Identities/MBR-001828
Gold, golden identity

Carol F Wheeler

4 source records from 3 feeds.

MBR-001828Verified4 records

Golden record

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

First nameENR
Carol
Middle nameENR
F
Last nameENR
Wheeler
Date of birthENR
1943-02-08
GenderENR
M
Member IDENR
UHC-34595-03
SSNENR
•••-••-2407
PhoneENR
2182566087
EmailENR
carol.wheeler37@yahoo.com
AddressENR
6835 Maple Ave
CityENR
Denver
StateENR
CO
ZIPENR
80242
GroupENR
GRP-4987
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.991.00CLMCLM-416917ENRENR-122235CLMCLM-416918PRVPRV-25011IDMBR-001828
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-416917CLM2026-01-06Carol Wheelerflagged1943-02-08——6835 Maple Ave, Denver, COScored1.00—
ENR-122235ENR2026-03-18Carol Wheelerflagged1943-02-08UHC-34595-0321825660876835 Maple Ave, Denver, COScored1.00—
CLM-416918CLM2026-05-07Carol Wheelerflagged1943-02-08UHC-34595-03——Rule0.99D1 member id + dob exact
PRV-25011PRV2026-07-29Carol Wheelerflagged1943-02-08—21825660876835 Maple Ave, Denver, COScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416917CLMPRV-25011PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-122235ENRPRV-25011PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-122235ENRCLM-416918CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416917CLMENR-122235ENR0.97RuleD2 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-416917CLMCLM-416918CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-416918CLMPRV-25011PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416917 → UHC-34595-03 (Carol Wheeler)
    ACT-001731, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya4dbf64f53
    scoring_agent, PRV-25011, identity id MBR-001828, confidence 1, method probabilistic, matched record CLM-416917, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb4333d14d1
    matching_agent, CLM-416918, identity id MBR-001828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122235
  • 2026-10-19 19:54:38Record linked automaticallycacc2b93c7
    scoring_agent, ENR-122235, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd73cf45a32
    scoring_agent, CLM-416917, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye13ee753ca
    scoring_agent, PRV-25011, identity id MBR-001828, confidence 1, method probabilistic, matched record CLM-416917, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb7b2b5d033
    matching_agent, CLM-416918, identity id MBR-001828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122235
  • 2026-10-19 19:52:08Record linked automaticallyc5c584473c
    scoring_agent, ENR-122235, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:52:08Record linked automatically46c632dd50
    scoring_agent, CLM-416917, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyf68a9ceb7a
    scoring_agent, PRV-25011, identity id MBR-001828, confidence 1, method probabilistic, matched record CLM-416917, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallybcd0fc2584
    matching_agent, CLM-416918, identity id MBR-001828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122235
  • 2026-10-19 19:45:41Record linked automaticallya88bda87b9
    scoring_agent, ENR-122235, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfc4c775f86
    scoring_agent, CLM-416917, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf7206b4bcc
    scoring_agent, PRV-25011, identity id MBR-001828, confidence 1, method probabilistic, matched record CLM-416917, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya9a079deae
    matching_agent, CLM-416918, identity id MBR-001828, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122235
  • 2026-10-19 19:32:31Record linked automatically046c9d9bad
    scoring_agent, ENR-122235, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:32:31Record linked automatically221afe3bb0
    scoring_agent, CLM-416917, identity id MBR-001828, confidence 1, method probabilistic, matched record PRV-25011, policy version 1
  • 2026-10-19 19:31:28Record linked automatically76982bb546
    matching_agent, ENR-122235, identity id MBR-030199, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417017
  • 2026-10-19 19:31:28Record linked automatically9e9c4919c7
    scoring_agent, PRV-25011, identity id MBR-028276, confidence 0.94, method probabilistic, matched record ENR-122423, policy version 1
  • 2026-10-19 19:31:28Record linked automatically20a049903c
    matching_agent, CLM-416918, identity id MBR-010799, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24952
  • 2026-10-19 19:31:28Record linked automatically19cd11cc0c
    scoring_agent, CLM-416917, identity id MBR-003857, confidence 0.85, method probabilistic, matched record ENR-122126, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0306402026-04-23Lakeside Regional Medical Center
in network
99284$1,790.00$734.50ApprovedApproved
CLM-2026-0015542025-11-30Riverside Internal Medicine Associates
in network
99232$207.00$0.00ApprovedApproved