Identities/MBR-031100
Gold, golden identity

Juan Santos

4 source records from 3 feeds.

MBR-031100Verified4 recordsOpen steward case

Golden record

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

First nameENR
Juan
Middle name—
—
Last nameENR
Santos
Date of birthENR
1947-03-14
GenderENR
F
Member IDENR
UHC-82854-28
SSNENR
•••-••-7591
PhoneENR
5948725739
EmailENR
juan.santos@yahoo.com
AddressENR
9303 Central Ave
CityENR
Nashville
StateENR
TN
ZIPENR
37231
GroupENR
GRP-8013
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
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

0.990.970.970.99CLMCLM-410469CLMCLM-410470TPATPA-54588ENRENR-113749IDMBR-031100
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-410469CLM2026-05-17Juan Santosflagged1947-03-14UHC-82854-28——Rule0.99D1 member id + dob exact
CLM-410470CLM2026-06-06Juan Santosflagged1947-03-14——9303 Central Ave, Nashville, TNRule0.97D2 ssn4 + dob + last name
TPA-54588TPA2026-07-15Juan Santosflagged1947-03-14——9303 Central Ave, Nashville, TNRule0.97D2 ssn4 + dob + last name
ENR-113749ENR2026-08-04Juan Santosflagged1947-03-14UHC-82854-2859487257399303 Central Ave, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410469CLMENR-113749ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410469CLMCLM-410470CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410470CLMENR-113749ENR0.97RuleD2 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
▶TPA-54588TPAENR-113749ENR0.97RuleD2 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
▶CLM-410469CLMTPA-54588TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410470CLMTPA-54588TPA0.97RuleD2 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-410470 → UHC-82854-28 (Juan Santos)
    ACT-006793, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya698dd269e
    matching_agent, ENR-113749, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410469
  • 2026-10-19 19:54:38Record linked automatically0bbd094efc
    matching_agent, TPA-54588, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:54:38Record linked automaticallyd06916e5f0
    matching_agent, CLM-410470, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:54:38Record linked automatically43ab0b4d5d
    matching_agent, CLM-410469, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113749
  • 2026-10-19 19:52:09Record linked automatically329e24bfe0
    matching_agent, ENR-113749, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410469
  • 2026-10-19 19:52:09Record linked automaticallyb38a00f1d9
    matching_agent, TPA-54588, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:52:09Record linked automatically3f931d19ba
    matching_agent, CLM-410470, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:52:09Record linked automatically9fb9d5af05
    matching_agent, CLM-410469, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113749
  • 2026-10-19 19:45:42Record linked automatically4dfd8def07
    matching_agent, ENR-113749, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410469
  • 2026-10-19 19:45:42Record linked automaticallyf12a67ade2
    matching_agent, TPA-54588, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:45:42Record linked automatically76876e0eb4
    matching_agent, CLM-410470, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:45:42Record linked automaticallya2f59f0270
    matching_agent, CLM-410469, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113749
  • 2026-10-19 19:32:31Record linked automaticallyb69f11c52a
    matching_agent, ENR-113749, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-410469
  • 2026-10-19 19:32:31Record linked automatically74e5f64fa7
    matching_agent, TPA-54588, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:32:31Record linked automaticallya190557737
    matching_agent, CLM-410470, identity id MBR-031100, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410469
  • 2026-10-19 19:32:31Record linked automaticallyd73422acaa
    matching_agent, CLM-410469, identity id MBR-031100, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113749
  • 2026-10-19 19:31:28Record linked automatically7474fb0d33
    matching_agent, ENR-113749, identity id MBR-019350, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23089
  • 2026-10-19 19:31:28Record linked automatically4c9ffb2180
    matching_agent, TPA-54588, identity id MBR-008364, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113606
  • 2026-10-19 19:31:28Record linked automatically47cca0d2e2
    scoring_agent, CLM-410469, identity id MBR-008270, confidence 1, method probabilistic, matched record TPA-54653, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyac9a8f00dc
    matching_agent, CLM-410470, identity id MBR-008270, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113833

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0205552026-05-28Pinecrest GI Associates
in network
99214$305.00$114.10ApprovedApproved
CLM-2026-0291632026-05-04Lakeside Behavioral Health
out of network
99214$262.00$42.90ApprovedApproved