Identities/MBR-016803
Gold, golden identity

Ruth Z Sandoval

3 source records from 3 feeds.

MBR-016803Verified3 recordsOpen steward case

Golden record

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

First nameENR
Ruth
Middle nameENR
Z
Last nameENR
Sandoval
Date of birthENR
1984-05-06
GenderENR
F
Member IDENR
UHC-67569-41
SSNENR
•••-••-9328
PhoneENR
4138603758
EmailENR
ruth.sandoval93@yahoo.com
AddressENR
1894 Mountain View Dr
CityENR
Las Vegas
StateENR
NV
ZIPENR
89130
GroupENR
GRP-3120
PlanENR
CORE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.971.00ENRENR-128826CLMCLM-422007TPATPA-59669IDMBR-016803
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
ENR-128826ENR2026-03-01Ruth Sandovalflagged1984-05-06UHC-67569-4141386037581894 Mountain View Dr, Las Vegas, NVScored1.00—
CLM-422007CLM2026-03-20Ruth Sandovalflagged1984-05-06———Rule0.97D2 ssn4 + dob + last name
TPA-59669TPA2026-04-10Ruth Sandovalflagged1984-05-06—41386037581894 Mountain View Dr, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-128826ENRTPA-59669TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-128826ENRCLM-422007CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422007CLMTPA-59669TPA 0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422007 → UHC-67569-41 (Ruth Sandoval)
    ACT-001808, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydc29811c12
    scoring_agent, TPA-59669, identity id MBR-016803, confidence 1, method probabilistic, matched record ENR-128826, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0ecd72f7b3
    matching_agent, CLM-422007, identity id MBR-016803, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128826
  • 2026-10-19 19:54:38Record linked automaticallyb5c7710644
    scoring_agent, ENR-128826, identity id MBR-016803, confidence 1, method probabilistic, matched record TPA-59669, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7cba1e0b67
    scoring_agent, TPA-59669, identity id MBR-016803, confidence 1, method probabilistic, matched record ENR-128826, policy version 1
  • 2026-10-19 19:52:09Record linked automatically53dedd6f60
    matching_agent, CLM-422007, identity id MBR-016803, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128826
  • 2026-10-19 19:52:09Record linked automatically5d09a305f6
    scoring_agent, ENR-128826, identity id MBR-016803, confidence 1, method probabilistic, matched record TPA-59669, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc8b1473a55
    scoring_agent, TPA-59669, identity id MBR-016803, confidence 1, method probabilistic, matched record ENR-128826, policy version 1
  • 2026-10-19 19:45:42Record linked automatically159525dc63
    matching_agent, CLM-422007, identity id MBR-016803, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128826
  • 2026-10-19 19:45:42Record linked automaticallyc0b4aea40c
    scoring_agent, ENR-128826, identity id MBR-016803, confidence 1, method probabilistic, matched record TPA-59669, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65e9fba277
    scoring_agent, TPA-59669, identity id MBR-016803, confidence 1, method probabilistic, matched record ENR-128826, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9a2969adc9
    matching_agent, CLM-422007, identity id MBR-016803, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128826
  • 2026-10-19 19:32:31Record linked automatically0cfe245801
    scoring_agent, ENR-128826, identity id MBR-016803, confidence 1, method probabilistic, matched record TPA-59669, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya444b62b2a
    scoring_agent, TPA-59669, identity id MBR-026917, confidence 0.98, method probabilistic, matched record TPA-59668, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybfcdc19c2a
    matching_agent, CLM-422007, identity id MBR-015228, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422008

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0018812026-02-23Riverside Primary Care Associates
in network
99213, 99395$431.00$237.22ApprovedApproved