Identities/MBR-008821

Gold, golden identity

Joan J Soto

5 source records from 3 feeds.

MBR-008821Verified5 records

Golden record

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

First nameENR: Joan
Middle nameENR: J
Last nameENR: Soto
Date of birthENR: 1981-05-17
GenderENR: M
Member IDENR: UHC-21911-64
SSNTPA: •••-••-7068
PhoneENR: 7578853556
EmailENR: joan.soto20@gmail.com
AddressENR: 1004 Apache Blvd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90000
GroupENR: GRP-7130
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×2TPA ×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
CLM-425773	CLM	2026-01-30	Joan Sotoflagged	1981-05-17	—	7578853556	1004 Apache Blvd, Los Angeles, CA	Scored	1.00	—
CLM-425774	CLM	2026-03-04	Joan Sotoflagged	1981-05-17	—	—	1004 Apache Blvd, Los Angeles, CA	Scored	1.00	—
TPA-61375	TPA	2026-05-24	Joan Sotoflagged	1981-05-17	—	—	1004 Apache Blvd, Los Angeles, CA	Scored	1.00	—
TPA-61374	TPA	2026-06-25	Joan Sotoflagged	1981-05-17	—	—	1004 Apache Blvd Apt 14, Los Angeles, CA	Scored	1.00	—
ENR-133698	ENR	2026-08-27	Joan Sotoflagged	1981-05-17	UHC-21911-64	7578853556	1004 Apache Blvd, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-425773CLMCLM-425774CLM1.00Scoredweighted 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-425773CLMENR-133698ENR1.00Scoredweighted 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

▶CLM-425774CLMENR-133698ENR1.00Scoredweighted 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

▶TPA-61375TPAENR-133698ENR1.00Scoredweighted 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

▶TPA-61374TPAENR-133698ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425773CLMTPA-61374TPA1.00Scoredweighted 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-425774CLMTPA-61374TPA1.00Scoredweighted 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

▶TPA-61375TPATPA-61374TPA1.00Scoredweighted 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-425773CLMTPA-61375TPA1.00Scoredweighted 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-425774CLMTPA-61375TPA1.00Scoredweighted 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425774 → UHC-21911-64 (Joan Soto)
ACT-004203, Claims processor
Orphan claim re-pointedExecuted
CLM-425773 → UHC-21911-64 (Joan Soto)
ACT-004742, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically77c20975ee
scoring_agent, ENR-133698, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:54:38Record linked automaticallyde9462240c
scoring_agent, TPA-61374, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:54:38Record linked automatically5177423d8c
scoring_agent, TPA-61375, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:54:38Record linked automaticallyef2ffcd74e
scoring_agent, CLM-425774, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:54:38Record linked automaticallyf0f272b6de
scoring_agent, CLM-425773, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425774, policy version 1
2026-10-19 19:52:09Record linked automatically79df27c0cb
scoring_agent, ENR-133698, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:52:09Record linked automaticallye5a8c968d1
scoring_agent, TPA-61374, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:52:09Record linked automatically6465abf91f
scoring_agent, TPA-61375, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc3e036c78
scoring_agent, CLM-425774, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:52:09Record linked automatically00519b3030
scoring_agent, CLM-425773, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425774, policy version 1
2026-10-19 19:45:42Record linked automatically63a003b608
scoring_agent, ENR-133698, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:45:42Record linked automatically45281dd425
scoring_agent, TPA-61374, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:45:42Record linked automatically03944695d8
scoring_agent, TPA-61375, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:45:42Record linked automaticallyef80887bb2
scoring_agent, CLM-425774, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:45:42Record linked automaticallye9fe19c90e
scoring_agent, CLM-425773, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425774, policy version 1
2026-10-19 19:32:31Record linked automaticallya924f7c5fe
scoring_agent, ENR-133698, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:32:31Record linked automatically9755ef9fe8
scoring_agent, TPA-61374, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:32:31Record linked automatically7f9b8225f7
scoring_agent, TPA-61375, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:32:31Record linked automaticallya343bf0d51
scoring_agent, CLM-425774, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425773, policy version 1
2026-10-19 19:32:31Record linked automaticallyb7332daac4
scoring_agent, CLM-425773, identity id MBR-008821, confidence 1, method probabilistic, matched record CLM-425774, policy version 1
2026-10-19 19:31:28Record linked automatically8b8098af1e
matching_agent, TPA-61374, identity id MBR-035134, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134062
2026-10-19 19:31:28Record linked automaticallyff744bd6e3
scoring_agent, TPA-61375, identity id MBR-025995, confidence 1, method probabilistic, matched record ENR-134067, policy version 1
2026-10-19 19:31:28Record linked automatically5b8e670d23
matching_agent, CLM-425774, identity id MBR-013506, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134019

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-010943	2026-02-08	Meadow Skin Care Associates in network	99213	$198.00	$72.76	Approved	Approved
CLM-2026-012925	2026-01-13	Mesa Family Practice in network	99213, 99214	$374.00	—	Needs review	Needs review
CLM-2026-012924	2026-01-13	Mesa Family Practice in network	99213, 99214	$374.00	$206.88	Approved	Approved