Identities/MBR-021362

Gold, golden identity

Ana O Santos

5 source records from 3 feeds.

MBR-021362Verified5 records

Golden record

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

First nameENR: Ana
Middle nameENR: O
Last nameENR: Santos
Date of birthENR: 1940-10-17
GenderENR: M
Member IDENR: UHC-93279-73
SSNENR: •••-••-0070
PhoneENR: 5909973736
EmailENR: ana.santos@outlook.com
AddressTPA: 7064 Indian School Rd # 292
CityENR: Tucson
StateENR: AZ
ZIPENR: 85779
GroupENR: GRP-7915
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

TPA ×3CLM ×1ENR ×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
TPA-51453	TPA	2026-03-22	Ana Santosflagged	1940-10-17	—	—	7064 Indian School Rd, Tucson, AZ	Scored	1.00	—
TPA-51451	TPA	2026-07-26	Ana Santosflagged	1940-10-17	—	5909973736	7064 Indian School Rd, Tucson, AZ	Scored	1.00	—
CLM-403349	CLM	2026-07-28	Ana Santosflagged	1940-10-17	UHC-93279-73	5909973736	7064 Indian School Rd, Tucson, AZ	Scored	1.00	—
ENR-104353	ENR	2026-08-07	Ana Santosflagged	1940-10-17	UHC-93279-73	5909973736	7064 Indian School Rd, Tucson, AZ	Scored	1.00	—
TPA-51452	TPA	2026-08-13	Ana Santosflagged	1940-10-17	UHC-93279-73	—	7064 Indian School Rd # 292, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51453TPACLM-403349CLM1.00Scoredweighted 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

▶TPA-51451TPACLM-403349CLM1.00Scoredweighted 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

▶TPA-51451TPAENR-104353ENR1.00Scoredweighted 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

▶TPA-51453TPATPA-51451TPA1.00Scoredweighted 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

▶TPA-51451TPATPA-51452TPA 1.00Scoredweighted 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-403349CLMENR-104353ENR0.99RuleD1 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

▶ENR-104353ENRTPA-51452TPA 0.99RuleD1 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-403349CLMTPA-51452TPA 0.99RuleD1 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

▶TPA-51453TPAENR-104353ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51453TPATPA-51452TPA 0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ana Santos: 2 plan codes across sources → canonical SELECT-EPO
ACT-000883, Eligibility engine
Outreach address correctedProposed
Ana Santos: 7064 Indian School Rd, Tucson → 7064 Indian School Rd # 292, Tucson
ACT-012355, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyada3d9e936
scoring_agent, TPA-51452, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:54:38Record linked automatically6901cb0d58
scoring_agent, ENR-104353, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:54:38Record linked automaticallyf4b9a31f4c
scoring_agent, CLM-403349, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:54:38Record linked automatically90690c2c37
scoring_agent, TPA-51451, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:54:38Record linked automaticallyb6541cbaed
scoring_agent, TPA-51453, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:52:09Record linked automaticallybaed680649
scoring_agent, TPA-51452, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:52:09Record linked automatically9eaa5771e8
scoring_agent, ENR-104353, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:52:09Record linked automatically3ba78230a4
scoring_agent, CLM-403349, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:52:09Record linked automatically4f339193fe
scoring_agent, TPA-51451, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:52:09Record linked automaticallye98c60f6b6
scoring_agent, TPA-51453, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:45:42Record linked automaticallya17688538e
scoring_agent, TPA-51452, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:45:42Record linked automaticallyb1dbe659bb
scoring_agent, ENR-104353, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:45:42Record linked automaticallyb33bfebf7b
scoring_agent, CLM-403349, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:45:42Record linked automaticallya52a110ca0
scoring_agent, TPA-51451, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:45:42Record linked automaticallydeb957576e
scoring_agent, TPA-51453, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:32:31Record linked automatically09141969f6
scoring_agent, TPA-51452, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:32:31Record linked automatically5d584242ee
scoring_agent, ENR-104353, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5727ed696
scoring_agent, CLM-403349, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:32:31Record linked automatically7b07dde574
scoring_agent, TPA-51451, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51453, policy version 1
2026-10-19 19:32:31Record linked automatically8e2ec85470
scoring_agent, TPA-51453, identity id MBR-021362, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:31:28Record linked automatically17a8d97fcb
scoring_agent, TPA-51451, identity id MBR-039930, confidence 1, method probabilistic, matched record TPA-51452, policy version 1
2026-10-19 19:31:28Record linked automaticallyad8ae8006d
scoring_agent, TPA-51452, identity id MBR-039930, confidence 1, method probabilistic, matched record TPA-51451, policy version 1
2026-10-19 19:31:28Record linked automaticallya67a32b4d8
matching_agent, CLM-403349, identity id MBR-025583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104385
2026-10-19 19:31:28Record linked automatically010bf0af57
scoring_agent, TPA-51453, identity id MBR-004042, confidence 1, method probabilistic, matched record CLM-403219, policy version 1

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-2026-007038	2026-07-01	Summit Regional Medical Center in network	99284, 96374	$1,776.00	—	Needs review	Needs review
CLM-2026-007037	2026-07-01	Unity Community Hospital in network	99284, 96374	$1,776.00	$626.80	Approved	Approved