Gold, golden identity
Karen N Mitchell
4 source records from 3 feeds.
MBR-003200Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Karen
- Middle nameENR
- N
- Last nameENR
- Mitchell
- Date of birthENR
- 1949-09-02
- GenderENR
- M
- Member IDENR
- UHC-80730-37
- SSNENR
- •••-••-6393
- PhoneENR
- 7896356262
- Email—
- —
- AddressTPA
- 5453 Spring St # 400
- CityENR
- Los Angeles
- StateENR
- CA
- ZIPENR
- 90075
- GroupENR
- GRP-9293
- PlanENR
- CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1TPA ×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-430383 | CLM | 2026-01-11 | Karen Mitchellflagged | 1949-09-02 | — | — | 5453 Spring St, Los Angeles, CA | Scored | 1.00 | — |
| ENR-139872 | ENR | 2026-02-15 | Karen Mitchellflagged | 1949-09-02 | UHC-80730-37 | 7896356262 | 5453 Spring St, Los Angeles, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-430384 | CLM | 2026-05-07 | Karen Mitchellflagged | 1949-09-02 | UHC-80730-37 | 7896356262 | 5453 Spring St, Los Angeles, CA | Scored | 1.00 | — |
| TPA-63405 | TPA | 2026-10-11 | Karen Mitchellflagged | 1949-09-02 | — | — | 5453 Spring St # 400, Los Angeles, CA | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-430383CLMCLM-430384CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430384CLMTPA-63405TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-139872ENRCLM-430384CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430383CLMENR-139872ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-430383CLMTPA-63405TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-139872ENRTPA-63405TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-430383 → UHC-80730-37 (Karen Mitchell)ACT-003005, Claims processor
- Outreach address correctedProposedKaren Mitchell: 5453 Spring St, Los Angeles → 5453 Spring St # 400, Los AngelesACT-010754, Outreach
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically40f270f905scoring_agent, TPA-63405, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:54:38Record linked automatically2efe16d37fscoring_agent, CLM-430384, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430383, policy version 1
- 2026-10-19 19:54:38Record linked automatically9abfa5d9e0matching_agent, ENR-139872, identity id MBR-003200, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430384
- 2026-10-19 19:54:38Record linked automaticallye34cd46d0cscoring_agent, CLM-430383, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:52:08Record linked automaticallycf7ed68bd2scoring_agent, TPA-63405, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:52:08Record linked automatically1c75e5a2f5scoring_agent, CLM-430384, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430383, policy version 1
- 2026-10-19 19:52:08Record linked automatically6d369a2518matching_agent, ENR-139872, identity id MBR-003200, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430384
- 2026-10-19 19:52:08Record linked automaticallyebba03ebcfscoring_agent, CLM-430383, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyc55b6eaaf5scoring_agent, TPA-63405, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:45:41Record linked automatically1b3a18526ascoring_agent, CLM-430384, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430383, policy version 1
- 2026-10-19 19:45:41Record linked automatically93b4f29aa6matching_agent, ENR-139872, identity id MBR-003200, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430384
- 2026-10-19 19:45:41Record linked automaticallyc23f114234scoring_agent, CLM-430383, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyad33d322cbscoring_agent, TPA-63405, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:32:31Record linked automatically9f749e7135scoring_agent, CLM-430384, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430383, policy version 1
- 2026-10-19 19:32:31Record linked automatically035726e530matching_agent, ENR-139872, identity id MBR-003200, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430384
- 2026-10-19 19:32:31Record linked automatically83ff2469fdscoring_agent, CLM-430383, identity id MBR-003200, confidence 1, method probabilistic, matched record CLM-430384, policy version 1
- 2026-10-19 19:31:28Record linked automatically53b767724dscoring_agent, TPA-63405, identity id MBR-013613, confidence 0.99, method probabilistic, matched record ENR-140294, policy version 1
- 2026-10-19 19:31:28Record linked automaticallye713066e98matching_agent, CLM-430383, identity id MBR-004132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430382
- 2026-10-19 19:31:28Record linked automatically3302e3a63dmatching_agent, ENR-139872, identity id MBR-002452, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139871
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-2026-009971 | 2026-05-01 | Unity Cardiovascular Associates in network | 93015, 93458 | $10,025.00 | $3,719.68 | Approved | Approved |
| CLM-2026-006366 | 2025-12-11 | Lakeside Bone and Joint Center in network | 29881 | $9,610.00 | — | Needs review | Needs review |