Identities/MBR-012088
Gold, golden identity

Douglas N Sandoval

4 source records from 3 feeds.

MBR-012088Verified4 recordsOpen steward case

Golden record

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

First nameENR
Douglas
Middle nameENR
N
Last nameENR
Sandoval
Date of birthENR
2006-06-15
GenderENR
F
Member IDENR
UHC-17618-84
SSNENR
•••-••-3859
PhoneENR
3089498236
EmailENR
douglas.sandoval@outlook.com
AddressENR
6971 Ocean Ave
CityENR
Las Vegas
StateENR
NV
ZIPENR
89122
GroupENR
GRP-9372
PlanENR
MEDICARE-ADV-A
Min confidence
1.00
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

1.001.001.001.00TPATPA-52680ENRENR-107946CLMCLM-406027CLMCLM-406028IDMBR-012088
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-52680TPA2026-02-10Douglas Sandovalflagged2006-06-15—30894982366971 Ocean Ave, Las Vegas, NVScored1.00—
ENR-107946ENR2026-03-06Douglas Sandovalflagged2006-06-15UHC-17618-8430894982366971 Ocean Ave, Las Vegas, NVScored1.00—
CLM-406027CLM2026-09-17Douglas Sandovalflagged2006-06-15———Scored1.00—
CLM-406028CLM2026-10-04Douglas Sandovalflagged2006-06-15——6971 Ocean Ave, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-107946ENRCLM-406027CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52680TPACLM-406028CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107946ENRCLM-406028CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52680TPAENR-107946ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-52680TPACLM-406027CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-406027CLMCLM-406028CLM0.83Scoredweighted 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-406027 → UHC-17618-84 (Douglas Sandoval)
    ACT-001814, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-406028 → UHC-17618-84 (Douglas Sandoval)
    ACT-003064, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb1029927ea
    scoring_agent, CLM-406028, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf80421e48e
    scoring_agent, CLM-406027, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8fe282eb21
    scoring_agent, ENR-107946, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyce8ee2d67a
    scoring_agent, TPA-52680, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:52:09Record linked automatically745649c538
    scoring_agent, CLM-406028, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0ec1cc3831
    scoring_agent, CLM-406027, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3f9e9930ed
    scoring_agent, ENR-107946, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4cbc56603c
    scoring_agent, TPA-52680, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5359c6c9bb
    scoring_agent, CLM-406028, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:45:42Record linked automatically831a936221
    scoring_agent, CLM-406027, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya1792a581a
    scoring_agent, ENR-107946, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaab436bdc2
    scoring_agent, TPA-52680, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6c2ce4a3bf
    scoring_agent, CLM-406028, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8aace0fa6b
    scoring_agent, CLM-406027, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3d798ba930
    scoring_agent, ENR-107946, identity id MBR-012088, confidence 1, method probabilistic, matched record TPA-52680, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0b2ee9583a
    scoring_agent, TPA-52680, identity id MBR-012088, confidence 1, method probabilistic, matched record ENR-107946, policy version 1
  • 2026-10-19 19:31:28Record linked automatically72f9001256
    scoring_agent, TPA-52680, identity id MBR-037229, confidence 1, method probabilistic, matched record ENR-107850, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6387980db7
    matching_agent, ENR-107946, identity id MBR-014472, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21805
  • 2026-10-19 19:31:28Record linked automaticallye26e38ba75
    scoring_agent, CLM-406028, identity id MBR-009385, confidence 1, method probabilistic, matched record ENR-107897, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2d14bba78d
    matching_agent, CLM-406027, identity id MBR-006178, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107896

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0065802026-08-25Summit Family Practice
in network
36415, 99213, 99203$389.00—DeniedDenied
CLM-2026-0018952026-08-25Meadow Dermatology Clinic
in network
11403, 17110$884.00—DeniedDenied