Identities/MBR-010202
Gold, golden identity

Dorothy A Sandoval

4 source records from 3 feeds.

MBR-010202Verified4 records

Golden record

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

First nameCLM
Dorothy
Middle nameENR
A
Last nameENR
Sandoval
Date of birthENR
1994-05-25
GenderENR
M
Member IDENR
UHC-73203-21
SSNENR
•••-••-6994
PhoneENR
6465890004
EmailENR
dorothy.sandoval33@yahoo.com
AddressENR
1738 Mountain View Dr
CityENR
Seattle
StateENR
WA
ZIPENR
98108
GroupENR
GRP-6621
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
TPA ×1CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.00TPATPA-63838CLMCLM-431344ENRENR-141151CLMCLM-431345IDMBR-010202
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-63838TPA2026-02-03Dorothy Sandovalflagged1994-05-25UHC-73203-21—1738 Mountain View Dr, Seattle, WAScored1.00—
CLM-431344CLM2026-04-19Dorothy Sandvoalflagged1994-05-25UHC-73203-21—1738 Mountain View Dr, Seattle, WAScored0.99—
ENR-141151ENR2026-06-17Dot Sandovalflagged1994-05-25UHC-73203-2164658900041738 Mountain View Dr, Seattle, WAScored1.00—
CLM-431345CLM2026-07-22Dorothy Sandovalflagged1994-05-25——1738 Mountain View Dr, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63838TPACLM-431345CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141151ENRCLM-431345CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431344CLMCLM-431345CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63838TPACLM-431344CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63838TPAENR-141151ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431344CLMENR-141151ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431345 → UHC-73203-21 (Dorothy Sandoval)
    ACT-004205, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically1aa4bf1ddc
    scoring_agent, CLM-431345, identity id MBR-010202, confidence 1, method probabilistic, matched record TPA-63838, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd5655cf819
    scoring_agent, ENR-141151, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd0de6f3e63
    scoring_agent, CLM-431344, identity id MBR-010202, confidence 0.99, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallya83b94e691
    scoring_agent, TPA-63838, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:54:38Record linked automatically389df85aa7
    scoring_agent, CLM-431345, identity id MBR-010202, confidence 1, method probabilistic, matched record TPA-63838, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8b5ecb2f81
    scoring_agent, ENR-141151, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6a003cfdad
    scoring_agent, CLM-431344, identity id MBR-010202, confidence 0.99, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd2b9d19599
    scoring_agent, TPA-63838, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybd323c827e
    scoring_agent, CLM-431345, identity id MBR-010202, confidence 1, method probabilistic, matched record TPA-63838, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5bcd7cae59
    scoring_agent, ENR-141151, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2fdab60130
    scoring_agent, CLM-431344, identity id MBR-010202, confidence 0.99, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:52:09Record linked automatically215a7b478a
    scoring_agent, TPA-63838, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7e6eede464
    scoring_agent, CLM-431345, identity id MBR-010202, confidence 1, method probabilistic, matched record TPA-63838, policy version 1
  • 2026-10-19 19:45:42Record linked automatically68366ce928
    scoring_agent, ENR-141151, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:45:42Record linked automatically10ffa688c5
    scoring_agent, CLM-431344, identity id MBR-010202, confidence 0.99, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8694fd7a53
    scoring_agent, TPA-63838, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye5c62ae0d3
    scoring_agent, CLM-431345, identity id MBR-010202, confidence 1, method probabilistic, matched record TPA-63838, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybb5c82c831
    scoring_agent, ENR-141151, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc5c329686a
    scoring_agent, CLM-431344, identity id MBR-010202, confidence 0.99, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyce5511a5ca
    scoring_agent, TPA-63838, identity id MBR-010202, confidence 1, method probabilistic, matched record CLM-431345, policy version 1
  • 2026-10-19 19:31:28Record linked automatically487a47cf43
    matching_agent, CLM-431345, identity id MBR-036681, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141370
  • 2026-10-19 19:31:28Record linked automaticallyc6b0247390
    matching_agent, ENR-141151, identity id MBR-014310, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63661
  • 2026-10-19 19:31:28Record linked automatically6c8d4bc3da
    scoring_agent, TPA-63838, identity id MBR-012133, confidence 1, method probabilistic, matched record CLM-431564, policy version 1
  • 2026-10-19 19:31:28Record linked automatically15f8b98942
    matching_agent, CLM-431344, identity id MBR-008636, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431343

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0109492026-06-13Summit Family Practice
in network
99214, 99203$422.00—Needs reviewNeeds review
CLM-2026-0109482026-06-13Summit Family Practice
in network
99214, 99203$422.00$231.64ApprovedApproved
CLM-2026-0322922026-03-18Canyon Medical Group
in network
99215$352.00$188.24ApprovedApproved