Identities/MBR-003864

Gold, golden identity

Maria H Carter

6 source records from 2 feeds.

MBR-003864Verified6 records

Golden record

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

First nameENR: Maria
Middle nameENR: H
Last nameENR: Carter
Date of birthENR: 1941-07-21
GenderENR: F
Member IDENR: UHC-99707-79
SSNENR: •••-••-8008
PhoneENR: 9365847459
EmailENR: maria.carter96@yahoo.com
AddressENR: 4284 Pine Dr
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85297
GroupENR: GRP-3483
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×5ENR ×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-420279	CLM	2026-01-13	Maria Certerflagged	1941-07-21	UHC-99707-79	—	4284 Pine Dr, Gilbert, AZ	Rule	0.99	D1 member id + dob exact
CLM-420280	CLM	2026-05-10	Mria Carterflagged	1941-07-21	UHC-99707-79	9365847459	—	Rule	0.99	D1 member id + dob exact
CLM-420281	CLM	2026-05-11	Maria Carterflagged	1941-07-21	—	9365847459	4284 Pine Dr, Gilbert, AZ	Scored	0.99	—
CLM-420277	CLM	2026-05-28	Maria Carterflagged	1941-07-21	UHC-99707-79	—	4284 Pine Dr, Gilbert, AZ	Rule	0.99	D1 member id + dob exact
CLM-420278	CLM	2026-05-28	Maria Carterflagged	1941-07-21	UHC-99707-79	—	4284 Pine Dr, Gilbert, AZ	Rule	0.99	D1 member id + dob exact
ENR-126654	ENR	2026-09-04	Maria Carterflagged	1941-07-21	UHC-99707-79	9365847459	4284 Pine Dr, Gilbert, AZ	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-420279CLMCLM-420277CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420280 CLMCLM-420277CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420279CLMCLM-420278CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420280 CLMCLM-420278CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420277CLM CLM-420278CLM 0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420279CLMCLM-420280 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.92	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420280 CLMCLM-420281CLM 0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420279CLMENR-126654ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420280 CLMENR-126654ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420277CLM ENR-126654ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420278CLM ENR-126654ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420281CLM CLM-420277CLM 0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420281CLM CLM-420278CLM 0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420279CLMCLM-420281CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420281CLM ENR-126654ENR0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420281 → UHC-99707-79 (Maria Carter)
ACT-009774, Claims processor
Care coordination outreachProposed
Maria Carter: 5 claims, no attributed provider
ACT-018067, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically67452f16f4
matching_agent, ENR-126654, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:54:38Record linked automatically64cac3ac7a
matching_agent, CLM-420278, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:54:38Record linked automatically047e1cbac8
matching_agent, CLM-420277, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:54:38Record linked automaticallyf7f0fe440f
scoring_agent, CLM-420281, identity id MBR-003864, confidence 0.99, method probabilistic, matched record CLM-420280, policy version 1
2026-10-19 19:54:38Record linked automatically8cebe22a1f
matching_agent, CLM-420280, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:54:38Record linked automaticallyab47ef6025
matching_agent, CLM-420279, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420280
2026-10-19 19:52:08Record linked automatically5f049c01b3
matching_agent, ENR-126654, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:52:08Record linked automatically2d6645c0e1
matching_agent, CLM-420278, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:52:08Record linked automaticallyd34354f125
matching_agent, CLM-420277, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:52:08Record linked automaticallyb4a9a6c22f
scoring_agent, CLM-420281, identity id MBR-003864, confidence 0.99, method probabilistic, matched record CLM-420280, policy version 1
2026-10-19 19:52:08Record linked automatically1474cee378
matching_agent, CLM-420280, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:52:08Record linked automatically239aa9ce64
matching_agent, CLM-420279, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420280
2026-10-19 19:45:42Record linked automatically94fae78711
matching_agent, ENR-126654, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:45:42Record linked automatically794dc46334
matching_agent, CLM-420278, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:45:42Record linked automatically5abd061ec5
matching_agent, CLM-420277, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:45:42Record linked automaticallya124135b6a
scoring_agent, CLM-420281, identity id MBR-003864, confidence 0.99, method probabilistic, matched record CLM-420280, policy version 1
2026-10-19 19:45:42Record linked automatically4767583812
matching_agent, CLM-420280, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:45:42Record linked automatically0317de3a80
matching_agent, CLM-420279, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420280
2026-10-19 19:32:31Record linked automatically9eada25ef9
matching_agent, ENR-126654, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:32:31Record linked automatically2fedb19593
matching_agent, CLM-420278, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:32:31Record linked automatically10f4c530f9
matching_agent, CLM-420277, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:32:31Record linked automatically552da7c5df
scoring_agent, CLM-420281, identity id MBR-003864, confidence 0.99, method probabilistic, matched record CLM-420280, policy version 1
2026-10-19 19:32:31Record linked automaticallyf7c9574cd6
matching_agent, CLM-420280, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420279
2026-10-19 19:32:31Record linked automatically59709f39c8
matching_agent, CLM-420279, identity id MBR-003864, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420280
2026-10-19 19:31:28Record linked automaticallye07e083fde
matching_agent, CLM-420279, identity id MBR-021885, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126604
2026-10-19 19:31:28Record linked automaticallyb5f43b91e8
matching_agent, CLM-420278, identity id MBR-018910, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126603
2026-10-19 19:31:28Record linked automatically8be3d42091
matching_agent, CLM-420280, identity id MBR-006590, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126606
2026-10-19 19:31:28Record linked automatically22a9464006
scoring_agent, CLM-420277, identity id MBR-003553, confidence 1.00, method probabilistic, matched record CLM-420276, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033618	2026-05-15	Mesa Internal Medicine Associates out of network	70553	$2,792.00	—	Needs review	Needs review
CLM-2026-027652	2026-04-30	Valley Medical Group in network	36415, 99203	$212.00	$116.56	Approved	Approved
CLM-2026-032080	2026-04-16	Desert Diagnostic Imaging in network	71046	$179.00	$0.00	Approved	Approved
CLM-2026-006492	2026-04-10	Canyon Internal Medicine Associates in network	93000	$86.00	$13.32	Approved	Approved
CLM-2026-001392	2025-12-24	Harbor Diabetes Center in network	95251, 99214	$349.00	$156.38	Approved	Approved