Identities/MBR-019011
Gold, golden identity

Sofia Y Wallace

5 source records from 2 feeds.

MBR-019011Verified5 records

Golden record

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

First nameENR
Sofia
Middle nameENR
Y
Last nameCLM
Wallace
Date of birthENR
1989-07-10
GenderENR
M
Member IDENR
UHC-07269-10
SSNENR
•••-••-3235
PhoneENR
9516532110
Email—
—
AddressENR
1093 Ocean Ave
CityENR
Orlando
StateENR
FL
ZIPENR
32845
GroupENR
GRP-8516
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×4ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.990.971.00CLMCLM-419364CLMCLM-419363ENRENR-125515CLMCLM-419361CLMCLM-419362IDMBR-019011
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-419364CLM2026-03-11Sofia Wallaceflagged1989-07-10—95165321101093 Ocean Ave, Orlando, FLScored1.00—
CLM-419363CLM2026-03-15Sofia Wallaceflagged1989-07-10UHC-07269-10—1093 Ocean Ave, Orlando, FLScored1.00—
ENR-125515ENR2026-05-22Sofia Wllaceflagged1989-07-10UHC-07269-1095165321101093 Ocean Ave, Orlando, FLRule0.99D1 member id + dob exact
CLM-419361CLM2026-09-20Wallace Sofiaflagged1989-07-10——1093 Ocean Ave, Orlando, FLScored0.97—
CLM-419362CLM2026-09-21Sofia Wallaceflagged1989-07-10UHC-07269-1095165321101093 Ocean Ave, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419364CLMCLM-419362CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419364CLMCLM-419363CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419363CLMCLM-419362CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125515ENRCLM-419362CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419363CLMENR-125515ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419364CLMENR-125515ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-125515ENRCLM-419361CLM0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.903swapped
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-419364 → UHC-07269-10 (Sofia Wallace)
    ACT-006492, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-419361 → UHC-07269-10 (Sofia Wallace)
    ACT-009098, Claims processor
  • Care coordination outreachProposed
    Sofia Wallace: 4 claims, no attributed provider
    ACT-019039, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically3e3789a9eb
    scoring_agent, CLM-419362, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf5cbdbab23
    scoring_agent, CLM-419361, identity id MBR-019011, confidence 0.97, method probabilistic, matched record ENR-125515, policy version 1
  • 2026-10-22 12:43:54Record linked automatically1049c9f164
    matching_agent, ENR-125515, identity id MBR-019011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-22 12:43:54Record linked automatically2636d9dad0
    scoring_agent, CLM-419363, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf804f715c0
    scoring_agent, CLM-419364, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419363, policy version 1
  • 2026-10-19 19:54:38Record linked automatically04bf356357
    scoring_agent, CLM-419362, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycd06c87ebc
    scoring_agent, CLM-419361, identity id MBR-019011, confidence 0.97, method probabilistic, matched record ENR-125515, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye57122c918
    matching_agent, ENR-125515, identity id MBR-019011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:54:38Record linked automatically03ef64201a
    scoring_agent, CLM-419363, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydd54924256
    scoring_agent, CLM-419364, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419363, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb3877787a7
    scoring_agent, CLM-419362, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6b8599624d
    scoring_agent, CLM-419361, identity id MBR-019011, confidence 0.97, method probabilistic, matched record ENR-125515, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc09e6be7af
    matching_agent, ENR-125515, identity id MBR-019011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:52:09Record linked automaticallyf3befac155
    scoring_agent, CLM-419363, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8c756f3cfe
    scoring_agent, CLM-419364, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419363, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0d0b7f6103
    scoring_agent, CLM-419362, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya8da2e9f27
    scoring_agent, CLM-419361, identity id MBR-019011, confidence 0.97, method probabilistic, matched record ENR-125515, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc76c5927d0
    matching_agent, ENR-125515, identity id MBR-019011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:45:42Record linked automaticallyfcc86334e6
    scoring_agent, CLM-419363, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9d12936e36
    scoring_agent, CLM-419364, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419363, policy version 1
  • 2026-10-19 19:32:31Record linked automatically669498a354
    scoring_agent, CLM-419362, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:32:31Record linked automatically559078936a
    scoring_agent, CLM-419361, identity id MBR-019011, confidence 0.97, method probabilistic, matched record ENR-125515, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd7260063a9
    matching_agent, ENR-125515, identity id MBR-019011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:32:31Record linked automatically6786b72e10
    scoring_agent, CLM-419363, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419364, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf3eb003c8e
    scoring_agent, CLM-419364, identity id MBR-019011, confidence 1, method probabilistic, matched record CLM-419363, policy version 1
  • 2026-10-19 19:31:28Record linked automatically09b05d61c8
    matching_agent, CLM-419362, identity id MBR-013038, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:31:28Record linked automatically02ada28b16
    matching_agent, CLM-419361, identity id MBR-013038, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419363
  • 2026-10-19 19:31:28Record linked automaticallyc95697df6c
    matching_agent, CLM-419363, identity id MBR-013038, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419361
  • 2026-10-19 19:31:28Record linked automatically37c1ff0345
    scoring_agent, ENR-125515, identity id MBR-012176, confidence 0.99, method probabilistic, matched record CLM-419450, policy version 1
  • 2026-10-19 19:31:28Record linked automatically86c00ff489
    scoring_agent, CLM-419364, identity id MBR-005560, confidence 1, method probabilistic, matched record TPA-58432, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0262632026-09-01Desert Primary Care Associates
in network
90471, 99203$227.00$124.00ApprovedApproved
CLM-2026-0294462026-09-15Heritage Orthopedic Specialists
in network
70553$3,040.00—Needs reviewNeeds review
CLM-2026-0078562026-01-30Evergreen Dermatology Clinic
out of network
11403, 11102, 99213$937.00$371.65ApprovedApproved
CLM-2026-0194322026-02-17Heritage Clinical Laboratories
in network
87086$52.00$0.00ApprovedApproved