Identities/MBR-020178
Gold, golden identity

Camila A Sandoval

4 source records from 3 feeds.

MBR-020178Verified4 records

Golden record

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

First nameENR
Camila
Middle nameENR
A
Last nameENR
Sandoval
Date of birthENR
1972-06-25
GenderPRV
F
Member IDENR
UHC-86804-48
SSNCLM
•••-••-2266
PhoneENR
6153861685
EmailENR
camila.sandoval@yahoo.com
AddressENR
7717 Ocean Ave
CityENR
Jacksonville
StateENR
FL
ZIP—
—
GroupENR
GRP-7497
PlanENR
MEDICARE-ADV-A
Min confidence
0.93
Sources
ENR ×1PRV ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.990.93ENRENR-109829PRVPRV-22213CLMCLM-407503CLMCLM-407502IDMBR-020178
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-109829ENR2026-03-17Camila Sandovalflagged1972-06-25UHC-86804-4861538616857717 Ocean Ave, Jacksonville, FLScored1.00—
PRV-22213PRV2026-04-18Camila Sandovalflagged——61538616857717 Ocean Ave, Jacksonville, FLScored1.00—
CLM-407503CLM2026-04-23Camila Sandovalflagged1972-06-25UHC-86804-48——Rule0.99D1 member id + dob exact
CLM-407502CLM2026-08-16Camila Sandovvalflagged1972-06-25—61538616857717 Ocean Ave, Jacksonville, FLScored0.93—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-109829ENRPRV-22213PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-109829ENRCLM-407503CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-109829ENRCLM-407502CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-22213PRVCLM-407502CLM0.90Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407503CLMCLM-407502CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Camila Sandoval: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000841, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-407502 → UHC-86804-48 (Camila Sandoval)
    ACT-003345, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyeb7e59f882
    scoring_agent, CLM-407502, identity id MBR-020178, confidence 0.93, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8958f77425
    matching_agent, CLM-407503, identity id MBR-020178, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109829
  • 2026-10-19 19:54:38Record linked automatically523b67d9a4
    scoring_agent, PRV-22213, identity id MBR-020178, confidence 1, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9d0d9591cc
    scoring_agent, ENR-109829, identity id MBR-020178, confidence 1, method probabilistic, matched record PRV-22213, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c5a1cbd27
    scoring_agent, CLM-407502, identity id MBR-020178, confidence 0.93, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:52:09Record linked automatically69b40fec6c
    matching_agent, CLM-407503, identity id MBR-020178, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109829
  • 2026-10-19 19:52:09Record linked automatically77272d77f3
    scoring_agent, PRV-22213, identity id MBR-020178, confidence 1, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb397621369
    scoring_agent, ENR-109829, identity id MBR-020178, confidence 1, method probabilistic, matched record PRV-22213, policy version 1
  • 2026-10-19 19:45:42Record linked automatically86ae1c1635
    scoring_agent, CLM-407502, identity id MBR-020178, confidence 0.93, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:45:42Record linked automatically67fd902fcc
    matching_agent, CLM-407503, identity id MBR-020178, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109829
  • 2026-10-19 19:45:42Record linked automaticallyb005d155b9
    scoring_agent, PRV-22213, identity id MBR-020178, confidence 1, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8440a85e5e
    scoring_agent, ENR-109829, identity id MBR-020178, confidence 1, method probabilistic, matched record PRV-22213, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfbff3f5240
    scoring_agent, CLM-407502, identity id MBR-020178, confidence 0.93, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye77ccecc7b
    matching_agent, CLM-407503, identity id MBR-020178, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109829
  • 2026-10-19 19:32:31Record linked automaticallyaf5b32f92e
    scoring_agent, PRV-22213, identity id MBR-020178, confidence 1, method probabilistic, matched record ENR-109829, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd2730912be
    scoring_agent, ENR-109829, identity id MBR-020178, confidence 1, method probabilistic, matched record PRV-22213, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya283957ee4
    matching_agent, ENR-109829, identity id MBR-030094, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407516
  • 2026-10-19 19:31:28Record linked automaticallyb3739775d3
    matching_agent, PRV-22213, identity id MBR-020370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109819
  • 2026-10-19 19:31:28Record linked automaticallyaef29b2558
    scoring_agent, CLM-407502, identity id MBR-004214, confidence 1, method probabilistic, matched record CLM-407504, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7374824841
    scoring_agent, CLM-407503, identity id MBR-004214, confidence 1, method probabilistic, matched record CLM-407502, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0075942026-07-06Heritage Internal Medicine Associates
in network
80053, 99215$362.00$186.62ApprovedApproved
CLM-2026-0021342026-04-01Valley Community Hospital
out of network
99284$1,296.00$333.20ApprovedApproved