Identities/MBR-014644

Gold, golden identity

Janice Sandoval

5 source records from 4 feeds.

MBR-014644Verified5 records

Golden record

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

First nameENR: Janice
Middle name—: —
Last nameENR: Sandoval
Date of birthENR: 2003-12-23
GenderENR: M
Member IDENR: UHC-66768-58
SSNENR: •••-••-1239
PhoneENR: 3672848392
EmailENR: janice.sandoval68@gmail.com
AddressENR: 8538 Highland Ave
CityENR: Orlando
StateENR: FL
ZIPENR: 32852
GroupENR: GRP-4962
PlanENR: CORE-HMO

Min confidence

0.96

Sources

PRV ×1ENR ×2TPA ×1CLM ×1

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-26181	PRV	2026-02-20	Janice Sandovalflagged	2003-12-23	UHC-66768-58	3672848392	8538 Highland Ave, Orlando, FL	Scored	1.00	—
ENR-127504	ENR	2026-06-11	Janice Sandovalflagged	2003-12-23	UHC-66768-58	3672848392	8538 Highland Ave, Orlando, FL	Rule	0.99	D1 member id + dob exact
TPA-59194	TPA	2026-06-15	Janice Sandovalflagged	—	UHC-66768-58	—	8538 Highland Ave # 767, Orlando, FL	Rule	0.96	D3 member id + name
ENR-127503	ENR	2026-06-29	Janice Sandovalflagged	2003-12-23	UHC-66768-58	3672848392	8538 Highland Ave, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-420916	CLM	2026-08-03	Janice Sandovalflagged	2003-12-23	—	—	8538 Highland Ave, Orlando, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-26181PRVCLM-420916CLM1.00Scoredweighted 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-26181PRVENR-127503ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-127504ENRENR-127503ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶PRV-26181PRVENR-127504ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-127504ENRCLM-420916CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127503ENRCLM-420916CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59194TPAENR-127503ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-26181PRVTPA-59194TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-127504ENRTPA-59194TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-59194TPACLM-420916CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420916 → UHC-66768-58 (Janice Sandoval)
ACT-008559, Claims processor
Duplicate member record retiredExecuted
Janice Sandoval: 2 enrollment records collapsed into UHC-66768-58
ACT-023891, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybb20a24db9
scoring_agent, CLM-420916, identity id MBR-014644, confidence 1, method probabilistic, matched record PRV-26181, policy version 1
2026-10-19 19:54:38Record linked automatically350bcefe8a
matching_agent, ENR-127503, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:54:38Record linked automatically2e76fa5ee1
matching_agent, TPA-59194, identity id MBR-014644, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26181
2026-10-19 19:54:38Record linked automatically770f1c0560
matching_agent, ENR-127504, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:54:38Record linked automatically3d833440fe
scoring_agent, PRV-26181, identity id MBR-014644, confidence 1, method probabilistic, matched record CLM-420916, policy version 1
2026-10-19 19:52:09Record linked automaticallya534e399c1
scoring_agent, CLM-420916, identity id MBR-014644, confidence 1, method probabilistic, matched record PRV-26181, policy version 1
2026-10-19 19:52:09Record linked automatically4a7074e431
matching_agent, ENR-127503, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:52:09Record linked automatically90342d01b2
matching_agent, TPA-59194, identity id MBR-014644, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26181
2026-10-19 19:52:09Record linked automaticallyc4abdd4259
matching_agent, ENR-127504, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:52:09Record linked automaticallyefbf77489a
scoring_agent, PRV-26181, identity id MBR-014644, confidence 1, method probabilistic, matched record CLM-420916, policy version 1
2026-10-19 19:45:42Record linked automatically50f349910d
scoring_agent, CLM-420916, identity id MBR-014644, confidence 1, method probabilistic, matched record PRV-26181, policy version 1
2026-10-19 19:45:42Record linked automaticallyeb19d95b10
matching_agent, ENR-127503, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:45:42Record linked automaticallya5ef6874cd
matching_agent, TPA-59194, identity id MBR-014644, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26181
2026-10-19 19:45:42Record linked automaticallyc974292e88
matching_agent, ENR-127504, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:45:42Record linked automaticallyf92ace743e
scoring_agent, PRV-26181, identity id MBR-014644, confidence 1, method probabilistic, matched record CLM-420916, policy version 1
2026-10-19 19:32:31Record linked automaticallyf3a7c2ebe1
scoring_agent, CLM-420916, identity id MBR-014644, confidence 1, method probabilistic, matched record PRV-26181, policy version 1
2026-10-19 19:32:31Record linked automatically59e1a31858
matching_agent, ENR-127503, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:32:31Record linked automatically8734a22897
matching_agent, TPA-59194, identity id MBR-014644, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26181
2026-10-19 19:32:31Record linked automatically525a295135
matching_agent, ENR-127504, identity id MBR-014644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26181
2026-10-19 19:32:31Record linked automatically9e06738f9b
scoring_agent, PRV-26181, identity id MBR-014644, confidence 1, method probabilistic, matched record CLM-420916, policy version 1
2026-10-19 19:31:28Record linked automaticallyf636dd7473
matching_agent, ENR-127503, identity id MBR-040081, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420957
2026-10-19 19:31:28Record linked automatically2eef00cff1
matching_agent, CLM-420916, identity id MBR-032000, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-420919
2026-10-19 19:31:28Record linked automaticallybc9b949d2b
scoring_agent, ENR-127504, identity id MBR-025264, confidence 1, method probabilistic, matched record TPA-59147, policy version 1
2026-10-19 19:31:28Record linked automatically0c5ce854e4
scoring_agent, TPA-59194, identity id MBR-009593, confidence 1, method probabilistic, matched record TPA-59193, policy version 1
2026-10-19 19:31:28Record linked automatically2302c80561
scoring_agent, PRV-26181, identity id MBR-002429, confidence 0.99, method probabilistic, matched record CLM-421077, policy version 1

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-2026-027375	2026-07-12	Pinecrest Medical Group in network	99214	$262.00	$142.44	Approved	Approved