Identities/MBR-002247

Gold, golden identity

Carolyn P Li

7 source records from 4 feeds.

MBR-002247Verified7 records

Golden record

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

First namePRV: Carolyn
Middle nameCLM: P
Last nameENR: Li
Date of birthENR: 1947-07-28
GenderPRV: M
Member IDENR: UHC-82268-47
SSNENR: •••-••-2424
PhoneENR: 7749764183
EmailENR: carolyn.li71@outlook.com
AddressENR: 6525 Highland Ave
CityENR: Nashville
StateENR: TN
ZIPENR: 37205
GroupENR: GRP-8697
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

PRV ×1TPA ×3CLM ×2ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
PRV-28787	PRV	2026-01-08	Carolyn Liflagged	1947-07-28	—	7749764183	—	Scored	1.00	—
TPA-63250	TPA	2026-03-01	Carolyn Liflagged	1947-07-28	—	—	6525 Highland Ave, Nashville, TN	Scored	1.00	—
TPA-63251	TPA	2026-04-18	Carolyn Liflagged	1947-07-28	—	—	6525 Highland Ave, Nashville, TN	Scored	1.00	—
TPA-63252	TPA	2026-04-18	Carolyn Liflagged	1947-07-28	—	—	6525 Highland Ave, Nashville, TN	Scored	1.00	—
CLM-430027	CLM	2026-05-02	Carolyn Liflagged	1947-07-28	—	—	6525 Highland Ave, Nashville, TN	Scored	1.00	—
CLM-430026	CLM	2026-05-17	Carolyn Liflagged	1947-07-28	—	7749764183	—	Scored	1.00	—
ENR-139363	ENR	2026-06-21	Caroyln Liflagged	1947-07-28	UHC-82268-47	7749764183	6525 Highland Ave, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-28787 PRVCLM-430026CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63250TPACLM-430027CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63251TPACLM-430027CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63252TPACLM-430027CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63250TPATPA-63251TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63250TPATPA-63252TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63251TPATPA-63252TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63250TPAENR-139363ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63251TPAENR-139363ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63252TPAENR-139363ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-430026CLMENR-139363ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28787 PRVCLM-430027CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28787 PRVENR-139363ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-430027CLMENR-139363ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-63250TPACLM-430026CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-63251TPACLM-430026CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-63252TPACLM-430026CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-430027CLMCLM-430026CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-28787 PRVTPA-63250TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-28787 PRVTPA-63251TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-28787 PRVTPA-63252TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430027 → UHC-82268-47 (Carolyn Li)
ACT-003157, Claims processor
Orphan claim re-pointedExecuted
CLM-430026 → UHC-82268-47 (Carolyn Li)
ACT-008511, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically950f088cbe
scoring_agent, ENR-139363, identity id MBR-002247, confidence 1.00, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:54:38Record linked automatically92d40367fc
scoring_agent, CLM-430026, identity id MBR-002247, confidence 1, method probabilistic, matched record PRV-28787, policy version 1
2026-10-19 19:54:38Record linked automatically076a96d474
scoring_agent, CLM-430027, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:54:38Record linked automaticallyf90b028a1b
scoring_agent, TPA-63252, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:54:38Record linked automatically2655fb8902
scoring_agent, TPA-63251, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:54:38Record linked automatically96569b62a6
scoring_agent, TPA-63250, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63251, policy version 1
2026-10-19 19:54:38Record linked automatically0983e46f7e
scoring_agent, PRV-28787, identity id MBR-002247, confidence 1, method probabilistic, matched record CLM-430026, policy version 1
2026-10-19 19:52:08Record linked automatically2d32d2de88
scoring_agent, ENR-139363, identity id MBR-002247, confidence 1.00, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:52:08Record linked automatically770a8fb3fe
scoring_agent, CLM-430026, identity id MBR-002247, confidence 1, method probabilistic, matched record PRV-28787, policy version 1
