Identities/MBR-006874
Gold, golden identity

Karen X Cook

4 source records from 2 feeds.

MBR-006874Verified4 records

Golden record

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

First namePRV
Karen
Middle nameCLM
X
Last namePRV
Cook
Date of birthCLM
1983-02-04
GenderPRV
F
Member IDPRV
UHC-61680-99
SSNCLM
•••-••-8440
PhonePRV
6046958693
Email—
—
AddressPRV
7461 Mountain View Dr
CityPRV
Fresno
StatePRV
CA
ZIP—
—
GroupCLM
GRP-1653
PlanPRV
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.961.00CLMCLM-416140CLMCLM-416142PRVPRV-24788CLMCLM-416141IDMBR-006874
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-416140CLM2026-01-23Karen Cookflagged1983-02-04—6046958693—Scored1.00—
CLM-416142CLM2026-02-23Karen Cookflagged1983-02-04—60469586937461 Mountain View Dr, Fresno, CAScored1.00—
PRV-24788PRV2026-09-16Karen Cookflagged—UHC-61680-9960469586937461 Mountain View Dr, Fresno, CARule0.96D3 member id + name
CLM-416141CLM2026-09-30Karen Cookflagged1983-02-04UHC-61680-996046958693—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416140CLMCLM-416141CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416142CLMCLM-416141CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416140CLMCLM-416142CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-24788PRVCLM-416141CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416142CLMPRV-24788PRV0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416140CLMPRV-24788PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416142 → UHC-61680-99 (Karen Cook)
    ACT-005794, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416140 → UHC-61680-99 (Karen Cook)
    ACT-008837, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically73d8d2bdd0
    scoring_agent, CLM-416141, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc6c5b53110
    matching_agent, PRV-24788, identity id MBR-006874, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416141
  • 2026-10-19 19:54:38Record linked automatically123e43f4c5
    scoring_agent, CLM-416142, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc3106188c6
    scoring_agent, CLM-416140, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416142, policy version 1
  • 2026-10-19 19:52:09Record linked automatically58650d7fc3
    scoring_agent, CLM-416141, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:52:09Record linked automatically43d9d828c4
    matching_agent, PRV-24788, identity id MBR-006874, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416141
  • 2026-10-19 19:52:09Record linked automatically8dcbfd2168
    scoring_agent, CLM-416142, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5b56eea528
    scoring_agent, CLM-416140, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416142, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb4f7ddd566
    scoring_agent, CLM-416141, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya845f3c064
    matching_agent, PRV-24788, identity id MBR-006874, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416141
  • 2026-10-19 19:45:42Record linked automatically408a2b8c04
    scoring_agent, CLM-416142, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9a4c2ce843
    scoring_agent, CLM-416140, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416142, policy version 1
  • 2026-10-19 19:32:31Record linked automatically611fdb870b
    scoring_agent, CLM-416141, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydba14b43c4
    matching_agent, PRV-24788, identity id MBR-006874, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-416141
  • 2026-10-19 19:32:31Record linked automatically4a913f22b0
    scoring_agent, CLM-416142, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416140, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydb3bde5df1
    scoring_agent, CLM-416140, identity id MBR-006874, confidence 1, method probabilistic, matched record CLM-416142, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye149bede9b
    matching_agent, PRV-24788, identity id MBR-042665, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-24787
  • 2026-10-19 19:31:28Record linked automatically48780ae236
    matching_agent, CLM-416142, identity id MBR-021044, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121122
  • 2026-10-19 19:31:28Record linked automatically6080c90438
    matching_agent, CLM-416141, identity id MBR-012695, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416140
  • 2026-10-19 19:31:28Record linked automatically2e89c5f31d
    matching_agent, CLM-416140, identity id MBR-012695, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416139

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0096242026-09-19Meadow Diagnostic Imaging
out of network
77067, 71046$472.00$0.00ApprovedApproved
CLM-2026-0168212026-02-05Heritage Behavioral Health
in network
99214$201.00—DeniedDenied
CLM-2026-0168202026-02-05Heritage Behavioral Health
in network
99214$201.00$49.62ApprovedApproved
CLM-2026-0283832026-01-15Summit Clinical Laboratories
in network
85025, 83036, 80053$155.00$0.00ApprovedApproved