Identities/MBR-012783
Gold, golden identity

Joyce Y Santos

3 source records from 2 feeds.

MBR-012783Verified3 records

Golden record

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

First nameENR
Joyce
Middle nameENR
Y
Last nameENR
Santos
Date of birthENR
1955-10-19
GenderENR
M
Member IDENR
UHC-15519-28
SSNENR
•••-••-0395
PhoneENR
8255946871
Email—
—
AddressENR
6973 Mesa Dr
CityENR
Denver
StateENR
CO
ZIPENR
80237
GroupENR
GRP-2910
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
CLM ×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

1.001.001.00CLMCLM-407032CLMCLM-407033ENRENR-109183IDMBR-012783
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
CLM-407032CLM2026-02-13Joyce Santosflagged1955-10-19—82559468716973 Mesa Dr, Denver, COScored1.00—
CLM-407033CLM2026-05-27Joyce Santosflagged1955-10-19—82559468716973 Mesa Dr, Denver, COScored1.00—
ENR-109183ENR2026-09-26Joyce Santosflagged1955-10-19UHC-15519-2882559468716973 Mesa Dr, Denver, COScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407032CLMCLM-407033CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407033CLMENR-109183ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407032CLMENR-109183ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407033 → UHC-15519-28 (Joyce Santos)
    ACT-002238, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-407032 → UHC-15519-28 (Joyce Santos)
    ACT-009280, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically693b3f2a91
    scoring_agent, ENR-109183, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyaf3ffdc4a8
    scoring_agent, CLM-407033, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407032, policy version 1
  • 2026-10-22 12:43:54Record linked automatically687a4a2c6d
    scoring_agent, CLM-407032, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5c460aa9de
    scoring_agent, ENR-109183, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:54:38Record linked automatically690bb48e2a
    scoring_agent, CLM-407033, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407032, policy version 1
  • 2026-10-19 19:54:38Record linked automatically911b6cb31d
    scoring_agent, CLM-407032, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycf53675f57
    scoring_agent, ENR-109183, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:52:09Record linked automatically39bf2b8fa3
    scoring_agent, CLM-407033, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407032, policy version 1
  • 2026-10-19 19:52:09Record linked automatically86032d045d
    scoring_agent, CLM-407032, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:45:42Record linked automatically87f69fbd57
    scoring_agent, ENR-109183, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4f95133b26
    scoring_agent, CLM-407033, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407032, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9c132e7121
    scoring_agent, CLM-407032, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8c91efc832
    scoring_agent, ENR-109183, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:32:31Record linked automatically79a51268b5
    scoring_agent, CLM-407033, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407032, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyec6b3a10ef
    scoring_agent, CLM-407032, identity id MBR-012783, confidence 1, method probabilistic, matched record CLM-407033, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd39d424919
    matching_agent, ENR-109183, identity id MBR-040998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407001
  • 2026-10-19 19:31:28Record linked automaticallyb5fafa29ef
    matching_agent, CLM-407032, identity id MBR-032406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109228
  • 2026-10-19 19:31:28Record linked automaticallya1d3fea6d2
    scoring_agent, CLM-407033, identity id MBR-017189, confidence 1, method probabilistic, matched record CLM-407034, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0034402026-05-14Desert Clinical Laboratories
in network
85025$42.00$0.00ApprovedApproved
CLM-2026-0302542026-01-09Pinecrest Regional Medical Center
out of network
70553$2,209.00—Needs reviewNeeds review