Identities/MBR-013125

Gold, golden identity

Joyce Sanchez

6 source records from 3 feeds.

MBR-013125Verified6 records

Golden record

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

First namePRV: Joyce
Middle name—: —
Last namePRV: Sanchez
Date of birthPRV: 1966-10-24
GenderPRV: M
Member IDPRV: UHC-16910-09
SSN—: —
PhoneCLM: 5079071539
Email—: —
AddressPRV: 2620 Market St
CityPRV: Las Vegas
StatePRV: NV
ZIPPRV: 89104
GroupCLM: GRP-1779
PlanCLM: CORE-HMO

Min confidence

0.99

Sources

PRV ×1TPA ×3CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
PRV-27250	PRV	2026-02-14	Joyce Sanchezflagged	1966-10-24	UHC-16910-09	—	2620 Market St, Las Vegas, NV	Scored	1.00	—
TPA-60883	TPA	2026-03-20	Joyce Sanchezflagged	1966-10-24	—	—	2620 Market St # 661, Las Vegas, NV	Scored	1.00	—
TPA-60884	TPA	2026-03-20	Joyce Sanchezflagged	1966-10-24	—	—	2620 Market St # 661, Las Vegas, NV	Scored	1.00	—
CLM-424659	CLM	2026-04-28	Joyce Sanchezflagged	1966-10-24	—	5079071539	2620 Market St, Las Vegas, NV	Scored	1.00	—
TPA-60885	TPA	2026-06-12	Joyce Sanchezflagged	1966-10-24	UHC-16910-09	5079071539	2620 Market St, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-424660	CLM	2026-08-27	Joyce Sanchezflagged	1966-10-24	—	5079071539	2620 Market St, Las Vegas, NV	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-27250PRVCLM-424659CLM1.00Scoredweighted 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

▶TPA-60883TPACLM-424659CLM1.00Scoredweighted 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

▶TPA-60884TPACLM-424659CLM1.00Scoredweighted 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

▶PRV-27250PRVCLM-424660CLM1.00Scoredweighted 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

▶TPA-60883TPACLM-424660CLM1.00Scoredweighted 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

▶TPA-60884TPACLM-424660CLM1.00Scoredweighted 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-424659CLMCLM-424660CLM1.00Scoredweighted 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

▶PRV-27250PRVTPA-60883TPA1.00Scoredweighted 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

▶PRV-27250PRVTPA-60884TPA1.00Scoredweighted 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

▶TPA-60883TPATPA-60884TPA1.00Scoredweighted 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

▶PRV-27250PRVTPA-60885TPA0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-60885TPACLM-424660CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424659CLMTPA-60885TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-60883TPATPA-60885TPA0.93Scoredweighted 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

▶TPA-60884TPATPA-60885TPA0.93Scoredweighted 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-424659 → UHC-16910-09 (Joyce Sanchez)
ACT-004219, Claims processor
Orphan claim re-pointedExecuted
CLM-424660 → UHC-16910-09 (Joyce Sanchez)
ACT-006189, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2fab816b97
scoring_agent, CLM-424660, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:54:38Record linked automatically8e93e7b88e
matching_agent, TPA-60885, identity id MBR-013125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27250
2026-10-19 19:54:38Record linked automatically6eabd479c6
scoring_agent, CLM-424659, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:54:38Record linked automatically2b2ef99bc5
scoring_agent, TPA-60884, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:54:38Record linked automaticallya36aedec9d
scoring_agent, TPA-60883, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:54:38Record linked automatically44fc9509d1
scoring_agent, PRV-27250, identity id MBR-013125, confidence 1, method probabilistic, matched record TPA-60883, policy version 1
2026-10-19 19:52:09Record linked automaticallyc1e735386b
scoring_agent, CLM-424660, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:52:09Record linked automaticallybddd745c90
matching_agent, TPA-60885, identity id MBR-013125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27250
2026-10-19 19:52:09Record linked automatically327db0646e
scoring_agent, CLM-424659, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:52:09Record linked automatically48ebcfc7e6
scoring_agent, TPA-60884, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:52:09Record linked automaticallyf95047feda
scoring_agent, TPA-60883, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:52:09Record linked automaticallyd9cf6b5da4
scoring_agent, PRV-27250, identity id MBR-013125, confidence 1, method probabilistic, matched record TPA-60883, policy version 1
2026-10-19 19:45:42Record linked automatically22d2f994e3
scoring_agent, CLM-424660, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:45:42Record linked automaticallyd93de240d1
matching_agent, TPA-60885, identity id MBR-013125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27250
2026-10-19 19:45:42Record linked automatically6235ac49b5
scoring_agent, CLM-424659, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:45:42Record linked automatically8fe12f06bb
scoring_agent, TPA-60884, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:45:42Record linked automatically3893bc6efd
scoring_agent, TPA-60883, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:45:42Record linked automatically1ee2a277c5
scoring_agent, PRV-27250, identity id MBR-013125, confidence 1, method probabilistic, matched record TPA-60883, policy version 1
2026-10-19 19:32:31Record linked automatically095ce7abcb
scoring_agent, CLM-424660, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:32:31Record linked automatically74e7343854
matching_agent, TPA-60885, identity id MBR-013125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27250
2026-10-19 19:32:31Record linked automatically0f1dc7a766
scoring_agent, CLM-424659, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:32:31Record linked automaticallye27266fbce
scoring_agent, TPA-60884, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:32:31Record linked automatically5e691f8dcb
scoring_agent, TPA-60883, identity id MBR-013125, confidence 1, method probabilistic, matched record PRV-27250, policy version 1
2026-10-19 19:32:31Record linked automatically00a0ceeb4d
scoring_agent, PRV-27250, identity id MBR-013125, confidence 1, method probabilistic, matched record TPA-60883, policy version 1
2026-10-19 19:31:28Record linked automaticallyf31409e270
scoring_agent, PRV-27250, identity id MBR-033332, confidence 0.98, method probabilistic, matched record ENR-132381, policy version 1
2026-10-19 19:31:28Record linked automatically338b2b6328
scoring_agent, TPA-60884, identity id MBR-012164, confidence 1, method probabilistic, matched record CLM-424755, policy version 1
2026-10-19 19:31:28Record linked automatically96fa00a3dc
matching_agent, CLM-424660, identity id MBR-010169, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424661

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-018240	2026-07-18	Mesa Internal Medicine Associates in network	99215, 80053	$400.00	$218.00	Approved	Approved
CLM-2026-011006	2026-04-11	Pinecrest Bone and Joint Center in network	29881	$10,067.00	—	Denied	Denied
CLM-2026-011005	2026-04-11	Pinecrest Bone and Joint Center in network	29881	$10,067.00	$3,833.94	Approved	Approved