Identities/MBR-020867

Gold, golden identity

Sofia Arnold

5 source records from 3 feeds.

MBR-020867Verified5 records

Golden record

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

First nameENR: Sofia
Middle name—: —
Last nameENR: Arnold
Date of birthENR: 1973-09-13
GenderENR: F
Member IDENR: UHC-41265-38
SSNENR: •••-••-0231
PhoneCLM: 6218378889
EmailENR: sofia.arnold81@hotmail.com
AddressENR: 423 Market St
CityENR: Sacramento
StateENR: CA
ZIPENR: 95843
GroupENR: GRP-1212
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-427646	CLM	2026-03-20	Sofia Arnoldflagged	1973-09-13	UHC-41265-38	6218378889	423 Market St # 601, Sacramento, CA	Scored	1.00	—
CLM-427645	CLM	2026-06-21	Sofia Arnoldflagged	1973-09-13	UHC-41265-38	6218378889	423 Market St, Sacramento, CA	Scored	1.00	—
ENR-136239	ENR	2026-07-09	Sofia Arnoldflagged	1973-09-13	UHC-41265-38	—	423 Market St, Sacramento, CA	Scored	1.00	—
CLM-427647	CLM	2026-09-02	Sofia Arnoldflagged	1973-09-13	—	6218378889	423 Market St, Sacramento, CA	Scored	1.00	—
TPA-62221	TPA	2026-09-29	Sofia Arnoldflagged	1973-09-13	UHC-41265-38	—	423 Market St, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-427646CLMCLM-427647CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427645CLMCLM-427647CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-136239ENRCLM-427647CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427647CLMTPA-62221TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-427646CLMCLM-427645CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427646CLMENR-136239ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427645CLMENR-136239ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427646CLMTPA-62221TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-427645CLMTPA-62221TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-136239ENRTPA-62221TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-427647 → UHC-41265-38 (Sofia Arnold)
ACT-009867, Claims processor
Care coordination outreachProposed
Sofia Arnold: 3 claims, no attributed provider
ACT-019125, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically57e8e7bcd5
scoring_agent, TPA-62221, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:54:38Record linked automaticallydc00a452b2
scoring_agent, CLM-427647, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427646, policy version 1
2026-10-19 19:54:38Record linked automatically107a688a92
scoring_agent, ENR-136239, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:54:38Record linked automatically87ee1ac806
scoring_agent, CLM-427645, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:54:38Record linked automatically1faf5590a9
scoring_agent, CLM-427646, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:52:09Record linked automatically3d90729a1c
scoring_agent, TPA-62221, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:52:09Record linked automatically0c185fb4e7
scoring_agent, CLM-427647, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427646, policy version 1
2026-10-19 19:52:09Record linked automaticallyf7c71ba51e
scoring_agent, ENR-136239, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:52:09Record linked automaticallya8f3a8e39c
scoring_agent, CLM-427645, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:52:09Record linked automaticallyd3361e9572
scoring_agent, CLM-427646, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:45:42Record linked automatically962f3f8d8b
scoring_agent, TPA-62221, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:45:42Record linked automatically8349dbe6f4
scoring_agent, CLM-427647, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427646, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb703db60f
scoring_agent, ENR-136239, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:45:42Record linked automaticallyb205da3edb
scoring_agent, CLM-427645, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:45:42Record linked automatically8ffb311917
scoring_agent, CLM-427646, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:32:31Record linked automaticallyad939f392c
scoring_agent, TPA-62221, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:32:31Record linked automatically5d404da8f6
scoring_agent, CLM-427647, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427646, policy version 1
2026-10-19 19:32:31Record linked automatically81d29b03a8
scoring_agent, ENR-136239, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:32:31Record linked automatically6b2ed099e7
scoring_agent, CLM-427645, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:32:31Record linked automaticallyae9197a9b6
scoring_agent, CLM-427646, identity id MBR-020867, confidence 1, method probabilistic, matched record CLM-427647, policy version 1
2026-10-19 19:31:28Record linked automaticallyb319986e84
scoring_agent, CLM-427647, identity id MBR-023633, confidence 1, method probabilistic, matched record ENR-136597, policy version 1
2026-10-19 19:31:28Record linked automatically38896f80a1
scoring_agent, TPA-62221, identity id MBR-007583, confidence 0.99, method probabilistic, matched record PRV-28157, policy version 1
2026-10-19 19:31:28Record linked automatically541ac81b6a
matching_agent, CLM-427645, identity id MBR-007304, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427646
2026-10-19 19:31:28Record linked automatically50913d5a7a
matching_agent, CLM-427646, identity id MBR-007304, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427645

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-032491	2026-07-31	Harbor Clinical Laboratories out of network	80053, 83036, 80061, 87086	$180.00	—	Denied	Denied
CLM-2026-019427	2026-05-28	Mesa Dermatology Clinic in network	11102, 99213	$418.00	$184.16	Approved	Approved
CLM-2026-012495	2026-03-10	Riverside Primary Care Associates in network	36415, 90471	$46.00	$18.60	Approved	Approved