2026-10-19 19:52:08Record linked automatically743a60a540
scoring_agent, CLM-430027, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:52:08Record linked automatically333e30d7d1
scoring_agent, TPA-63252, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:52:08Record linked automaticallybb5c640d59
scoring_agent, TPA-63251, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:52:08Record linked automaticallyd0363a1c24
scoring_agent, TPA-63250, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63251, policy version 1
2026-10-19 19:52:08Record linked automatically606db4b68a
scoring_agent, PRV-28787, identity id MBR-002247, confidence 1, method probabilistic, matched record CLM-430026, policy version 1
2026-10-19 19:45:41Record linked automatically1ac4c7e237
scoring_agent, ENR-139363, identity id MBR-002247, confidence 1.00, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:45:41Record linked automatically45295db74a
scoring_agent, CLM-430026, identity id MBR-002247, confidence 1, method probabilistic, matched record PRV-28787, policy version 1
2026-10-19 19:45:41Record linked automaticallyac6047a9de
scoring_agent, CLM-430027, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:45:41Record linked automatically18bf6f179e
scoring_agent, TPA-63252, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:45:41Record linked automatically86af5b0541
scoring_agent, TPA-63251, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:45:41Record linked automatically85a0096371
scoring_agent, TPA-63250, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63251, policy version 1
2026-10-19 19:45:41Record linked automatically3bd9413d4e
scoring_agent, PRV-28787, identity id MBR-002247, confidence 1, method probabilistic, matched record CLM-430026, policy version 1
2026-10-19 19:32:31Record linked automatically79bbcd6964
scoring_agent, ENR-139363, identity id MBR-002247, confidence 1.00, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:32:31Record linked automaticallydd775cb655
scoring_agent, CLM-430026, identity id MBR-002247, confidence 1, method probabilistic, matched record PRV-28787, policy version 1
2026-10-19 19:32:31Record linked automatically92784e8e99
scoring_agent, CLM-430027, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:32:31Record linked automaticallyc13f911445
scoring_agent, TPA-63252, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:32:31Record linked automaticallye8e6c137c2
scoring_agent, TPA-63251, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63250, policy version 1
2026-10-19 19:32:31Record linked automatically2b06e4d0a7
scoring_agent, TPA-63250, identity id MBR-002247, confidence 1, method probabilistic, matched record TPA-63251, policy version 1
2026-10-19 19:32:31Record linked automaticallyf3daaea6be
scoring_agent, PRV-28787, identity id MBR-002247, confidence 1, method probabilistic, matched record CLM-430026, policy version 1
2026-10-19 19:31:28Record linked automaticallye1ceb2c116
matching_agent, PRV-28787, identity id MBR-028543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28788
2026-10-19 19:31:28Record linked automatically588c56f9a4
scoring_agent, TPA-63250, identity id MBR-022862, confidence 1, method probabilistic, matched record PRV-28849, policy version 1
2026-10-19 19:31:28Record linked automaticallycad07af7cc
scoring_agent, CLM-430027, identity id MBR-020450, confidence 1, method probabilistic, matched record ENR-139614, policy version 1
2026-10-19 19:31:28Record linked automatically3480e291a1
matching_agent, CLM-430026, identity id MBR-020450, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139614
2026-10-19 19:31:28Record linked automatically6beb2fb198
scoring_agent, ENR-139363, identity id MBR-017636, confidence 1, method probabilistic, matched record CLM-429804, policy version 1
2026-10-19 19:31:28Record linked automaticallyffee9ccbb5
scoring_agent, TPA-63252, identity id MBR-005760, confidence 1, method probabilistic, matched record PRV-28850, policy version 1
2026-10-19 19:31:28Record linked automatically1bc238a626
scoring_agent, TPA-63251, identity id MBR-002974, confidence 1, method probabilistic, matched record CLM-430202, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-027197	2026-04-05	Riverside Clinical Laboratories in network	80053, 80061, 85025	$175.00	$0.00	Approved	Approved
CLM-2026-006900	2026-04-09	Heritage Physical Therapy in network	97110	$195.00	$80.90	Approved	Approved