Gold, golden identity
Joyce Carter
3 source records from 2 feeds.
MBR-002258Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Joyce
- Middle name—
- —
- Last nameENR
- Carter
- Date of birthENR
- 2006-11-01
- GenderENR
- F
- Member IDENR
- UHC-28186-60
- SSNENR
- •••-••-6795
- PhoneENR
- 2254646045
- EmailENR
- joyce.carter1@gmail.com
- AddressCLM
- 8256 Broadway # 994
- CityENR
- Houston
- StateENR
- TX
- ZIPCLM
- 77067
- GroupENR
- GRP-6007
- PlanENR
- MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-420764 | CLM | 2026-01-08 | Joyce Carterflagged | 2006-11-01 | UHC-28186-60 | — | 8256 Broadway # 309, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| ENR-127305 | ENR | 2026-01-20 | Joyce Carterflagged | 2006-11-01 | UHC-28186-60 | 2254646045 | 8256 Broadway, Houston, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-420765 | CLM | 2026-02-15 | Joyce Carterflagged | 2006-11-01 | — | — | 8256 Broadway # 994, Houston, TX | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-420764CLM ENR-127305ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-420764CLM CLM-420765CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-127305ENRCLM-420765CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedJoyce Carter: 2 plan codes across sources → canonical MEDICARE-ADV-BACT-000114, Eligibility engine
- Orphan claim re-pointedExecutedCLM-420765 → UHC-28186-60 (Joyce Carter)ACT-009637, Claims processor
- Outreach address correctedProposedJoyce Carter: 8256 Broadway, Houston → 8256 Broadway # 994, HoustonACT-010677, Outreach
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically7f7dfdb5cbmatching_agent, CLM-420765, identity id MBR-002258, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420764
- 2026-10-19 19:54:38Record linked automatically8416e98d8bmatching_agent, ENR-127305, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420764
- 2026-10-19 19:54:38Record linked automatically7cdec44cbbmatching_agent, CLM-420764, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127305
- 2026-10-19 19:52:08Record linked automatically16e2e68fbbmatching_agent, CLM-420765, identity id MBR-002258, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420764
- 2026-10-19 19:52:08Record linked automaticallyd9e920bf67matching_agent, ENR-127305, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420764
- 2026-10-19 19:52:08Record linked automatically7558fa9b62matching_agent, CLM-420764, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127305
- 2026-10-19 19:45:41Record linked automatically192fd09197matching_agent, CLM-420765, identity id MBR-002258, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420764
- 2026-10-19 19:45:41Record linked automatically6c0705b4f9matching_agent, ENR-127305, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420764
- 2026-10-19 19:45:41Record linked automatically920c5a7646matching_agent, CLM-420764, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127305
- 2026-10-19 19:32:31Record linked automaticallyae7540bac6matching_agent, CLM-420765, identity id MBR-002258, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-420764
- 2026-10-19 19:32:31Record linked automatically8bbcae5722matching_agent, ENR-127305, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420764
- 2026-10-19 19:32:31Record linked automatically1b22d02bd4matching_agent, CLM-420764, identity id MBR-002258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127305
- 2026-10-19 19:31:28Record linked automatically5dc12bcff3scoring_agent, ENR-127305, identity id MBR-033526, confidence 1, method probabilistic, matched record PRV-26096, policy version 1
- 2026-10-19 19:31:28Record linked automatically49b9530c3amatching_agent, CLM-420765, identity id MBR-005497, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127277
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-2026-031585 | 2026-01-28 | Evergreen Family Practice in network | 36415, 90471, 99213 | $273.00 | $153.76 | Approved | Approved |
| CLM-2026-030098 | 2025-11-29 | Evergreen Medical Group in network | 70553 | $2,667.00 | — | Needs review | Needs review |