Identities/MBR-002096
Gold, golden identity

Carolyn K Morales

4 source records from 3 feeds.

MBR-002096Verified4 records

Golden record

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

First nameENR
Carolyn
Middle nameCLM
K
Last nameENR
Morales
Date of birthENR
1953-04-20
GenderENR
F
Member IDENR
UHC-97852-59
SSNENR
•••-••-5057
PhoneENR
9635074445
EmailENR
carolyn.morales@proton.me
AddressENR
395 Church St
CityENR
Austin
StateENR
TX
ZIP—
—
GroupENR
GRP-5329
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.93
Sources
TPA ×1CLM ×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

0.931.001.000.99TPATPA-53223CLMCLM-407342CLMCLM-407341ENRENR-109606IDMBR-002096
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
TPA-53223TPA2026-01-07Carolyn Moralesflagged1953-04-20——395 Church St, Austin, TXScored0.93—
CLM-407342CLM2026-02-15Carolyn Moralesflagged1953-04-20UHC-97852-59—5595 Canyon Rd, Atlanta, GAScored1.00—
CLM-407341CLM2026-02-28Carolyn Moralesflagged1953-04-20—96350744455595 Canyon Rd, Atlanta, GAScored1.00—
ENR-109606ENR2026-07-15Carolyn Moralesflagged1953-04-20UHC-97852-599635074445395 Church St, Austin, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407342CLMCLM-407341CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407342CLMENR-109606ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407341CLMENR-109606ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.002different
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-53223TPAENR-109606ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53223TPACLM-407341CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶TPA-53223TPACLM-407342CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407341 → UHC-97852-59 (Carolyn Morales)
    ACT-003267, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically49582cb4a3
    matching_agent, ENR-109606, identity id MBR-002096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407342
  • 2026-10-22 12:43:53Record linked automatically85aa097af4
    scoring_agent, CLM-407341, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407342, policy version 1
  • 2026-10-22 12:43:53Record linked automatically189af18c55
    scoring_agent, CLM-407342, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407341, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallya3c3189830
    scoring_agent, TPA-53223, identity id MBR-002096, confidence 0.93, method probabilistic, matched record ENR-109606, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb40d793b01
    matching_agent, ENR-109606, identity id MBR-002096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407342
  • 2026-10-19 19:54:38Record linked automatically22c568fbee
    scoring_agent, CLM-407341, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407342, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya95b1bca40
    scoring_agent, CLM-407342, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407341, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e45504f74
    scoring_agent, TPA-53223, identity id MBR-002096, confidence 0.93, method probabilistic, matched record ENR-109606, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2ac5d91a91
    matching_agent, ENR-109606, identity id MBR-002096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407342
  • 2026-10-19 19:52:08Record linked automatically4cc8c7a929
    scoring_agent, CLM-407341, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407342, policy version 1
  • 2026-10-19 19:52:08Record linked automatically59312205a1
    scoring_agent, CLM-407342, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407341, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8b12b6a8a0
    scoring_agent, TPA-53223, identity id MBR-002096, confidence 0.93, method probabilistic, matched record ENR-109606, policy version 1
  • 2026-10-19 19:45:41Record linked automatically2739a0b9f8
    matching_agent, ENR-109606, identity id MBR-002096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407342
  • 2026-10-19 19:45:41Record linked automaticallyc85fbbcf66
    scoring_agent, CLM-407341, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407342, policy version 1
  • 2026-10-19 19:45:41Record linked automatically7c2590cc47
    scoring_agent, CLM-407342, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407341, policy version 1
  • 2026-10-19 19:45:41Record linked automatically1fc43267cc
    scoring_agent, TPA-53223, identity id MBR-002096, confidence 0.93, method probabilistic, matched record ENR-109606, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd1546668e5
    matching_agent, ENR-109606, identity id MBR-002096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407342
  • 2026-10-19 19:32:31Record linked automatically7cfded6300
    scoring_agent, CLM-407341, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407342, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4030f9992f
    scoring_agent, CLM-407342, identity id MBR-002096, confidence 1, method probabilistic, matched record CLM-407341, policy version 1
  • 2026-10-19 19:32:31Record linked automatically841b6d950b
    scoring_agent, TPA-53223, identity id MBR-002096, confidence 0.93, method probabilistic, matched record ENR-109606, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyace5b9573b
    matching_agent, CLM-407341, identity id MBR-013852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109621
  • 2026-10-19 19:31:28Record linked automatically0ddb77b11d
    matching_agent, CLM-407342, identity id MBR-013852, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109621
  • 2026-10-19 19:31:28Record linked automatically84be892869
    matching_agent, ENR-109606, identity id MBR-003725, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53240

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0073182026-02-07Sunrise Clinical Laboratories
in network
85025, 80061$116.00$0.00ApprovedApproved
CLM-2026-0057322026-01-01Heritage Medical Group
in network
99215$383.00$217.46ApprovedApproved