Identities/MBR-015835
Gold, golden identity

Sofia Richards

2 source records from 2 feeds.

MBR-015835Verified2 records

Golden record

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

First nameCLM
Sofia
Middle name—
—
Last nameCLM
Richards
Date of birthCLM
1987-11-21
GenderCLM
M
Member IDTPA
UHC-23021-94
SSNCLM
•••-••-8291
Phone—
—
Email—
—
AddressCLM
2580 Desert Sky Blvd
CityCLM
Plano
StateCLM
TX
ZIPCLM
75020
GroupCLM
GRP-8083
PlanCLM
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.970.97CLMCLM-418039TPATPA-57970IDMBR-015835
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-418039CLM2026-02-25Sofia Richardsflagged1987-11-21——2580 Desert Sky Blvd, Plano, TXRule0.97D2 ssn4 + dob + last name
TPA-57970TPA2026-07-01Sofia Richardsflagged1987-11-21UHC-23021-94—2580 Desert Sky Blvd, Plano, TXRule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-418039CLMTPA-57970TPA 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-418039 → UHC-23021-94 (Sofia Richards)
    ACT-004743, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7115e8b306
    matching_agent, TPA-57970, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418039
  • 2026-10-22 12:43:54Record linked automatically561445bed9
    matching_agent, CLM-418039, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57970
  • 2026-10-19 19:54:38Record linked automaticallye8de1ca55a
    matching_agent, TPA-57970, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418039
  • 2026-10-19 19:54:38Record linked automatically70d38c8f2c
    matching_agent, CLM-418039, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57970
  • 2026-10-19 19:52:09Record linked automatically4d723fd469
    matching_agent, TPA-57970, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418039
  • 2026-10-19 19:52:09Record linked automatically4031415b68
    matching_agent, CLM-418039, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57970
  • 2026-10-19 19:45:42Record linked automaticallybcd639acbd
    matching_agent, TPA-57970, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418039
  • 2026-10-19 19:45:42Record linked automatically7f7d7c5989
    matching_agent, CLM-418039, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57970
  • 2026-10-19 19:32:31Record linked automaticallyce05995413
    matching_agent, TPA-57970, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-418039
  • 2026-10-19 19:32:31Record linked automatically6722a5d13e
    matching_agent, CLM-418039, identity id MBR-015835, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-57970
  • 2026-10-19 19:31:28Record linked automaticallydeb0441b6f
    scoring_agent, CLM-418039, identity id MBR-022133, confidence 1, method probabilistic, matched record CLM-418041, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0129302026-02-13Sunrise Diabetes Center
in network
83036, 95251$266.00$142.60ApprovedApproved