Identities/MBR-004876

Gold, golden identity

Carolyn C Price

5 source records from 3 feeds.

MBR-004876Verified5 records

Golden record

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

First nameENR: Carolyn
Middle nameENR: C
Last nameENR: Price
Date of birthENR: 2005-12-07
GenderENR: M
Member IDENR: UHC-98537-14
SSNENR: •••-••-1869
PhoneENR: 6302991698
EmailENR: carolyn.price@outlook.com
AddressENR: 8651 Ridge Rd
CityENR: Atlanta
StateENR: GA
ZIPENR: 30391
GroupENR: GRP-0374
PlanENR: CORE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×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-410486	CLM	2026-01-16	Carrolyn Priceflagged	2005-12-07	—	6302991698	8651 Ridge Rd, Atlanta, GA	Scored	1.00	—
ENR-113763	ENR	2026-03-19	Carolyn Priceflagged	2005-12-07	UHC-98537-14	6302991698	8651 Ridge Rd, Atlanta, GA	Scored	1.00	—
CLM-410485	CLM	2026-03-23	Carolyn Priceflagged	2005-12-07	UHC-98537-14	6302991698	—	Scored	1.00	—
TPA-54596	TPA	2026-04-15	Carolyn Priceflagged	2005-12-07	—	—	8651 Ridge Rd, Atlanta, GA	Scored	1.00	—
CLM-410484	CLM	2026-04-28	Carolyn Priceflagged	2005-12-07	—	6302991698	8651 Ridge Rd, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-113763ENRCLM-410484 CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410485CLMCLM-410484 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54596TPACLM-410484 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-113763ENRTPA-54596TPA1.00Scoredweighted 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-410486CLMCLM-410484 CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410486CLMTPA-54596TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113763ENRCLM-410485CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-410486CLMCLM-410485CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410486CLMENR-113763ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	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

▶CLM-410485CLMTPA-54596TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410486 → UHC-98537-14 (Carolyn Price)
ACT-001538, Claims processor
Orphan claim re-pointedExecuted
CLM-410484 → UHC-98537-14 (Carolyn Price)
ACT-002541, Claims processor
Care coordination outreachProposed
Carolyn Price: 3 claims, no attributed provider
ACT-018153, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4e989b0cc6
scoring_agent, CLM-410484, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:54:38Record linked automatically86276b2653
scoring_agent, TPA-54596, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:54:38Record linked automatically4cad1321b8
scoring_agent, CLM-410485, identity id MBR-004876, confidence 1, method probabilistic, matched record CLM-410484, policy version 1
2026-10-19 19:54:38Record linked automatically1e01f2efcf
scoring_agent, ENR-113763, identity id MBR-004876, confidence 1, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:54:38Record linked automatically24d5afb6e0
scoring_agent, CLM-410486, identity id MBR-004876, confidence 1.00, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:52:08Record linked automatically74b395b17b
scoring_agent, CLM-410484, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:52:08Record linked automatically4456f67b85
scoring_agent, TPA-54596, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:52:08Record linked automaticallyed68304406
scoring_agent, CLM-410485, identity id MBR-004876, confidence 1, method probabilistic, matched record CLM-410484, policy version 1
2026-10-19 19:52:08Record linked automatically8f6c3f4f8f
scoring_agent, ENR-113763, identity id MBR-004876, confidence 1, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:52:08Record linked automatically0498161d73
scoring_agent, CLM-410486, identity id MBR-004876, confidence 1.00, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:45:42Record linked automatically33f2c5c775
scoring_agent, CLM-410484, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2c5376d2a
scoring_agent, TPA-54596, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:45:42Record linked automatically6c6764a172
scoring_agent, CLM-410485, identity id MBR-004876, confidence 1, method probabilistic, matched record CLM-410484, policy version 1
2026-10-19 19:45:42Record linked automatically71296ee698
scoring_agent, ENR-113763, identity id MBR-004876, confidence 1, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:45:42Record linked automaticallyb4d80196f4
scoring_agent, CLM-410486, identity id MBR-004876, confidence 1.00, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:32:31Record linked automatically79ab2f7784
scoring_agent, CLM-410484, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:32:31Record linked automatically29569dc06d
scoring_agent, TPA-54596, identity id MBR-004876, confidence 1, method probabilistic, matched record ENR-113763, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5d004d99a
scoring_agent, CLM-410485, identity id MBR-004876, confidence 1, method probabilistic, matched record CLM-410484, policy version 1
2026-10-19 19:32:31Record linked automaticallya4dfd1d078
scoring_agent, ENR-113763, identity id MBR-004876, confidence 1, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:32:31Record linked automatically441e2c3a1e
scoring_agent, CLM-410486, identity id MBR-004876, confidence 1.00, method probabilistic, matched record TPA-54596, policy version 1
2026-10-19 19:31:28Record linked automatically3fb91eee3c
scoring_agent, CLM-410485, identity id MBR-017153, confidence 1, method probabilistic, matched record ENR-113852, policy version 1
2026-10-19 19:31:28Record linked automatically7c5f01289e
scoring_agent, TPA-54596, identity id MBR-007696, confidence 1, method probabilistic, matched record ENR-113633, policy version 1
2026-10-19 19:31:28Record linked automatically1a2ca91f6f
matching_agent, CLM-410484, identity id MBR-001509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113851

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-2026-004554	2026-03-31	Sunrise Dermatology Clinic in network	17110, 11403	$737.00	$406.94	Approved	Approved
CLM-2026-012331	2026-02-18	Lakeside Bone and Joint Center in network	20610	$184.00	$64.08	Approved	Approved
CLM-2026-000845	2025-12-18	Riverside Medical Group in network	99395, 36415	$266.00	$144.92	Approved	Approved