Identities/MBR-016417
Gold, golden identity

Shirley U Sandoval

4 source records from 3 feeds.

MBR-016417Verified4 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
U
Last nameENR
Sandoval
Date of birthENR
2007-07-17
GenderENR
M
Member IDENR
UHC-48766-78
SSNENR
•••-••-8065
PhoneENR
2752071331
EmailTPA
shirley.sandoval@hotmail.com
AddressENR
7040 Elm St
CityENR
Charlotte
StateENR
NC
ZIPENR
28261
GroupENR
GRP-8841
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×1ENR ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.97CLMCLM-407936ENRENR-110468ENRENR-110469TPATPA-53499IDMBR-016417
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-407936CLM2026-02-28Shirley Sandovalflagged2007-07-17UHC-48766-7827520713317040 Elm St, Charlotte, NCRule0.99D1 member id + dob exact
ENR-110468ENR2026-04-08Shirley Sandovalflagged2007-07-17UHC-48766-7827520713317040 Elm St, Charlotte, NCRule0.99D1 member id + dob exact
ENR-110469ENR2026-04-08Shirley Sandovalflagged2007-07-17UHC-48766-7827520713317040 Elm St, Charlotte, NCRule0.99D1 member id + dob exact
TPA-53499TPA2026-07-04Shirley Sandovalflagged2007-07-17———Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407936CLMENR-110468ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-407936CLMENR-110469ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-110468ENRENR-110469ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-407936CLMTPA-53499TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110468ENRTPA-53499TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110469ENRTPA-53499TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Duplicate member record retiredExecuted
    Shirley Sandoval: 2 enrollment records collapsed into UHC-48766-78
    ACT-024152, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically409bc811b3
    matching_agent, TPA-53499, identity id MBR-016417, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407936
  • 2026-10-22 12:43:54Record linked automatically3abd8e2e6f
    matching_agent, ENR-110469, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-22 12:43:54Record linked automatically0f84d47bef
    matching_agent, ENR-110468, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-22 12:43:54Record linked automatically8d3b34601b
    matching_agent, CLM-407936, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110468
  • 2026-10-19 19:54:38Record linked automaticallyea00ee3ace
    matching_agent, TPA-53499, identity id MBR-016417, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407936
  • 2026-10-19 19:54:38Record linked automatically74f11fae0e
    matching_agent, ENR-110469, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:54:38Record linked automatically5214e65cd5
    matching_agent, ENR-110468, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:54:38Record linked automatically8f4e9d8608
    matching_agent, CLM-407936, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110468
  • 2026-10-19 19:52:09Record linked automatically222a506bb0
    matching_agent, TPA-53499, identity id MBR-016417, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407936
  • 2026-10-19 19:52:09Record linked automaticallyce7308a32c
    matching_agent, ENR-110469, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:52:09Record linked automatically14cdd5b038
    matching_agent, ENR-110468, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:52:09Record linked automaticallye59c596cc6
    matching_agent, CLM-407936, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110468
  • 2026-10-19 19:45:42Record linked automatically0ec684797e
    matching_agent, TPA-53499, identity id MBR-016417, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407936
  • 2026-10-19 19:45:42Record linked automatically872cef7298
    matching_agent, ENR-110469, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:45:42Record linked automatically830b82ed66
    matching_agent, ENR-110468, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:45:42Record linked automatically75f1fe0baf
    matching_agent, CLM-407936, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110468
  • 2026-10-19 19:32:31Record linked automaticallyd713abc2fb
    matching_agent, TPA-53499, identity id MBR-016417, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407936
  • 2026-10-19 19:32:31Record linked automaticallya106a2b14e
    matching_agent, ENR-110469, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:32:31Record linked automaticallyba3f36012c
    matching_agent, ENR-110468, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407936
  • 2026-10-19 19:32:31Record linked automaticallycccc7b3293
    matching_agent, CLM-407936, identity id MBR-016417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110468
  • 2026-10-19 19:31:28Record linked automaticallyd552ae64db
    matching_agent, ENR-110468, identity id MBR-020880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408000
  • 2026-10-19 19:31:28Record linked automatically180973af83
    matching_agent, CLM-407936, identity id MBR-020824, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110376
  • 2026-10-19 19:31:28Record linked automatically1eb394e77a
    matching_agent, ENR-110469, identity id MBR-011452, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22354

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0319432026-02-10Pinecrest Regional Medical Center
in network
99283$657.00—Needs reviewNeeds review
CLM-2026-0319422026-02-10Summit Regional Medical Center
in network
99283$657.00$111.35ApprovedApproved