Identities/MBR-005273
Gold, golden identity

Thomas T Carter

5 source records from 2 feeds.

MBR-005273Verified5 records

Golden record

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

First nameENR
Thomas
Middle nameENR
T
Last nameENR
Carter
Date of birthENR
1984-12-06
GenderENR
F
Member IDENR
UHC-18931-33
SSNENR
•••-••-6827
PhoneENR
6564273432
EmailENR
thomas.carter30@icloud.com
AddressENR
4427 Maple Ave
CityENR
Glendale
StateENR
AZ
ZIPENR
85304
GroupENR
GRP-5519
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.990.99CLMCLM-420427ENRENR-126871CLMCLM-420430CLMCLM-420428CLMCLM-420429IDMBR-005273
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-420427CLM2026-01-17Thomas Carterflagged1984-12-06——4427 Maple Ave, Glendale, AZRule0.97D2 ssn4 + dob + last name
ENR-126871ENR2026-02-26Thomas Carterflagged1984-12-06UHC-18931-3365642734324427 Maple Ave, Glendale, AZRule0.99D1 member id + dob exact
CLM-420430CLM2026-06-29Thomas Carterflagged1984-12-06UHC-18931-336564273432—Rule0.99D1 member id + dob exact
CLM-420428CLM2026-07-01Thomas Carterflagged1984-12-06UHC-18931-336564273432—Rule0.99D1 member id + dob exact
CLM-420429CLM2026-07-01Thomas Carterflagged1984-12-06UHC-18931-336564273432—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-126871ENRCLM-420428CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420430CLMCLM-420428CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126871ENRCLM-420429CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420430CLMCLM-420429CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420428CLMCLM-420429CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126871ENRCLM-420430CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420427 CLMENR-126871ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420427 CLMCLM-420428CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-420427 CLMCLM-420429CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-420427 CLMCLM-420430CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420427 → UHC-18931-33 (Thomas Carter)
    ACT-001684, Claims processor
  • Care coordination outreachProposed
    Thomas Carter: 4 claims, no attributed provider
    ACT-018189, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3784f1c815
    matching_agent, CLM-420429, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:54:38Record linked automatically26d638b0eb
    matching_agent, CLM-420428, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:54:38Record linked automatically31069a182c
    matching_agent, CLM-420430, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:54:38Record linked automaticallyd1e210e4ef
    matching_agent, ENR-126871, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420430
  • 2026-10-19 19:54:38Record linked automaticallybb5b63f853
    matching_agent, CLM-420427, identity id MBR-005273, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126871
  • 2026-10-19 19:52:08Record linked automatically15028b8c40
    matching_agent, CLM-420429, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:52:08Record linked automatically7cb74830ee
    matching_agent, CLM-420428, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:52:08Record linked automatically0c88b1259a
    matching_agent, CLM-420430, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:52:08Record linked automatically01c0af5adf
    matching_agent, ENR-126871, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420430
  • 2026-10-19 19:52:08Record linked automaticallyb1799a2b8f
    matching_agent, CLM-420427, identity id MBR-005273, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126871
  • 2026-10-19 19:45:42Record linked automatically357e6bf9ce
    matching_agent, CLM-420429, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:45:42Record linked automatically82ee6d6c1b
    matching_agent, CLM-420428, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:45:42Record linked automaticallyea79815a17
    matching_agent, CLM-420430, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:45:42Record linked automatically0450170c25
    matching_agent, ENR-126871, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420430
  • 2026-10-19 19:45:42Record linked automaticallyc6f972cbd1
    matching_agent, CLM-420427, identity id MBR-005273, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126871
  • 2026-10-19 19:32:31Record linked automatically72eff64010
    matching_agent, CLM-420429, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:32:31Record linked automatically234f705083
    matching_agent, CLM-420428, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:32:31Record linked automatically30fb73f122
    matching_agent, CLM-420430, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126871
  • 2026-10-19 19:32:31Record linked automatically6a7d281a64
    matching_agent, ENR-126871, identity id MBR-005273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420430
  • 2026-10-19 19:32:31Record linked automatically43696fa8ed
    matching_agent, CLM-420427, identity id MBR-005273, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-126871
  • 2026-10-19 19:31:28Record linked automaticallyfd536546c5
    scoring_agent, CLM-420430, identity id MBR-003348, confidence 1, method probabilistic, matched record TPA-58913, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyabf3c65022
    scoring_agent, CLM-420429, identity id MBR-001804, confidence 1, method probabilistic, matched record TPA-58912, policy version 1
  • 2026-10-19 19:31:28Record linked automatically139d1ed5ac
    matching_agent, CLM-420428, identity id MBR-001804, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420427
  • 2026-10-19 19:31:28Record linked automatically93646ea350
    matching_agent, CLM-420427, identity id MBR-001804, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126807

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0071982026-06-16Northgate Cardiovascular Associates
in network
93306, 93458$9,303.00—Needs reviewNeeds review
CLM-2026-0059482026-06-18Sunrise Community Hospital
out of network
71046, 99283, 99284$2,660.00$1,089.90ApprovedApproved
CLM-2026-0155092026-06-03Northgate Internal Medicine Associates
in network
99214$303.00$162.86ApprovedApproved
CLM-2026-0014112025-12-18Sunrise Imaging Center
in network
70553, 77067$2,098.00$961.34ApprovedApproved