Identities/MBR-012117

Gold, golden identity

Shirley E Sanchez

5 source records from 2 feeds.

MBR-012117Verified5 records

Golden record

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

First nameENR: Shirley
Middle nameENR: E
Last nameENR: Sanchez
Date of birthENR: 1948-12-12
GenderENR: F
Member IDENR: UHC-11667-88
SSNENR: •••-••-3596
PhoneENR: 2574594279
EmailENR: shirley.sanchez@outlook.com
AddressENR: 5839 Apache Blvd
CityENR: Fresno
StateENR: CA
ZIPENR: 93740
GroupENR: GRP-1948
PlanENR: MEDICARE-ADV-A

Min confidence

0.97

Sources

ENR ×2CLM ×3

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
ENR-116540	ENR	2026-02-11	Shirley Sanchezflagged	1948-12-12	UHC-11667-88	2574594279	5839 Apache Blvd, Fresno, CA	Scored	1.00	—
CLM-412581	CLM	2026-04-08	Shirley Sanchezflagged	1948-12-12	UHC-11667-88	—	5839 Apache Blvd, Fresno, CA	Scored	1.00	—
CLM-412579	CLM	2026-05-31	Shirley Sanchezflagged	1948-12-12	—	—	5839 Apache Blvd, Fresno, CA	Rule	0.97	D2 ssn4 + dob + last name
ENR-116539	ENR	2026-06-24	Shirley Sanchezflagged	1948-12-12	UHC-11667-88	2574594279	5839 Apache Blvd, Fresno, CA	Scored	1.00	—
CLM-412580	CLM	2026-08-22	Shirley Sanchezflagged	1948-12-12	—	2574594279	5839 Apache Blvd, Fresno, 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

▶ENR-116540ENRCLM-412580CLM1.00Scoredweighted 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-412581CLMCLM-412580CLM1.00Scoredweighted 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

▶ENR-116539ENRCLM-412580CLM1.00Scoredweighted 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

▶ENR-116540ENRCLM-412581CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116540ENRENR-116539ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-412581CLMENR-116539ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116540ENRCLM-412579 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412579 CLMENR-116539ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412581CLMCLM-412579 CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412579 CLMCLM-412580CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412579 → UHC-11667-88 (Shirley Sanchez)
ACT-003893, Claims processor
Orphan claim re-pointedExecuted
CLM-412580 → UHC-11667-88 (Shirley Sanchez)
ACT-005053, Claims processor
Care coordination outreachProposed
Shirley Sanchez: 3 claims, no attributed provider
ACT-018658, Next-best-action
Duplicate member record retiredExecuted
Shirley Sanchez: 2 enrollment records collapsed into UHC-11667-88
ACT-023543, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically65a3565733
scoring_agent, CLM-412580, identity id MBR-012117, confidence 1, method probabilistic, matched record ENR-116540, policy version 1
2026-10-22 12:43:54Record linked automaticallyaaa3a9e54c
scoring_agent, ENR-116539, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-22 12:43:54Record linked automatically4d7258721b
matching_agent, CLM-412579, identity id MBR-012117, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116540
2026-10-22 12:43:54Record linked automatically99418f2495
scoring_agent, CLM-412581, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-22 12:43:54Record linked automatically5337b935ce
scoring_agent, ENR-116540, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:54:38Record linked automatically133392b5c7
scoring_agent, CLM-412580, identity id MBR-012117, confidence 1, method probabilistic, matched record ENR-116540, policy version 1
2026-10-19 19:54:38Record linked automaticallya989df5f2a
scoring_agent, ENR-116539, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:54:38Record linked automaticallydb00c51a28
matching_agent, CLM-412579, identity id MBR-012117, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116540
2026-10-19 19:54:38Record linked automatically66154d7458
scoring_agent, CLM-412581, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:54:38Record linked automatically87b8251495
scoring_agent, ENR-116540, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:52:09Record linked automatically77be703270
scoring_agent, CLM-412580, identity id MBR-012117, confidence 1, method probabilistic, matched record ENR-116540, policy version 1
2026-10-19 19:52:09Record linked automaticallyd9b1f84172
scoring_agent, ENR-116539, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:52:09Record linked automaticallybcf8f43e36
matching_agent, CLM-412579, identity id MBR-012117, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116540
2026-10-19 19:52:09Record linked automaticallya39e33df37
scoring_agent, CLM-412581, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:52:09Record linked automatically9bab60c9f1
scoring_agent, ENR-116540, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:45:42Record linked automaticallye4fbd03656
scoring_agent, CLM-412580, identity id MBR-012117, confidence 1, method probabilistic, matched record ENR-116540, policy version 1
2026-10-19 19:45:42Record linked automatically4ac26b0c12
scoring_agent, ENR-116539, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:45:42Record linked automaticallydf2911ceed
matching_agent, CLM-412579, identity id MBR-012117, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116540
2026-10-19 19:45:42Record linked automaticallya3b97ae69a
scoring_agent, CLM-412581, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:45:42Record linked automatically415c746178
scoring_agent, ENR-116540, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:32:31Record linked automatically35f2ef53f3
scoring_agent, CLM-412580, identity id MBR-012117, confidence 1, method probabilistic, matched record ENR-116540, policy version 1
2026-10-19 19:32:31Record linked automatically01242efc2a
scoring_agent, ENR-116539, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:32:31Record linked automaticallyc1dfeabace
matching_agent, CLM-412579, identity id MBR-012117, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116540
2026-10-19 19:32:31Record linked automaticallycb1ca8df1f
scoring_agent, CLM-412581, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:32:31Record linked automaticallyf7cc33bd57
scoring_agent, ENR-116540, identity id MBR-012117, confidence 1, method probabilistic, matched record CLM-412580, policy version 1
2026-10-19 19:31:28Record linked automaticallyb01e446b64
matching_agent, ENR-116540, identity id MBR-025678, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412482
2026-10-19 19:31:28Record linked automaticallyf63c16af99
scoring_agent, CLM-412579, identity id MBR-013113, confidence 1, method probabilistic, matched record CLM-412578, policy version 1
2026-10-19 19:31:28Record linked automatically6033e232b4
matching_agent, CLM-412580, identity id MBR-001537, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116661
2026-10-19 19:31:28Record linked automaticallyc5b03eabe2
matching_agent, CLM-412581, identity id MBR-001537, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116661

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-2026-014046	2026-07-14	Summit Diagnostic Imaging in network	70553	$3,377.00	$355.01	Approved	Approved
CLM-2026-009815	2026-05-18	Mesa Medical Group in network	99214	$210.00	$90.20	Approved	Approved
CLM-2026-015389	2026-02-28	Unity Primary Care Associates out of network	90471	$43.00	$0.00	Approved	Approved