Identities/MBR-028204

Gold, golden identity

Isabella P Santos

6 source records from 3 feeds.

MBR-028204Verified6 records

Golden record

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

First nameENR: Isabella
Middle nameCLM: P
Last nameENR: Santos
Date of birthENR: 1985-12-02
GenderENR: M
Member IDENR: UHC-21801-43
SSNENR: •••-••-3917
PhoneENR: 8149226535
EmailENR: isabella.santos@aol.com
AddressENR: 7088 Market St
CityENR: Tempe
StateENR: AZ
ZIPENR: 85211
GroupENR: GRP-3180
PlanENR: SELECT-EPO

Min confidence

0.97

Sources

TPA ×2CLM ×3ENR ×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-59571	TPA	2026-04-28	Isabella Santosflagged	1985-12-02	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-421794	CLM	2026-06-16	Isabella Santosflagged	1985-12-02	UHC-21801-43	8149226535	7088 Market St, Tempe, AZ	Scored	1.00	—
ENR-128518	ENR	2026-07-08	Isabella Santosflagged	1985-12-02	UHC-21801-43	8149226535	7088 Market St, Tempe, AZ	Rule	0.99	D1 member id + dob exact
TPA-59570	TPA	2026-08-23	Isablla Santosflagged	1985-12-02	—	—	7088 Market St, Tempe, AZ	Scored	1.00	—
CLM-421793	CLM	2026-09-06	Isabella Santosflagged	1985-12-02	UHC-21801-43	8149226535	7088 Market St, Tempe, AZ	Scored	1.00	—
CLM-421792	CLM	2026-09-11	Isabella Santosflagged	1985-12-02	—	—	7088 Market St, Tempe, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-421794CLMCLM-421792CLM1.00Scoredweighted 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-421793CLMCLM-421792CLM1.00Scoredweighted 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-59570TPACLM-421793CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421794CLMTPA-59570TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421794CLMCLM-421793CLM0.99RuleD1 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-128518ENRCLM-421793CLM0.99RuleD1 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

▶CLM-421794CLMENR-128518ENR0.99RuleD1 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-59571TPACLM-421792CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128518ENRCLM-421792CLM0.97RuleD2 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-59570TPACLM-421792CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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-59571TPAENR-128518ENR0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59571TPATPA-59570TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128518ENRTPA-59570TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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-59571TPACLM-421793CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-59571TPACLM-421794CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421792 → UHC-21801-43 (Isabella Santos)
ACT-002239, Claims processor
Care coordination outreachProposed
Isabella Santos: 3 claims, no attributed provider
ACT-019403, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc7470d354a
scoring_agent, CLM-421792, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:54:38Record linked automaticallyb38e5a9622
scoring_agent, CLM-421793, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:54:38Record linked automaticallyf753898a03
scoring_agent, TPA-59570, identity id MBR-028204, confidence 1.00, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:54:38Record linked automatically1ac1840934
matching_agent, ENR-128518, identity id MBR-028204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421794
2026-10-19 19:54:38Record linked automaticallyde49f7ff32
scoring_agent, CLM-421794, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:54:38Record linked automatically5f5a2cbb06
matching_agent, TPA-59571, identity id MBR-028204, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128518
2026-10-19 19:52:09Record linked automatically898a3580f7
scoring_agent, CLM-421792, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:52:09Record linked automaticallyd128930bd0
scoring_agent, CLM-421793, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:52:09Record linked automatically1583ba417b
scoring_agent, TPA-59570, identity id MBR-028204, confidence 1.00, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:52:09Record linked automaticallyea216471c8
matching_agent, ENR-128518, identity id MBR-028204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421794
2026-10-19 19:52:09Record linked automatically2d22fc5dd7
scoring_agent, CLM-421794, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:52:09Record linked automatically1dfaababbe
matching_agent, TPA-59571, identity id MBR-028204, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128518
2026-10-19 19:45:42Record linked automatically82396a4996
scoring_agent, CLM-421792, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:45:42Record linked automatically817fa779a5
scoring_agent, CLM-421793, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:45:42Record linked automatically285f15ada0
scoring_agent, TPA-59570, identity id MBR-028204, confidence 1.00, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:45:42Record linked automatically95ed8a4028
matching_agent, ENR-128518, identity id MBR-028204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421794
2026-10-19 19:45:42Record linked automatically36ffd813fa
scoring_agent, CLM-421794, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:45:42Record linked automaticallyb5161e952e
matching_agent, TPA-59571, identity id MBR-028204, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128518
2026-10-19 19:32:31Record linked automatically5306c19aea
scoring_agent, CLM-421792, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:32:31Record linked automaticallyf8c2c7ba01
scoring_agent, CLM-421793, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:32:31Record linked automatically155b65d43a
scoring_agent, TPA-59570, identity id MBR-028204, confidence 1.00, method probabilistic, matched record CLM-421794, policy version 1
2026-10-19 19:32:31Record linked automatically1e0c24c03e
matching_agent, ENR-128518, identity id MBR-028204, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421794
2026-10-19 19:32:31Record linked automatically705a7a8234
scoring_agent, CLM-421794, identity id MBR-028204, confidence 1, method probabilistic, matched record CLM-421792, policy version 1
2026-10-19 19:32:31Record linked automatically611fc53289
matching_agent, TPA-59571, identity id MBR-028204, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128518
2026-10-19 19:31:28Record linked automatically86048d2008
matching_agent, ENR-128518, identity id MBR-032197, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421707
2026-10-19 19:31:28Record linked automaticallyeab15f354a
matching_agent, TPA-59570, identity id MBR-023605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421885
2026-10-19 19:31:28Record linked automaticallyd3090807a4
scoring_agent, CLM-421793, identity id MBR-008229, confidence 1, method probabilistic, matched record CLM-421791, policy version 1
2026-10-19 19:31:28Record linked automatically99395097cf
matching_agent, CLM-421792, identity id MBR-008229, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-128629

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-2026-003442	2026-09-03	Lakeside Skin Care Associates in network	11102, 17110	$479.00	$236.98	Approved	Approved
CLM-2026-030206	2026-08-12	Meadow GI Associates out of network	88305, 45378	$1,930.00	—	Denied	Denied
CLM-2026-006666	2026-05-09	Unity Primary Care Associates out of network	99395, 99203	$566.00	—	Denied	Denied