Identities/MBR-009690
Gold, golden identity

Raymond C Santos

4 source records from 3 feeds.

MBR-009690Verified4 records

Golden record

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

First nameCLM
Raymond
Middle nameENR
C
Last nameCLM
Santos
Date of birthENR
1959-02-12
GenderENR
M
Member IDENR
UHC-31261-86
SSNENR
•••-••-8014
PhoneENR
8946100025
EmailENR
raymond.santos@gmail.com
AddressENR
1830 Spring St
CityENR
Atlanta
StateENR
GA
ZIPENR
30311
GroupENR
GRP-4600
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
TPA ×1ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.00TPATPA-57229ENRENR-121635CLMCLM-416470CLMCLM-416469IDMBR-009690
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
TPA-57229TPA2026-02-02Raymond Santosflagged1959-02-12—89461000251830 Spring St, Atlanta, GAScored1.00—
ENR-121635ENR2026-03-21Santos Raymondflagged1959-02-12UHC-31261-8689461000251830 Spring St, Atlanta, GARule0.99D1 member id + dob exact
CLM-416470CLM2026-06-25Raymond Santosflagged1959-02-12UHC-31261-86—1830 Spring St, Atlanta, GAScored1.00—
CLM-416469CLM2026-07-25Raymond Santosflagged1959-02-12UHC-31261-86—1830 Spring St, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-57229TPACLM-416469CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57229TPACLM-416470 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416470 CLMCLM-416469CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121635ENRCLM-416469CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121635ENRCLM-416470 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-57229TPAENR-121635ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3d35935aec
    scoring_agent, CLM-416469, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf1fd08766b
    scoring_agent, CLM-416470, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4e1d18a64d
    matching_agent, ENR-121635, identity id MBR-009690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416470
  • 2026-10-19 19:54:38Record linked automaticallycdfc5dae58
    scoring_agent, TPA-57229, identity id MBR-009690, confidence 1, method probabilistic, matched record CLM-416470, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1111e8f97d
    scoring_agent, CLM-416469, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf9b7b77e1f
    scoring_agent, CLM-416470, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2d5ecf123f
    matching_agent, ENR-121635, identity id MBR-009690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416470
  • 2026-10-19 19:52:09Record linked automatically8e8d8ee655
    scoring_agent, TPA-57229, identity id MBR-009690, confidence 1, method probabilistic, matched record CLM-416470, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2acde57c0f
    scoring_agent, CLM-416469, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyde29cd69b0
    scoring_agent, CLM-416470, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7dccbb3849
    matching_agent, ENR-121635, identity id MBR-009690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416470
  • 2026-10-19 19:45:42Record linked automatically489f395159
    scoring_agent, TPA-57229, identity id MBR-009690, confidence 1, method probabilistic, matched record CLM-416470, policy version 1
  • 2026-10-19 19:32:31Record linked automatically66f8d23f46
    scoring_agent, CLM-416469, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0a96906467
    scoring_agent, CLM-416470, identity id MBR-009690, confidence 1, method probabilistic, matched record TPA-57229, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2cdaa555fa
    matching_agent, ENR-121635, identity id MBR-009690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416470
  • 2026-10-19 19:32:31Record linked automatically5dabce26a6
    scoring_agent, TPA-57229, identity id MBR-009690, confidence 1, method probabilistic, matched record CLM-416470, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb174032c94
    matching_agent, CLM-416470, identity id MBR-018362, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121570
  • 2026-10-19 19:31:28Record linked automatically2abea1d3cb
    matching_agent, CLM-416469, identity id MBR-000429, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121569

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0003502026-01-04Pinecrest Bone and Joint Center
in network
73721$1,925.00—DeniedDenied
CLM-2026-0257312026-06-10Riverside Regional Medical Center
out of network
96374, 99283$1,227.00$475.20ApprovedApproved