Identities/MBR-026242

Gold, golden identity

Roy X Sanders

5 source records from 3 feeds.

MBR-026242Verified5 records

Golden record

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

First namePRV: Roy
Middle namePRV: X
Last namePRV: Sanders
Date of birthPRV: 1941-06-11
GenderCLM: F
Member IDPRV: UHC-81923-33
SSNCLM: •••-••-7180
PhoneCLM: 5337453822
Email—: —
AddressPRV: 4426 Harbor Blvd
CityPRV: Fresno
StatePRV: CA
ZIPPRV: 93720
GroupCLM: GRP-5770
PlanCLM: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×3TPA ×1PRV ×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-412557	CLM	2026-04-16	Roy Sandersflagged	1941-06-11	UHC-81923-33	5337453822	1470 Willow Ct, Orlando, FL	Scored	1.00	—
TPA-55530	TPA	2026-04-28	Roy Sandersflagged	1941-06-11	—	—	1470 Willow Ct, Orlando, FL	Scored	1.00	—
CLM-412558	CLM	2026-08-11	Roy Sandersflagged	1941-06-11	UHC-81923-33	—	1470 Willow Ct, Orlando, FL	Scored	1.00	—
PRV-23630	PRV	2026-08-15	Roy Sandersflagged	1941-06-11	UHC-81923-33	—	4426 Harbor Blvd, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-412556	CLM	2026-09-14	Roy Sandersflagged	1941-06-11	UHC-81923-33	5337453822	4426 Harbor Blvd, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-55530TPACLM-412558CLM1.00Scoredweighted 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-412557CLMTPA-55530TPA1.00Scoredweighted 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-412557CLMCLM-412556CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412558CLMCLM-412556CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-23630PRVCLM-412556CLM0.99RuleD1 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-412557CLMCLM-412558CLM0.99RuleD1 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-412557CLMPRV-23630PRV0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412558CLMPRV-23630PRV0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55530TPACLM-412556CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-55530TPAPRV-23630PRV0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically74fc034d80
matching_agent, CLM-412556, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:54:38Record linked automatically7fd5c641e3
matching_agent, PRV-23630, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:54:38Record linked automaticallyb51774aae4
scoring_agent, CLM-412558, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:54:38Record linked automaticallye8ee36ccef
scoring_agent, TPA-55530, identity id MBR-026242, confidence 1, method probabilistic, matched record CLM-412557, policy version 1
2026-10-19 19:54:38Record linked automaticallyb8feb03e76
scoring_agent, CLM-412557, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:52:09Record linked automaticallye21930875a
matching_agent, CLM-412556, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:52:09Record linked automatically0f94a83b7d
matching_agent, PRV-23630, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:52:09Record linked automaticallyd30a07ea56
scoring_agent, CLM-412558, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:52:09Record linked automaticallybeb7971221
scoring_agent, TPA-55530, identity id MBR-026242, confidence 1, method probabilistic, matched record CLM-412557, policy version 1
2026-10-19 19:52:09Record linked automatically7c221d938b
scoring_agent, CLM-412557, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:45:42Record linked automatically70b7f4cab5
matching_agent, CLM-412556, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:45:42Record linked automatically2d1584b91c
matching_agent, PRV-23630, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:45:42Record linked automaticallyc63d9ef467
scoring_agent, CLM-412558, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:45:42Record linked automaticallyeb96134267
scoring_agent, TPA-55530, identity id MBR-026242, confidence 1, method probabilistic, matched record CLM-412557, policy version 1
2026-10-19 19:45:42Record linked automaticallyef502be3dd
scoring_agent, CLM-412557, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:32:31Record linked automatically6f58b3d3a7
matching_agent, CLM-412556, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:32:31Record linked automatically5776435cf2
matching_agent, PRV-23630, identity id MBR-026242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557
2026-10-19 19:32:31Record linked automaticallyd16583c394
scoring_agent, CLM-412558, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:32:31Record linked automaticallyc814c58465
scoring_agent, TPA-55530, identity id MBR-026242, confidence 1, method probabilistic, matched record CLM-412557, policy version 1
2026-10-19 19:32:31Record linked automatically3661dec603
scoring_agent, CLM-412557, identity id MBR-026242, confidence 1, method probabilistic, matched record TPA-55530, policy version 1
2026-10-19 19:31:28Record linked automatically1eaa1ef508
matching_agent, PRV-23630, identity id MBR-003814, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116297
2026-10-19 19:31:28Record linked automatically30e894e8ae
scoring_agent, CLM-412558, identity id MBR-001934, confidence 1, method probabilistic, matched record CLM-412559, policy version 1
2026-10-19 19:31:28Record linked automatically8009c147b9
matching_agent, CLM-412557, identity id MBR-001011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412556
2026-10-19 19:31:28Record linked automaticallyf2bd7a3dad
matching_agent, CLM-412556, identity id MBR-001011, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412557

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-2026-033713	2026-08-18	Valley Skin Care Associates out of network	70553	$2,149.00	—	Needs review	Needs review
CLM-2026-027820	2026-07-30	Sunrise Medical Group in network	99214	$230.00	$102.60	Approved	Approved
CLM-2026-023004	2026-03-19	Harbor Physical Therapy in network	97110, 97140	$255.00	—	Denied	Denied