Identities/MBR-012109

Gold, golden identity

Sophia I Rojas

4 source records from 2 feeds.

MBR-012109Verified4 records

Golden record

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

First nameCLM: Sophia
Middle nameCLM: I
Last nameCLM: Rojas
Date of birthCLM: 1999-11-18
GenderCLM: M
Member IDCLM: UHC-12553-08
SSNCLM: •••-••-3424
PhoneTPA: 3467249967
EmailCLM: sophia.rojas@aol.com
AddressCLM: 4947 Mesa Dr
CityCLM: Nashville
StateCLM: TN
ZIPCLM: 37299
GroupCLM: GRP-9669
PlanCLM: CORE-HMO

Min confidence

0.97

Sources

TPA ×2CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-62427	TPA	2026-02-10	Sophia Rujasflagged	1999-11-18	—	—	4947 Mesa Dr, Nashville, TN	Scored	0.97	—
CLM-428122	CLM	2026-04-16	Sophia Rojasflagged	1999-11-18	UHC-12553-08	—	4947 Mesa Dr, Nashville, TN	Scored	1.00	—
CLM-428121	CLM	2026-07-18	Sophia Rojasflagged	1999-11-18	UHC-12553-08	—	4947 Mesa Dr, Nashville, TN	Scored	1.00	—
TPA-62426	TPA	2026-09-26	Sophia Rojasflagged	1999-11-18	—	3467249967	4947 Mesa Dr, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-428122CLMTPA-62426TPA1.00Scoredweighted 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-428121CLM TPA-62426TPA1.00Scoredweighted 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-428122CLMCLM-428121CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62427TPACLM-428121CLM 0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62427TPACLM-428122CLM0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62427TPATPA-62426TPA0.97Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.93	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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9fde4ed6b8
scoring_agent, TPA-62426, identity id MBR-012109, confidence 1, method probabilistic, matched record CLM-428122, policy version 1
2026-10-22 12:43:54Record linked automaticallyfad89e8c2c
scoring_agent, CLM-428121, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-22 12:43:54Record linked automaticallyb68f94805d
scoring_agent, CLM-428122, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-22 12:43:54Record linked automaticallyc6f0ed6fe3
scoring_agent, TPA-62427, identity id MBR-012109, confidence 0.97, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:54:38Record linked automatically1254f031e7
scoring_agent, TPA-62426, identity id MBR-012109, confidence 1, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:54:38Record linked automatically8aa308b9ea
scoring_agent, CLM-428121, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:54:38Record linked automatically7fb15a5331
scoring_agent, CLM-428122, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:54:38Record linked automatically12d9bf747d
scoring_agent, TPA-62427, identity id MBR-012109, confidence 0.97, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:52:09Record linked automatically5a3f447c1e
scoring_agent, TPA-62426, identity id MBR-012109, confidence 1, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:52:09Record linked automaticallybb4afff5fe
scoring_agent, CLM-428121, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:52:09Record linked automatically984af9bc5b
scoring_agent, CLM-428122, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:52:09Record linked automatically65144a017b
scoring_agent, TPA-62427, identity id MBR-012109, confidence 0.97, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:45:42Record linked automatically64bec0c5d7
scoring_agent, TPA-62426, identity id MBR-012109, confidence 1, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:45:42Record linked automatically00272ddfe6
scoring_agent, CLM-428121, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:45:42Record linked automatically3d34f39477
scoring_agent, CLM-428122, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:45:42Record linked automatically4485d6c5eb
scoring_agent, TPA-62427, identity id MBR-012109, confidence 0.97, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:32:31Record linked automaticallyf59b3f783b
scoring_agent, TPA-62426, identity id MBR-012109, confidence 1, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:32:31Record linked automatically3ab461babc
scoring_agent, CLM-428121, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:32:31Record linked automatically4084ee258c
scoring_agent, CLM-428122, identity id MBR-012109, confidence 1, method probabilistic, matched record TPA-62426, policy version 1
2026-10-19 19:32:31Record linked automaticallye1f81e84b7
scoring_agent, TPA-62427, identity id MBR-012109, confidence 0.97, method probabilistic, matched record CLM-428122, policy version 1
2026-10-19 19:31:28Record linked automatically08a19752ae
matching_agent, CLM-428121, identity id MBR-041630, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428120
2026-10-19 19:31:28Record linked automaticallye8c3c4f238
matching_agent, CLM-428122, identity id MBR-038803, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137185
2026-10-19 19:31:28Record linked automatically39add67671
scoring_agent, TPA-62426, identity id MBR-026656, confidence 1, method probabilistic, matched record ENR-137354, policy version 1
2026-10-19 19:31:28Record linked automaticallyad4a7f2a5b
scoring_agent, TPA-62427, identity id MBR-000229, confidence 1, method probabilistic, matched record PRV-28294, policy version 1

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-2026-012380	2026-07-07	Valley Internal Medicine Associates in network	99232	$165.00	$0.00	Approved	Approved
CLM-2026-026898	2026-03-31	Mesa Reference Lab in network	83036	$67.00	$0.00	Approved	Approved