Identities/MBR-006525

Gold, golden identity

Jack N Carter

6 source records from 4 feeds.

MBR-006525Verified6 records

Golden record

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

First nameENR: Jack
Middle nameENR: N
Last nameENR: Carter
Date of birthENR: 1997-04-23
GenderENR: F
Member IDENR: UHC-51126-87
SSNENR: •••-••-7654
PhonePRV: 6939400690
EmailENR: jack.carter3@gmail.com
AddressENR: 9198 Mountain View Dr
CityENR: Tucson
StateENR: AZ
ZIPENR: 85754
GroupENR: GRP-7654
PlanENR: CORE-HMO

Min confidence

0.93

Sources

TPA ×2CLM ×2ENR ×1PRV ×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
TPA-55100	TPA	2026-01-22	Jack Carterflagged	1997-04-23	—	6939400690	9198 Mountain View Dr Apt 21, Tucson, AZ	Scored	1.00	—
CLM-411544	CLM	2026-02-14	Jack Carterflagged	1997-04-23	UHC-51126-87	—	9198 Mountain View Dr, Tucson, AZ	Scored	1.00	—
CLM-411543	CLM	2026-02-25	Jack Carterflagged	1997-04-23	—	—	9198 Mountain View Dr, Tucson, AZ	Scored	0.93	—
TPA-55101	TPA	2026-07-19	Jack Carterflagged	1997-04-23	—	6939400690	—	Scored	0.99	—
ENR-115188	ENR	2026-08-11	Jack Carterflagged	1997-04-23	UHC-51126-87	—	9198 Mountain View Dr, Tucson, AZ	Rule	0.99	D1 member id + dob exact
PRV-23329	PRV	2026-10-14	Jack Craterflagged	1997-04-23	—	6939400690	9198 Mountain View Dr, Tucson, AZ	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-55100TPACLM-411544CLM1.00Scoredweighted 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

▶TPA-55100TPAPRV-23329PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411544CLMENR-115188ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-411544CLMPRV-23329PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-115188ENRPRV-23329PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55101TPAPRV-23329PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55100TPAENR-115188ENR0.97RuleD2 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

▶TPA-55101TPAENR-115188ENR0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55100TPATPA-55101TPA0.97RuleD2 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-55100TPACLM-411543CLM0.93Scoredweighted 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-411544CLMCLM-411543CLM0.93Scoredweighted 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-411543CLMENR-115188ENR0.93Scoredweighted 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-411543CLMPRV-23329PRV0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411544CLMTPA-55101TPA0.83Scoredweighted 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

▶CLM-411543CLMTPA-55101TPA0.83Scoredweighted 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-411543 → UHC-51126-87 (Jack Carter)
ACT-009154, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya77009a879
scoring_agent, PRV-23329, identity id MBR-006525, confidence 0.99, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:54:38Record linked automaticallyd9935b76a5
matching_agent, ENR-115188, identity id MBR-006525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411544
2026-10-19 19:54:38Record linked automaticallye96e328f01
scoring_agent, TPA-55101, identity id MBR-006525, confidence 0.99, method probabilistic, matched record PRV-23329, policy version 1
2026-10-19 19:54:38Record linked automatically1db90bcd43
scoring_agent, CLM-411543, identity id MBR-006525, confidence 0.93, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:54:38Record linked automatically69b2c72e90
scoring_agent, CLM-411544, identity id MBR-006525, confidence 1, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:54:38Record linked automatically6ee1a12be9
scoring_agent, TPA-55100, identity id MBR-006525, confidence 1, method probabilistic, matched record CLM-411544, policy version 1
2026-10-19 19:52:09Record linked automatically29f8be1137
scoring_agent, PRV-23329, identity id MBR-006525, confidence 0.99, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:52:09Record linked automaticallyc447efe8bb
matching_agent, ENR-115188, identity id MBR-006525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411544
2026-10-19 19:52:09Record linked automatically9999b6d521
scoring_agent, TPA-55101, identity id MBR-006525, confidence 0.99, method probabilistic, matched record PRV-23329, policy version 1
2026-10-19 19:52:09Record linked automaticallyd86b047619
scoring_agent, CLM-411543, identity id MBR-006525, confidence 0.93, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:52:09Record linked automatically6f7b1ae439
scoring_agent, CLM-411544, identity id MBR-006525, confidence 1, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:52:09Record linked automatically80aa44a6d0
scoring_agent, TPA-55100, identity id MBR-006525, confidence 1, method probabilistic, matched record CLM-411544, policy version 1
2026-10-19 19:45:42Record linked automaticallyf60f361e51
scoring_agent, PRV-23329, identity id MBR-006525, confidence 0.99, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:45:42Record linked automatically264ff48298
matching_agent, ENR-115188, identity id MBR-006525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411544
2026-10-19 19:45:42Record linked automatically0ab25ba3bd
scoring_agent, TPA-55101, identity id MBR-006525, confidence 0.99, method probabilistic, matched record PRV-23329, policy version 1
2026-10-19 19:45:42Record linked automatically7b78e33dfa
scoring_agent, CLM-411543, identity id MBR-006525, confidence 0.93, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:45:42Record linked automaticallydeb99f884a
scoring_agent, CLM-411544, identity id MBR-006525, confidence 1, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:45:42Record linked automatically5a1f0a6540
scoring_agent, TPA-55100, identity id MBR-006525, confidence 1, method probabilistic, matched record CLM-411544, policy version 1
2026-10-19 19:32:31Record linked automaticallya38d0ff3b9
scoring_agent, PRV-23329, identity id MBR-006525, confidence 0.99, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:32:31Record linked automatically9dbf655227
matching_agent, ENR-115188, identity id MBR-006525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411544
2026-10-19 19:32:31Record linked automatically03d4a2df72
scoring_agent, TPA-55101, identity id MBR-006525, confidence 0.99, method probabilistic, matched record PRV-23329, policy version 1
2026-10-19 19:32:31Record linked automatically03b7c4486c
scoring_agent, CLM-411543, identity id MBR-006525, confidence 0.93, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:32:31Record linked automaticallyaac6de04a1
scoring_agent, CLM-411544, identity id MBR-006525, confidence 1, method probabilistic, matched record TPA-55100, policy version 1
2026-10-19 19:32:31Record linked automaticallyed9d6743c4
scoring_agent, TPA-55100, identity id MBR-006525, confidence 1, method probabilistic, matched record CLM-411544, policy version 1
2026-10-19 19:31:28Record linked automatically605eaf68de
scoring_agent, TPA-55100, identity id MBR-033902, confidence 1, method probabilistic, matched record CLM-411489, policy version 1
2026-10-19 19:31:28Record linked automatically2dd9657d41
matching_agent, CLM-411543, identity id MBR-027744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55127
2026-10-19 19:31:28Record linked automatically7d9c0e04b6
scoring_agent, TPA-55101, identity id MBR-027394, confidence 1, method probabilistic, matched record ENR-115250, policy version 1
2026-10-19 19:31:28Record linked automatically4fd532ea13
scoring_agent, CLM-411544, identity id MBR-001416, confidence 1, method probabilistic, matched record TPA-55128, policy version 1
2026-10-19 19:31:28Record linked automaticallyee0611d1f8
scoring_agent, PRV-23329, identity id MBR-000281, confidence 1, method probabilistic, matched record CLM-411204, 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-2026-029682	2026-01-15	Lakeside Skin Care Associates in network	11102, 99213	$468.00	$215.16	Approved	Approved
CLM-2026-029929	2026-01-02	Unity Primary Care Associates out of network	90471, 99213, 99203	$498.00	—	Denied	Denied