Identities/MBR-026447
Gold, golden identity

Sofia Rice

3 source records from 2 feeds.

MBR-026447Verified3 records

Golden record

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

First nameCLM
Sofia
Middle name—
—
Last nameCLM
Rice
Date of birthCLM
1966-12-03
GenderCLM
F
Member IDCLM
UHC-06230-57
SSNCLM
•••-••-8826
PhoneCLM
3743116283
EmailCLM
sofia.rice58@icloud.com
AddressCLM
7745 Meadow Ln
CityCLM
Charlotte
StateCLM
NC
ZIPCLM
28250
GroupCLM
GRP-2698
Plan—
—
Min confidence
0.99
Sources
TPA ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.99TPATPA-56608CLMCLM-415010CLMCLM-415009IDMBR-026447
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
TPA-56608TPA2026-04-18Sofia Riceflagged1966-12-03——7745 Meadow Ln, Charlotte, NCScored0.99—
CLM-415010CLM2026-08-02Sofia Riceflagged1966-12-03UHC-06230-5737431162837745 Meadow Ln, Charlotte, NCScored0.99—
CLM-415009CLM2026-08-21Sofa Riceflagged1966-12-03——7745 Meadow Ln, Charlotte, NCScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56608TPACLM-415009CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415010CLMCLM-415009CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56608TPACLM-415010CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-415009 → UHC-06230-57 (Sofia Rice)
    ACT-004575, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallye830888575
    scoring_agent, CLM-415009, identity id MBR-026447, confidence 0.99, method probabilistic, matched record TPA-56608, policy version 1
  • 2026-10-22 12:43:54Record linked automatically5bd6f28707
    scoring_agent, CLM-415010, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-22 12:43:54Record linked automatically177c03f9cf
    scoring_agent, TPA-56608, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1f7b3cc9d6
    scoring_agent, CLM-415009, identity id MBR-026447, confidence 0.99, method probabilistic, matched record TPA-56608, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfa76c5d644
    scoring_agent, CLM-415010, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:54:38Record linked automatically31b09766f7
    scoring_agent, TPA-56608, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf2cf69cc75
    scoring_agent, CLM-415009, identity id MBR-026447, confidence 0.99, method probabilistic, matched record TPA-56608, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb612fb71a8
    scoring_agent, CLM-415010, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyff24003c96
    scoring_agent, TPA-56608, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:45:42Record linked automatically46e0c5883c
    scoring_agent, CLM-415009, identity id MBR-026447, confidence 0.99, method probabilistic, matched record TPA-56608, policy version 1
  • 2026-10-19 19:45:42Record linked automatically81d0c32406
    scoring_agent, CLM-415010, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:45:42Record linked automatically327268d2ad
    scoring_agent, TPA-56608, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfee18ac112
    scoring_agent, CLM-415009, identity id MBR-026447, confidence 0.99, method probabilistic, matched record TPA-56608, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf4870c0bdf
    scoring_agent, CLM-415010, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0dcf48a8a0
    scoring_agent, TPA-56608, identity id MBR-026447, confidence 0.99, method probabilistic, matched record CLM-415009, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9910ed8535
    scoring_agent, CLM-415010, identity id MBR-024104, confidence 0.99, method probabilistic, matched record CLM-415011, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8299eb1d3a
    matching_agent, CLM-415009, identity id MBR-019806, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119657
  • 2026-10-19 19:31:28Record linked automaticallyafc8c5c381
    matching_agent, TPA-56608, identity id MBR-008933, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119898

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0123212026-07-14Lakeside Clinical Laboratories
in network
80053$76.00$0.00ApprovedApproved
CLM-2026-0309972026-06-24Meadow GI Associates
out of network
43239, 45378$3,549.00$0.00ApprovedApproved