Identities/MBR-006674

Gold, golden identity

Carolyn E Campbell

5 source records from 3 feeds.

MBR-006674Verified5 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: E
Last nameENR: Campbell
Date of birthENR: 1950-02-15
GenderENR: M
Member IDENR: UHC-91732-23
SSNENR: •••-••-5987
PhoneENR: 8255973022
EmailENR: carolyn.campbell@gmail.com
AddressENR: 7292 Broadway
CityENR: Denver
StateENR: CO
ZIP—: —
GroupENR: GRP-9263
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3PRV ×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

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-417630	CLM	2026-01-22	Carolyn Campbellflagged	1950-02-15	UHC-91732-23	—	7292 Broadway, Denver, CO	Scored	1.00	—
PRV-25222	PRV	2026-04-22	Carolyn Campbellflagged	1950-02-15	—	8255973022	7292 Broadway, Denver, CO	Scored	1.00	—
CLM-417628	CLM	2026-06-29	Carolyn Cammpbellflagged	1950-02-15	—	8255973022	—	Scored	0.99	—
CLM-417629	CLM	2026-07-25	Carolyn Campbellflagged	1950-02-15	UHC-91732-23	8255973022	7292 Broadway, Denver, CO	Scored	1.00	—
ENR-123231	ENR	2026-09-09	Carolyn Campbellflagged	1950-02-15	UHC-91732-23	8255973022	7292 Broadway, Denver, CO	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶PRV-25222PRVCLM-417629CLM1.00Scoredweighted 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-417630CLMPRV-25222PRV1.00Scoredweighted 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

▶PRV-25222PRVCLM-417628CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417630CLMCLM-417629CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417630CLMENR-123231ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417629CLMENR-123231ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-417630CLMCLM-417628CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417628CLMCLM-417629CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-417628CLMENR-123231ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶PRV-25222PRVENR-123231ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417628 → UHC-91732-23 (Carolyn Campbell)
ACT-008310, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically287604a662
matching_agent, ENR-123231, identity id MBR-006674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417630
2026-10-22 12:43:53Record linked automatically0cbd960882
scoring_agent, CLM-417629, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-22 12:43:53Record linked automatically352e24d146
scoring_agent, CLM-417628, identity id MBR-006674, confidence 0.99, method probabilistic, matched record PRV-25222, policy version 1
2026-10-22 12:43:53Record linked automatically81253ffc37
scoring_agent, PRV-25222, identity id MBR-006674, confidence 1, method probabilistic, matched record CLM-417630, policy version 1
2026-10-22 12:43:53Record linked automaticallyf8808bb9d5
scoring_agent, CLM-417630, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:54:38Record linked automatically913b01a44e
matching_agent, ENR-123231, identity id MBR-006674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417630
2026-10-19 19:54:38Record linked automaticallyf43a14de20
scoring_agent, CLM-417629, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:54:38Record linked automatically67a1f0e0f4
scoring_agent, CLM-417628, identity id MBR-006674, confidence 0.99, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:54:38Record linked automaticallycf1148335f
scoring_agent, PRV-25222, identity id MBR-006674, confidence 1, method probabilistic, matched record CLM-417630, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa9247023a
scoring_agent, CLM-417630, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:52:09Record linked automatically2fbf5590a1
matching_agent, ENR-123231, identity id MBR-006674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417630
2026-10-19 19:52:09Record linked automatically7154038584
scoring_agent, CLM-417629, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:52:09Record linked automatically7ac9effd26
scoring_agent, CLM-417628, identity id MBR-006674, confidence 0.99, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:52:09Record linked automatically1e13cf1459
scoring_agent, PRV-25222, identity id MBR-006674, confidence 1, method probabilistic, matched record CLM-417630, policy version 1
2026-10-19 19:52:09Record linked automaticallyaf6f3f46ea
scoring_agent, CLM-417630, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:45:42Record linked automaticallyee739bd688
matching_agent, ENR-123231, identity id MBR-006674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417630
2026-10-19 19:45:42Record linked automatically209441749f
scoring_agent, CLM-417629, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:45:42Record linked automatically84e228ee8e
scoring_agent, CLM-417628, identity id MBR-006674, confidence 0.99, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:45:42Record linked automaticallyb3ac693dab
scoring_agent, PRV-25222, identity id MBR-006674, confidence 1, method probabilistic, matched record CLM-417630, policy version 1
2026-10-19 19:45:42Record linked automatically64d6e9d769
scoring_agent, CLM-417630, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:32:31Record linked automatically0b662661b1
matching_agent, ENR-123231, identity id MBR-006674, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417630
2026-10-19 19:32:31Record linked automatically41b0314c52
scoring_agent, CLM-417629, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:32:31Record linked automaticallye2dcd1d966
scoring_agent, CLM-417628, identity id MBR-006674, confidence 0.99, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb02cb5c03
scoring_agent, PRV-25222, identity id MBR-006674, confidence 1, method probabilistic, matched record CLM-417630, policy version 1
2026-10-19 19:32:31Record linked automaticallyea11e06514
scoring_agent, CLM-417630, identity id MBR-006674, confidence 1, method probabilistic, matched record PRV-25222, policy version 1
2026-10-19 19:31:28Record linked automatically589cfa89cf
matching_agent, PRV-25222, identity id MBR-029245, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417844
2026-10-19 19:31:28Record linked automaticallyd5a1ef182c
scoring_agent, CLM-417630, identity id MBR-001957, confidence 1, method probabilistic, matched record CLM-417629, policy version 1
2026-10-19 19:31:28Record linked automaticallyd803aef3da
scoring_agent, CLM-417629, identity id MBR-001957, confidence 1, method probabilistic, matched record CLM-417630, 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-2026-007724	2026-06-21	Desert Primary Care Associates in network	99214	$280.00	$133.60	Approved	Approved
CLM-2026-026384	2026-05-18	Pinecrest Regional Medical Center out of network	99285	$2,197.00	$838.65	Approved	Approved
CLM-2026-000550	2025-06-16	Lakeside Clinical Laboratories in network	80053, 85025	$94.00	—	Denied	Denied