Identities/MBR-005853
Gold, golden identity

Carolyn S Ward

6 source records from 3 feeds.

MBR-005853Verified6 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
S
Last nameENR
Ward
Date of birthENR
2004-03-16
GenderENR
F
Member IDENR
UHC-59025-32
SSNENR
•••-••-5069
PhoneENR
5162297629
EmailENR
carolyn.ward6@outlook.com
AddressENR
9472 Desert Sky Blvd
CityENR
Chandler
StateENR
AZ
ZIP—
—
GroupENR
GRP-0864
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×4TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.001.000.99CLMCLM-402983TPATPA-51287CLMCLM-402987CLMCLM-402984CLMCLM-402985ENRENR-103864IDMBR-005853
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-402983CLM2026-01-19Carolyn Wardflagged2004-03-16UHC-59025-32—9472 Desert Sky Blvd, Chandler, AZScored1.00—
TPA-51287TPA2026-02-09Carolyn Wardflagged2004-03-16UHC-59025-3251622976299472 Desert Sky Blvd, Chandler, AZScored1.00—
CLM-402987CLM2026-05-19Carolyn Wardflagged2004-03-16—51622976299472 Desert Sky Blvd, Chandler, AZScored1.00—
CLM-402984CLM2026-06-10Carolyn Wardflagged2004-03-16UHC-59025-32—9472 Desert Sky Blvd, Chandler, AZScored1.00—
CLM-402985CLM2026-06-10Carolyn Wardflagged2004-03-16UHC-59025-32—9472 Desert Sky Blvd, Chandler, AZScored1.00—
ENR-103864ENR2026-10-07Carolyn Wardflagged2004-03-16UHC-59025-3251622976299472 Desert Sky Blvd, Chandler, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402987CLMCLM-402984CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402987CLMCLM-402985CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402983CLMCLM-402987CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51287TPACLM-402987CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402983CLMCLM-402984CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51287TPACLM-402984CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402983CLMCLM-402985CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51287TPACLM-402985CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402984CLMCLM-402985CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402983CLMENR-103864ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51287TPAENR-103864ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402984CLMENR-103864ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402985CLMENR-103864ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402983CLMTPA-51287TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402987CLMENR-103864ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402987 → UHC-59025-32 (Carolyn Ward)
    ACT-009465, Claims processor
  • Care coordination outreachProposed
    Carolyn Ward: 4 claims, no attributed provider
    ACT-018237, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically69023d9824
    matching_agent, ENR-103864, identity id MBR-005853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402983
  • 2026-10-22 12:43:53Record linked automatically2f61251e5f
    scoring_agent, CLM-402985, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallye479d93593
    scoring_agent, CLM-402984, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyf97eca51c4
    scoring_agent, CLM-402987, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402983, policy version 1
  • 2026-10-22 12:43:53Record linked automatically8e16d7f7e7
    scoring_agent, TPA-51287, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-22 12:43:53Record linked automatically6698c44ed3
    scoring_agent, CLM-402983, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1a531b4de0
    matching_agent, ENR-103864, identity id MBR-005853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402983
  • 2026-10-19 19:54:38Record linked automatically844624ae96
    scoring_agent, CLM-402985, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb89ab84c04
    scoring_agent, CLM-402984, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycd991614a0
    scoring_agent, CLM-402987, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402983, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycf47a7666b
    scoring_agent, TPA-51287, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2da2566b7b
    scoring_agent, CLM-402983, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5608d3c165
    matching_agent, ENR-103864, identity id MBR-005853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402983
  • 2026-10-19 19:52:08Record linked automaticallye786ac01c0
    scoring_agent, CLM-402985, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:52:08Record linked automatically17530c1982
    scoring_agent, CLM-402984, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:52:08Record linked automatically528d552b55
    scoring_agent, CLM-402987, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402983, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7cd139f57c
    scoring_agent, TPA-51287, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:52:08Record linked automatically91679fbad0
    scoring_agent, CLM-402983, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyca4f6fd7d4
    matching_agent, ENR-103864, identity id MBR-005853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402983
  • 2026-10-19 19:45:42Record linked automatically22e8d9f955
    scoring_agent, CLM-402985, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5999f33efe
    scoring_agent, CLM-402984, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7a2efbc2d3
    scoring_agent, CLM-402987, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402983, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfef7657168
    scoring_agent, TPA-51287, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5ac34b1c29
    scoring_agent, CLM-402983, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:32:31Record linked automatically700cdc089f
    matching_agent, ENR-103864, identity id MBR-005853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402983
  • 2026-10-19 19:32:31Record linked automatically2b02157736
    scoring_agent, CLM-402985, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:32:31Record linked automatically205c7441ac
    scoring_agent, CLM-402984, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfd975c18b4
    scoring_agent, CLM-402987, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402983, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8d55ef2bce
    scoring_agent, TPA-51287, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6c632d6182
    scoring_agent, CLM-402983, identity id MBR-005853, confidence 1, method probabilistic, matched record CLM-402987, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0ed60a7b91
    matching_agent, CLM-402985, identity id MBR-028741, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402986
  • 2026-10-19 19:31:28Record linked automaticallyf163669087
    scoring_agent, CLM-402984, identity id MBR-026076, confidence 1, method probabilistic, matched record TPA-51365, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5c2a5c7f96
    matching_agent, ENR-103864, identity id MBR-023416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402941
  • 2026-10-19 19:31:28Record linked automaticallyf9c6aa3165
    matching_agent, CLM-402987, identity id MBR-013723, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402988
  • 2026-10-19 19:31:28Record linked automaticallyd163abb718
    scoring_agent, TPA-51287, identity id MBR-005085, confidence 1, method probabilistic, matched record CLM-402804, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0300402026-05-03Pinecrest GI Associates
in network
45378$2,158.00$0.00ApprovedApproved
CLM-2026-0207652026-05-28Northgate Internal Medicine Associates
in network
99214$274.00$144.88ApprovedApproved
CLM-2026-0310062026-04-26Unity Primary Care Associates
in network
36415, 99213$212.00—Needs reviewNeeds review
CLM-2026-0109962026-01-11Desert Cardiovascular Associates
in network
93015$542.00$0.00ApprovedApproved