Identities/MBR-008705
Gold, golden identity

Alan Sanchez

4 source records from 2 feeds.

MBR-008705Verified4 records

Golden record

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

First nameCLM
Alan
Middle name—
—
Last nameCLM
Sanchez
Date of birthCLM
1966-11-25
GenderCLM
M
Member IDCLM
UHC-35719-69
SSNCLM
•••-••-6013
PhoneCLM
9125137199
EmailCLM
alan.sanchez19@yahoo.com
AddressCLM
5421 Hillcrest Rd
CityCLM
Phoenix
StateCLM
AZ
ZIPCLM
85064
GroupCLM
GRP-2042
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×3TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.000.97CLMCLM-413437CLMCLM-413436TPATPA-55913CLMCLM-413438IDMBR-008705
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-413437CLM2026-01-29Alan Sanchezflagged1966-11-25UHC-35719-69—5421 Hillcrest Rd, Phoenix, AZScored1.00—
CLM-413436CLM2026-03-12Alan Sanchezflagged1966-11-25UHC-35719-699125137199—Rule0.99D1 member id + dob exact
TPA-55913TPA2026-05-17Alan Sanchezflagged1966-11-25——5421 Hillcrest Rd, Phoenix, AZScored1.00—
CLM-413438CLM2026-10-11Alan Sanchezflagged1966-11-25———Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413437CLMTPA-55913TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413437CLMCLM-413436CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413437CLMCLM-413438CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413436CLMCLM-413438CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55913TPACLM-413438CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-413436CLMTPA-55913TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413438 → UHC-35719-69 (Alan Sanchez)
    ACT-008347, Claims processor
  • Care coordination outreachProposed
    Alan Sanchez: 3 claims, no attributed provider
    ACT-018456, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically153f4c11ed
    matching_agent, CLM-413438, identity id MBR-008705, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413437
  • 2026-10-22 12:43:54Record linked automaticallyb64edb1a86
    scoring_agent, TPA-55913, identity id MBR-008705, confidence 1, method probabilistic, matched record CLM-413437, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyebd14f0dec
    matching_agent, CLM-413436, identity id MBR-008705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413437
  • 2026-10-22 12:43:54Record linked automatically63125d1f51
    scoring_agent, CLM-413437, identity id MBR-008705, confidence 1, method probabilistic, matched record TPA-55913, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0d3653000f
    matching_agent, CLM-413438, identity id MBR-008705, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413437
  • 2026-10-19 19:54:38Record linked automatically324510e5cb
    scoring_agent, TPA-55913, identity id MBR-008705, confidence 1, method probabilistic, matched record CLM-413437, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycc859310e8
    matching_agent, CLM-413436, identity id MBR-008705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413437
  • 2026-10-19 19:54:38Record linked automaticallya1c50ea6bc
    scoring_agent, CLM-413437, identity id MBR-008705, confidence 1, method probabilistic, matched record TPA-55913, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf69990daed
    matching_agent, CLM-413438, identity id MBR-008705, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413437
  • 2026-10-19 19:52:09Record linked automatically2f28306191
    scoring_agent, TPA-55913, identity id MBR-008705, confidence 1, method probabilistic, matched record CLM-413437, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb883f2d66b
    matching_agent, CLM-413436, identity id MBR-008705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413437
  • 2026-10-19 19:52:09Record linked automaticallyb391746009
    scoring_agent, CLM-413437, identity id MBR-008705, confidence 1, method probabilistic, matched record TPA-55913, policy version 1
  • 2026-10-19 19:45:42Record linked automatically96ca31e030
    matching_agent, CLM-413438, identity id MBR-008705, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413437
  • 2026-10-19 19:45:42Record linked automaticallye17ae926c5
    scoring_agent, TPA-55913, identity id MBR-008705, confidence 1, method probabilistic, matched record CLM-413437, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9d123d8374
    matching_agent, CLM-413436, identity id MBR-008705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413437
  • 2026-10-19 19:45:42Record linked automaticallyaf73a5d74b
    scoring_agent, CLM-413437, identity id MBR-008705, confidence 1, method probabilistic, matched record TPA-55913, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycd4a6e5f29
    matching_agent, CLM-413438, identity id MBR-008705, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413437
  • 2026-10-19 19:32:31Record linked automaticallyc68984f16f
    scoring_agent, TPA-55913, identity id MBR-008705, confidence 1, method probabilistic, matched record CLM-413437, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb7e282dee2
    matching_agent, CLM-413436, identity id MBR-008705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413437
  • 2026-10-19 19:32:31Record linked automatically266cc8da83
    scoring_agent, CLM-413437, identity id MBR-008705, confidence 1, method probabilistic, matched record TPA-55913, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5f23643456
    matching_agent, CLM-413436, identity id MBR-025002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117713
  • 2026-10-19 19:31:28Record linked automatically8564f5c726
    matching_agent, CLM-413437, identity id MBR-025002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117713
  • 2026-10-19 19:31:28Record linked automaticallyd0ff7a0e2c
    matching_agent, CLM-413438, identity id MBR-018377, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117716

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0265592026-09-17Northgate Clinical Laboratories
in network
85025$51.00$0.00ApprovedApproved
CLM-2026-0316282026-02-25Desert Internal Medicine Associates
in network
80053$47.00$9.14ApprovedApproved
CLM-2026-0038852025-12-27Desert Primary Care Associates
in network
90471, 99213$238.00$127.56ApprovedApproved