Identities/MBR-002592
Gold, golden identity

Karen Fowler

5 source records from 2 feeds.

MBR-002592Verified5 records

Golden record

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

First nameCLM
Karen
Middle name—
—
Last nameCLM
Fowler
Date of birthCLM
1990-05-23
GenderCLM
F
Member IDCLM
UHC-09454-42
SSNCLM
•••-••-7205
PhoneCLM
4298398474
EmailCLM
karen.fowler@aol.com
AddressCLM
1888 Forest Ave
CityCLM
Tampa
StateCLM
FL
ZIPCLM
33646
GroupCLM
GRP-8864
PlanCLM
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.000.99CLMCLM-427416CLMCLM-427417CLMCLM-427415CLMCLM-427418TPATPA-62111IDMBR-002592
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-427416CLM2026-01-09Karen Fowlerflagged——4298398474—Scored1.00—
CLM-427417CLM2026-02-12Karen Fowlerflagged1990-05-23—42983984741888 Forest Ave, Tampa, FLScored1.00—
CLM-427415CLM2026-03-08Karen Fowlerflagged1990-05-23UHC-09454-4242983984741888 Forest Ave, Tampa, FLScored1.00—
CLM-427418CLM2026-04-29Karen Fowlerflagged1990-05-23—42983984741888 Forest Ave, Tampa, FLScored1.00—
TPA-62111TPA2026-09-27Karen Folerflagged1990-05-23——1888 Forest Ave, Tampa, FLScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427416CLMCLM-427415CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427417CLMCLM-427415CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427417CLMCLM-427418CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427415CLMCLM-427418CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427417CLMTPA-62111TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427415CLMTPA-62111TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427418CLMTPA-62111TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427416CLMCLM-427417CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-427416CLMCLM-427418CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-427416CLMTPA-62111TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Karen Fowler: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000130, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-427416 → UHC-09454-42 (Karen Fowler)
    ACT-005823, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-427418 → UHC-09454-42 (Karen Fowler)
    ACT-006379, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-427417 → UHC-09454-42 (Karen Fowler)
    ACT-009837, Claims processor
  • Care coordination outreachProposed
    Karen Fowler: 4 claims, no attributed provider
    ACT-017968, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically82f8ba9284
    scoring_agent, TPA-62111, identity id MBR-002592, confidence 0.99, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd1fac5f520
    scoring_agent, CLM-427418, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydfb9b57f3f
    scoring_agent, CLM-427415, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427416, policy version 1
  • 2026-10-19 19:54:38Record linked automatically767e9f4c99
    scoring_agent, CLM-427417, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:54:38Record linked automatically072e71e940
    scoring_agent, CLM-427416, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6e3f47107f
    scoring_agent, TPA-62111, identity id MBR-002592, confidence 0.99, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:52:08Record linked automatically74f3916148
    scoring_agent, CLM-427418, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4e2006f2af
    scoring_agent, CLM-427415, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427416, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyeaec1b10b9
    scoring_agent, CLM-427417, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:52:08Record linked automatically618303a5ff
    scoring_agent, CLM-427416, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:45:41Record linked automatically0a5fc0b85b
    scoring_agent, TPA-62111, identity id MBR-002592, confidence 0.99, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyb775a999ab
    scoring_agent, CLM-427418, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfca2e85a08
    scoring_agent, CLM-427415, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427416, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyab29d0a5d3
    scoring_agent, CLM-427417, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9b9d19df75
    scoring_agent, CLM-427416, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4537f7011d
    scoring_agent, TPA-62111, identity id MBR-002592, confidence 0.99, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaf1904ccfd
    scoring_agent, CLM-427418, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427417, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5fe87b5bc9
    scoring_agent, CLM-427415, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427416, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc6cc44552a
    scoring_agent, CLM-427417, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:32:31Record linked automatically03ae72c30a
    scoring_agent, CLM-427416, identity id MBR-002592, confidence 1, method probabilistic, matched record CLM-427415, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd0ef84c75e
    scoring_agent, TPA-62111, identity id MBR-010888, confidence 0.98, method probabilistic, matched record ENR-136464, policy version 1
  • 2026-10-19 19:31:28Record linked automatically506f86f862
    scoring_agent, CLM-427415, identity id MBR-010242, confidence 1.00, method probabilistic, matched record TPA-62057, policy version 1
  • 2026-10-19 19:31:28Record linked automatically204c355567
    scoring_agent, CLM-427416, identity id MBR-010242, confidence 1.00, method probabilistic, matched record TPA-62057, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd7b1161f38
    scoring_agent, CLM-427418, identity id MBR-000068, confidence 0.93, method probabilistic, matched record TPA-62059, policy version 1
  • 2026-10-19 19:31:28Record linked automatically91e6d26ce8
    scoring_agent, CLM-427417, identity id MBR-000068, confidence 1, method probabilistic, matched record TPA-62059, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0189902026-03-22Mesa Reference Lab
in network
83036$67.00$0.00ApprovedApproved
CLM-2026-0081752026-02-17Cornerstone Regional Medical Center
in network
96374, 99285$3,366.00$1,714.35ApprovedApproved
CLM-2026-0323492026-01-09Sunrise Imaging Center
in network
71046$173.00$0.00ApprovedApproved
CLM-2026-0169172025-12-09Riverside Community Hospital
in network
99284, 99285, 99283$4,714.00$2,442.70ApprovedApproved