Identities/MBR-023917

Gold, golden identity

Betty Q Sandoval

6 source records from 4 feeds.

MBR-023917Verified6 records

Golden record

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

First nameENR: Betty
Middle nameENR: Q
Last nameENR: Sandoval
Date of birthENR: 1944-09-25
GenderENR: F
Member IDENR: UHC-13305-47
SSNCLM: •••-••-3513
PhoneENR: 4354236348
EmailTPA: betty.sandoval@yahoo.com
AddressENR: 1080 Desert Sky Blvd
CityENR: Dallas
StateENR: TX
ZIPENR: 75227
GroupENR: GRP-5419
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

PRV ×1TPA ×2CLM ×2ENR ×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
PRV-28766	PRV	2026-04-04	Betty Sandovalflagged	1944-09-25	UHC-13305-47	4354236348	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—
TPA-63223	TPA	2026-05-07	Betty Sandovalflagged	1944-09-25	UHC-13305-47	—	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—
CLM-429963	CLM	2026-07-08	Betty Sandovalflagged	1944-09-25	—	—	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—
TPA-63224	TPA	2026-07-31	Betty Sandovalflagged	1944-09-25	—	—	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—
CLM-429962	CLM	2026-08-30	Betty Sandovalflagged	1944-09-25	—	4354236348	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—
ENR-139275	ENR	2026-10-17	Betty Sandovalflagged	1944-09-25	UHC-13305-47	4354236348	1080 Desert Sky Blvd, Dallas, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-28766PRVCLM-429962CLM1.00Scoredweighted 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-429963CLMCLM-429962CLM1.00Scoredweighted 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-63224TPACLM-429962CLM1.00Scoredweighted 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

▶PRV-28766PRVCLM-429963CLM1.00Scoredweighted 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-63223TPACLM-429963CLM1.00Scoredweighted 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-429963CLMENR-139275ENR1.00Scoredweighted 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-63224TPAENR-139275ENR1.00Scoredweighted 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-429962CLMENR-139275ENR1.00Scoredweighted 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

▶PRV-28766PRVTPA-63224TPA1.00Scoredweighted 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-63223TPATPA-63224TPA1.00Scoredweighted 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-429963CLMTPA-63224TPA1.00Scoredweighted 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

▶PRV-28766PRVENR-139275ENR0.99RuleD1 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

▶TPA-63223TPAENR-139275ENR0.99RuleD1 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

▶PRV-28766PRVTPA-63223TPA0.99RuleD1 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-63223TPACLM-429962CLM0.97RuleD2 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

Orphan claim re-pointedExecuted
CLM-429962 → UHC-13305-47 (Betty Sandoval)
ACT-005144, Claims processor
Orphan claim re-pointedExecuted
CLM-429963 → UHC-13305-47 (Betty Sandoval)
ACT-010395, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd6b1e21393
scoring_agent, ENR-139275, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:54:38Record linked automaticallyfcde46b8d9
scoring_agent, CLM-429962, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:54:38Record linked automaticallyb45d44c06c
scoring_agent, TPA-63224, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:54:38Record linked automatically7e5cff6c17
scoring_agent, CLM-429963, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:54:38Record linked automatically3212947986
scoring_agent, TPA-63223, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb5e103399
scoring_agent, PRV-28766, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:52:09Record linked automatically032dd42e84
scoring_agent, ENR-139275, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:52:09Record linked automatically4dcf7f127e
scoring_agent, CLM-429962, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:52:09Record linked automaticallyca5fa287b5
scoring_agent, TPA-63224, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:52:09Record linked automatically397409a044
scoring_agent, CLM-429963, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:52:09Record linked automaticallyf3906f730d
scoring_agent, TPA-63223, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:52:09Record linked automaticallyab610fa1d6
scoring_agent, PRV-28766, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:45:42Record linked automatically02e171313f
scoring_agent, ENR-139275, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:45:42Record linked automaticallyc086b6aba9
scoring_agent, CLM-429962, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:45:42Record linked automatically745eb13afc
scoring_agent, TPA-63224, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:45:42Record linked automatically237f1e340a
scoring_agent, CLM-429963, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:45:42Record linked automatically10a17e0040
scoring_agent, TPA-63223, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:45:42Record linked automaticallyb616df7921
scoring_agent, PRV-28766, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:32:31Record linked automatically121a90451e
scoring_agent, ENR-139275, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:32:31Record linked automatically335e9104b5
scoring_agent, CLM-429962, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:32:31Record linked automaticallya189aa9b57
scoring_agent, TPA-63224, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:32:31Record linked automaticallyeef38c14e8
scoring_agent, CLM-429963, identity id MBR-023917, confidence 1, method probabilistic, matched record PRV-28766, policy version 1
2026-10-19 19:32:31Record linked automaticallycc3e57cffd
scoring_agent, TPA-63223, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:32:31Record linked automatically27aa7887a8
scoring_agent, PRV-28766, identity id MBR-023917, confidence 1, method probabilistic, matched record CLM-429963, policy version 1
2026-10-19 19:31:28Record linked automatically41bc827049
matching_agent, CLM-429962, identity id MBR-017945, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429963
2026-10-19 19:31:28Record linked automatically2203759d15
matching_agent, CLM-429963, identity id MBR-017945, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429962
2026-10-19 19:31:28Record linked automaticallyf5a08ac6c4
matching_agent, PRV-28766, identity id MBR-013813, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139419
2026-10-19 19:31:28Record linked automaticallyd69f18e994
scoring_agent, TPA-63223, identity id MBR-008344, confidence 1, method probabilistic, matched record ENR-139744, policy version 1
2026-10-19 19:31:28Record linked automatically28ea4db11e
scoring_agent, TPA-63224, identity id MBR-005548, confidence 1, method probabilistic, matched record CLM-430149, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-014401	2026-08-20	Heritage Medical Group out of network	99203	$194.00	—	Denied	Denied
CLM-2026-034438	2026-06-18	Northgate Clinical Laboratories in network	80053, 80061, 85025	$213.00	—	Denied	Denied