Identities/MBR-025915
Gold, golden identity

Thomas Z Sandoval

4 source records from 3 feeds.

MBR-025915Verified4 records

Golden record

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

First nameCLM
Thomas
Middle nameENR
Z
Last nameCLM
Sandoval
Date of birthENR
1954-06-23
GenderENR
F
Member IDENR
UHC-38256-64
SSNENR
•••-••-1083
PhoneCLM
3199816736
EmailENR
thomas.sandoval26@outlook.com
AddressENR
1297 Apache Blvd
CityENR
Charlotte
StateENR
NC
ZIPENR
28288
GroupENR
GRP-0331
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.93
Sources
CLM ×2TPA ×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

1.000.930.991.00CLMCLM-406857TPATPA-53006ENRENR-108963CLMCLM-406856IDMBR-025915
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-406857CLM2026-04-15Thomas Sandovalflagged1954-06-23—31998167361297 Apache Blvd, Charlotte, NCScored1.00—
TPA-53006TPA2026-04-15Tommy Sandovalflagged1954-06-23——1297 Apache Blvd Apt 19, Charlotte, NCScored0.93—
ENR-108963ENR2026-04-28Sandovaal Thomasflagged1954-06-23UHC-38256-64—1297 Apache Blvd, Charlotte, NCRule0.99D1 member id + dob exact
CLM-406856CLM2026-06-04Thomas Sandovalflagged1954-06-23UHC-38256-64—1297 Apache Blvd, Charlotte, NCScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-406857CLMCLM-406856CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-108963ENRCLM-406856CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53006TPACLM-406856CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-406857CLMTPA-53006TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-406857 → UHC-38256-64 (Thomas Sandoval)
    ACT-008416, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc6dd0f30c0
    scoring_agent, CLM-406856, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya46a71c2fd
    matching_agent, ENR-108963, identity id MBR-025915, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406856
  • 2026-10-19 19:54:38Record linked automaticallyebf4afeecb
    scoring_agent, TPA-53006, identity id MBR-025915, confidence 0.93, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4d06f36576
    scoring_agent, CLM-406857, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406856, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1def45f52b
    scoring_agent, CLM-406856, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7fa82cde7c
    matching_agent, ENR-108963, identity id MBR-025915, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406856
  • 2026-10-19 19:52:09Record linked automatically7e6c3ab862
    scoring_agent, TPA-53006, identity id MBR-025915, confidence 0.93, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7fefe2ffb2
    scoring_agent, CLM-406857, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406856, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3c7c77d7f1
    scoring_agent, CLM-406856, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1278c4d2c7
    matching_agent, ENR-108963, identity id MBR-025915, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406856
  • 2026-10-19 19:45:42Record linked automaticallyd6c2d53b34
    scoring_agent, TPA-53006, identity id MBR-025915, confidence 0.93, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye779c73911
    scoring_agent, CLM-406857, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406856, policy version 1
  • 2026-10-19 19:32:31Record linked automatically80abcaefc0
    scoring_agent, CLM-406856, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2c8f8fb791
    matching_agent, ENR-108963, identity id MBR-025915, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406856
  • 2026-10-19 19:32:31Record linked automatically4b5ce8de33
    scoring_agent, TPA-53006, identity id MBR-025915, confidence 0.93, method probabilistic, matched record CLM-406857, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydcad533b90
    scoring_agent, CLM-406857, identity id MBR-025915, confidence 1, method probabilistic, matched record CLM-406856, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8c5a75ea9f
    matching_agent, CLM-406857, identity id MBR-034170, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406858
  • 2026-10-19 19:31:28Record linked automaticallyad0d04d430
    matching_agent, ENR-108963, identity id MBR-024456, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108962
  • 2026-10-19 19:31:28Record linked automaticallyc20998545d
    matching_agent, CLM-406856, identity id MBR-010320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109013
  • 2026-10-19 19:31:28Record linked automatically03c1e14ee6
    scoring_agent, TPA-53006, identity id MBR-007625, confidence 1.00, method probabilistic, matched record ENR-108860, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0255032026-05-29Harbor Rehabilitation Center
in network
97110, 97161, 97140$412.00$235.44ApprovedApproved
CLM-2026-0267952026-03-01Harbor Primary Care Associates
in network
99213, 99214$390.00$221.80ApprovedApproved