Identities/MBR-036942
Gold, golden identity

Wayne B Santiago

4 source records from 2 feeds.

MBR-036942Verified4 recordsOpen steward case

Golden record

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

First nameCLM
Wayne
Middle nameCLM
B
Last nameCLM
Santiago
Date of birthCLM
1999-03-04
GenderCLM
F
Member IDCLM
UHC-95759-83
SSNCLM
•••-••-8596
PhoneCLM
6474340187
Email—
—
AddressCLM
1288 Highland Ave
CityCLM
Charlotte
StateCLM
NC
ZIPCLM
28253
GroupCLM
GRP-7293
PlanCLM
SELECT-EPO
Min confidence
1.00
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00CLMCLM-401584CLMCLM-401582TPATPA-50697CLMCLM-401585IDMBR-036942
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-401584CLM2026-07-01Wayne Santiagoflagged1999-03-04—64743401871288 Highland Ave, Charlotte, NCScored1.00—
CLM-401582CLM2026-07-31Wayne Santiagoflagged1999-03-04UHC-95759-83—1288 Highland Ave, Charlotte, NCScored1.00—
TPA-50697TPA2026-08-22Wayne Santiagoflagged1999-03-04——1288 Highland Ave, Charlotte, NCScored1.00—
CLM-401585CLM2026-10-11Wayne Santiagoflagged1999-03-04——1288 Highland Ave, Charlotte, NCScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401584CLMCLM-401582CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401584CLMCLM-401585CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401582CLMCLM-401585CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50697TPACLM-401585CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401584CLMTPA-50697TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401582CLMTPA-50697TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401585 → UHC-95759-83 (Wayne Santiago)
    ACT-004581, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-401584 → UHC-95759-83 (Wayne Santiago)
    ACT-006384, Claims processor
  • Care coordination outreachProposed
    Wayne Santiago: 3 claims, no attributed provider
    ACT-019552, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically1b1530cc02
    scoring_agent, CLM-401585, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:54:39Record linked automatically3c3499116d
    scoring_agent, TPA-50697, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9cf2b32c4d
    scoring_agent, CLM-401582, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:54:39Record linked automatically97ce26730d
    scoring_agent, CLM-401584, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401582, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5eb2314dba
    scoring_agent, CLM-401585, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1ec0b7af17
    scoring_agent, TPA-50697, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf2f9d7d641
    scoring_agent, CLM-401582, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0a96d150e4
    scoring_agent, CLM-401584, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401582, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8bffd5f20b
    scoring_agent, CLM-401585, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:45:42Record linked automatically288f17b191
    scoring_agent, TPA-50697, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:45:42Record linked automatically59a65d0511
    scoring_agent, CLM-401582, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7ffb3e9ba7
    scoring_agent, CLM-401584, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401582, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfecebcca4f
    scoring_agent, CLM-401585, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd3f46c1e97
    scoring_agent, TPA-50697, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:32:31Record linked automatically56fbdb0678
    scoring_agent, CLM-401582, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:32:31Record linked automatically868f9eee7e
    scoring_agent, CLM-401584, identity id MBR-036942, confidence 1, method probabilistic, matched record CLM-401582, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56f9ddce27
    scoring_agent, TPA-50697, identity id MBR-011762, confidence 1, method probabilistic, matched record ENR-102102, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyad6b2f43d6
    scoring_agent, CLM-401582, identity id MBR-001119, confidence 1, method probabilistic, matched record CLM-401583, policy version 1
  • 2026-10-19 19:31:28Record linked automatically39ddb897f3
    scoring_agent, CLM-401585, identity id MBR-001119, confidence 1, method probabilistic, matched record CLM-401584, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydb92ea386c
    scoring_agent, CLM-401584, identity id MBR-001119, confidence 1, method probabilistic, matched record CLM-401583, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0123292026-09-20Heritage Family Practice
in network
70553$2,586.00—Needs reviewNeeds review
CLM-2026-0105992026-06-20Harbor Diagnostic Imaging
in network
70553$2,729.00$540.09ApprovedApproved
CLM-2026-0190012026-06-25Lakeside Reference Lab
in network
80053, 80061$119.00$0.00ApprovedApproved