Identities/MBR-028362
Gold, golden identity

Andrea Soto

3 source records from 2 feeds.

MBR-028362Verified3 records

Golden record

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

First nameENR
Andrea
Middle name—
—
Last nameENR
Soto
Date of birthENR
2004-11-26
GenderENR
M
Member IDENR
UHC-05668-40
SSNENR
•••-••-7517
PhoneCLM
3192373196
EmailENR
andrea.soto37@yahoo.com
AddressENR
7076 Mesa Dr # 787
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85273
GroupENR
GRP-7006
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.00CLMCLM-401446ENRENR-101868CLMCLM-401445IDMBR-028362
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-401446CLM2026-04-29Andrea Sotoflagged2004-11-26—31923731967076 Mesa Dr, Scottsdale, AZScored1.00—
ENR-101868ENR2026-06-28Andrea Sotoflagged2004-11-26UHC-05668-40—7076 Mesa Dr # 787, Scottsdale, AZRule0.99D1 member id + dob exact
CLM-401445CLM2026-07-29Andrea Sotoflagged2004-11-26UHC-05668-403192373196—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401446CLMCLM-401445CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-101868ENRCLM-401445CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401446CLMENR-101868ENR0.97RuleD2 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-401446 → UHC-05668-40 (Andrea Soto)
    ACT-010181, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyff5da4e8aa
    scoring_agent, CLM-401445, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401446, policy version 1
  • 2026-10-22 12:43:54Record linked automatically0c9d12907d
    matching_agent, ENR-101868, identity id MBR-028362, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401445
  • 2026-10-22 12:43:54Record linked automatically73c890963a
    scoring_agent, CLM-401446, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401445, policy version 1
  • 2026-10-19 19:54:38Record linked automatically14f65b0ab5
    scoring_agent, CLM-401445, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401446, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc3417a223a
    matching_agent, ENR-101868, identity id MBR-028362, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401445
  • 2026-10-19 19:54:38Record linked automaticallyc94dc0f32e
    scoring_agent, CLM-401446, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401445, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2421923007
    scoring_agent, CLM-401445, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401446, policy version 1
  • 2026-10-19 19:52:09Record linked automatically09b9a17d32
    matching_agent, ENR-101868, identity id MBR-028362, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401445
  • 2026-10-19 19:52:09Record linked automaticallyda193eaadd
    scoring_agent, CLM-401446, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401445, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye04a4db817
    scoring_agent, CLM-401445, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401446, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf5484fa9ac
    matching_agent, ENR-101868, identity id MBR-028362, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401445
  • 2026-10-19 19:45:42Record linked automaticallyf3254b2f41
    scoring_agent, CLM-401446, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401445, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya105588b78
    scoring_agent, CLM-401445, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401446, policy version 1
  • 2026-10-19 19:32:31Record linked automatically32de9e9b9d
    matching_agent, ENR-101868, identity id MBR-028362, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401445
  • 2026-10-19 19:32:31Record linked automaticallyded191742a
    scoring_agent, CLM-401446, identity id MBR-028362, confidence 1, method probabilistic, matched record CLM-401445, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd35d848f98
    scoring_agent, CLM-401446, identity id MBR-042407, confidence 1, method probabilistic, matched record TPA-50646, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0027382026-07-23Cornerstone Clinical Laboratories
in network
80053, 87086, 85025$201.00$0.00ApprovedApproved
CLM-2026-0336572026-03-15Unity Family Practice
in network
99214, 99203$449.00—Needs reviewNeeds review
CLM-2026-0336562026-03-15Unity Family Practice
in network
99214, 99203$449.00$248.38ApprovedApproved