Identities/MBR-004128

Gold, golden identity

Carol Peterson

5 source records from 3 feeds.

MBR-004128Verified5 records

Golden record

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

First nameENR: Carol
Middle name—: —
Last nameENR: Peterson
Date of birthENR: 1988-03-27
GenderENR: M
Member IDENR: UHC-20697-04
SSNENR: •••-••-1423
PhoneENR: 9047784461
EmailENR: carol.peterson@icloud.com
AddressENR: 7116 Central Ave
CityENR: Columbus
StateENR: OH
ZIPENR: 43230
GroupENR: GRP-9111
PlanENR: MEDICARE-ADV-A

Min confidence

0.97

Sources

ENR ×1CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
ENR-132017	ENR	2026-01-13	Carol Petersonflagged	1988-03-27	UHC-20697-04	9047784461	7116 Central Ave, Columbus, OH	Scored	1.00	—
CLM-424496	CLM	2026-04-27	Carol Petersonflagged	1988-03-27	UHC-20697-04	9047784461	7116 Central Ave, Columbus, OH	Scored	1.00	—
CLM-424497	CLM	2026-05-04	Carol Petersonflagged	1988-03-27	—	—	7116 Central Ave, Columbus, OH	Scored	1.00	—
CLM-424495	CLM	2026-08-05	Carol Petersonflagged	1988-03-27	—	—	7116 Central Ave, Columbus, OH	Rule	0.97	D2 ssn4 + dob + last name
TPA-60797	TPA	2026-08-07	Carol Petersonflagged	1988-03-27	—	—	7116 Central Ave, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-132017ENRCLM-424497 CLM1.00Scoredweighted 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

▶CLM-424496CLMCLM-424497 CLM1.00Scoredweighted 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

▶ENR-132017ENRTPA-60797TPA1.00Scoredweighted 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

▶CLM-424496CLMTPA-60797TPA1.00Scoredweighted 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

▶CLM-424497 CLMTPA-60797TPA1.00Scoredweighted 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

▶ENR-132017ENRCLM-424496CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-132017ENRCLM-424495CLM0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424496CLMCLM-424495CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424497 CLMCLM-424495CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424495CLMTPA-60797TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-424495 → UHC-20697-04 (Carol Peterson)
ACT-007206, Claims processor
Orphan claim re-pointedExecuted
CLM-424497 → UHC-20697-04 (Carol Peterson)
ACT-009377, Claims processor
Care coordination outreachProposed
Carol Peterson: 3 claims, no attributed provider
ACT-018100, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically897c2d006d
scoring_agent, TPA-60797, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-22 12:43:53Record linked automatically2fc8804e97
matching_agent, CLM-424495, identity id MBR-004128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132017
2026-10-22 12:43:53Record linked automaticallyd554ec7177
scoring_agent, CLM-424497, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-22 12:43:53Record linked automatically4bf983af5a
scoring_agent, CLM-424496, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-22 12:43:53Record linked automatically591b8b02ca
scoring_agent, ENR-132017, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:54:38Record linked automaticallyc30cbfd4ce
scoring_agent, TPA-60797, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:54:38Record linked automatically453c8f408f
matching_agent, CLM-424495, identity id MBR-004128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132017
2026-10-19 19:54:38Record linked automaticallybae259a8c9
scoring_agent, CLM-424497, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:54:38Record linked automatically7e3820b072
scoring_agent, CLM-424496, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:54:38Record linked automaticallyec38b9413d
scoring_agent, ENR-132017, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:52:08Record linked automatically2c3da442ae
scoring_agent, TPA-60797, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:52:08Record linked automaticallycd3bc152de
matching_agent, CLM-424495, identity id MBR-004128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132017
2026-10-19 19:52:08Record linked automaticallyff1b7ed3c7
scoring_agent, CLM-424497, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:52:08Record linked automaticallydcb4a14572
scoring_agent, CLM-424496, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:52:08Record linked automaticallyf39a174dac
scoring_agent, ENR-132017, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:45:42Record linked automaticallyb9e962493a
scoring_agent, TPA-60797, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:45:42Record linked automatically98f8bdc92d
matching_agent, CLM-424495, identity id MBR-004128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132017
2026-10-19 19:45:42Record linked automatically79c22ec076
scoring_agent, CLM-424497, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:45:42Record linked automaticallyd9fff7790f
scoring_agent, CLM-424496, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:45:42Record linked automatically1482e9d273
scoring_agent, ENR-132017, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:32:31Record linked automaticallycaa55ed19d
scoring_agent, TPA-60797, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:32:31Record linked automaticallye5597100f5
matching_agent, CLM-424495, identity id MBR-004128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132017
2026-10-19 19:32:31Record linked automatically0077a22ae1
scoring_agent, CLM-424497, identity id MBR-004128, confidence 1, method probabilistic, matched record ENR-132017, policy version 1
2026-10-19 19:32:31Record linked automaticallyd7da0b5f58
scoring_agent, CLM-424496, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:32:31Record linked automatically281424cd96
scoring_agent, ENR-132017, identity id MBR-004128, confidence 1, method probabilistic, matched record CLM-424497, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa29e71b41
matching_agent, CLM-424496, identity id MBR-038295, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132248
2026-10-19 19:31:28Record linked automatically61a1815576
matching_agent, ENR-132017, identity id MBR-015791, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424327
2026-10-19 19:31:28Record linked automatically7ac0f86b65
scoring_agent, TPA-60797, identity id MBR-013582, confidence 1, method probabilistic, matched record ENR-132312, policy version 1
2026-10-19 19:31:28Record linked automaticallyf53993832d
matching_agent, CLM-424497, identity id MBR-013425, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132252
2026-10-19 19:31:28Record linked automaticallyc49f0037e5
matching_agent, CLM-424495, identity id MBR-006545, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132247

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-2026-022162	2026-07-29	Heritage Medical Group in network	99214	$208.00	$98.96	Approved	Approved
CLM-2026-030653	2026-04-07	Northgate Cardiovascular Associates in network	99214	$266.00	$89.92	Approved	Approved
CLM-2026-009244	2026-03-25	Lakeside Physical Therapy in network	97110, 97014	$241.00	$119.42	Approved	Approved