—
CLM-401660	CLM	2026-07-06	Christina Sandovalflagged	1983-12-28	UHC-51663-15	—	257 Meadow Ln, Fresno, CA	Scored	1.00	—
PRV-20508	PRV	2026-07-14	Christina Sandovalflagged	1983-12-28	UHC-51663-15	6713807910	—	Scored	1.00	—
CLM-401663	CLM	2026-07-17	Christina Sandovalflagged	1982-12-28	UHC-51663-15	6713807910	257 Meadow Ln, Fresno, CA	Rule	0.96	D3 member id + name
CLM-401662	CLM	2026-09-25	Christina Sandovalflagged	1983-12-28	UHC-51663-15	6713807910	257 Meadow Ln, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-401661CLMCLM-401660CLM1.00Scoredweighted 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-401661CLMPRV-20508PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401660CLMCLM-401662CLM0.99RuleD1 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

▶PRV-20508PRVCLM-401662CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401660CLMPRV-20508PRV0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401661CLMCLM-401662CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-401663CLMCLM-401662CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-20508PRVCLM-401663CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401660CLMCLM-401663CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401661CLMCLM-401663CLM0.84Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401661 → UHC-51663-15 (Christina Sandoval)
ACT-004212, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically59867081ef
matching_agent, CLM-401662, identity id MBR-008213, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401660
2026-10-19 19:54:38Record linked automatically8dc004ddb5
matching_agent, CLM-401663, identity id MBR-008213, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20508
2026-10-19 19:54:38Record linked automatically5f245b2ed3
scoring_agent, PRV-20508, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:54:38Record linked automatically454e01e76c
scoring_agent, CLM-401660, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:54:38Record linked automaticallyd19d900ac0
scoring_agent, CLM-401661, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401660, policy version 1
2026-10-19 19:52:09Record linked automatically88f42f2af5
matching_agent, CLM-401662, identity id MBR-008213, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401660
2026-10-19 19:52:09Record linked automatically9a24b753cc
matching_agent, CLM-401663, identity id MBR-008213, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20508
2026-10-19 19:52:09Record linked automatically7901c1899d
scoring_agent, PRV-20508, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:52:09Record linked automaticallyaeef5d480a
scoring_agent, CLM-401660, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3a5d687f0
scoring_agent, CLM-401661, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401660, policy version 1
2026-10-19 19:45:42Record linked automatically99a07bdc43
matching_agent, CLM-401662, identity id MBR-008213, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401660
2026-10-19 19:45:42Record linked automaticallyf9614b32e8
matching_agent, CLM-401663, identity id MBR-008213, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20508
2026-10-19 19:45:42Record linked automatically01d9d6a7b3
scoring_agent, PRV-20508, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:45:42Record linked automaticallyf42908ec58
scoring_agent, CLM-401660, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:45:42Record linked automaticallyf2dd019d61
scoring_agent, CLM-401661, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401660, policy version 1
2026-10-19 19:32:31Record linked automatically75a9a60ab2
matching_agent, CLM-401662, identity id MBR-008213, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401660
2026-10-19 19:32:31Record linked automaticallyfc195a6faf
matching_agent, CLM-401663, identity id MBR-008213, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20508
2026-10-19 19:32:31Record linked automatically47b011ba85
scoring_agent, PRV-20508, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:32:31Record linked automatically9e60d4d6c0
scoring_agent, CLM-401660, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:32:31Record linked automaticallye54a3ebb77
scoring_agent, CLM-401661, identity id MBR-008213, confidence 1, method probabilistic, matched record CLM-401660, policy version 1
2026-10-19 19:31:28Record linked automatically684312ae49
matching_agent, CLM-401663, identity id MBR-015585, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102174
2026-10-19 19:31:28Record linked automaticallybf1dff2fbd
scoring_agent, CLM-401661, identity id MBR-015481, confidence 1, method probabilistic, matched record CLM-401662, policy version 1
2026-10-19 19:31:28Record linked automatically2b3415fb0a
scoring_agent, CLM-401662, identity id MBR-015481, confidence 1, method probabilistic, matched record CLM-401661, policy version 1
2026-10-19 19:31:28Record linked automatically2a17cf928b
scoring_agent, PRV-20508, identity id MBR-007185, confidence 1, method probabilistic, matched record CLM-401664, 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-2026-008354	2026-09-04	Mesa Cardiovascular Associates in network	93015, 93306	$2,024.00	—	Needs review	Needs review
CLM-2026-008353	2026-09-04	Mesa Cardiovascular Associates in network	93015, 93306	$2,024.00	$328.76	Approved	Approved
CLM-2026-033313	2026-06-18	Meadow Clinical Laboratories in network	80061, 80053	$124.00	$0.00	Approved	Approved
CLM-2026-001287	2026-06-02	Riverside Family Practice in network	99203, 99214, 90471	$548.00	$309.76	Approved	Approved
CLM-2026-010985	2026-01-10	Lakeside Physical Therapy in network	97110, 97014	$224.00	$108.88	Approved	Approved