Carlos Daniels

3 source records from 3 feeds.

MBR-007352Verified3 recordsOpen steward case

Golden record

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

First namePRV: Carlos
Middle name—: —
Last namePRV: Daniels
Date of birthPRV: 1974-11-06
GenderPRV: M
Member IDCLM: UHC-27376-91
SSNCLM: •••-••-7245
PhoneCLM: 7292072607
Email—: —
AddressPRV: 4075 Maple Ave
CityPRV: Denver
StatePRV: CO
ZIPCLM: 80206
GroupCLM: GRP-9077
Plan—: —

Min confidence

0.93

Sources

PRV ×1CLM ×1TPA ×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
PRV-26740	PRV	2026-01-24	Carlos Danielsflagged	1974-11-06	—	—	4075 Maple Ave, Denver, CO	Scored	0.93	—
CLM-422808	CLM	2026-03-30	Carlos Danielsflagged	1974-11-06	UHC-27376-91	7292072607	4075 Maple Ave, Denver, CO	Rule	0.97	D2 ssn4 + dob + last name
TPA-60012	TPA	2026-08-16	Carlos Danielsflagged	1974-11-06	—	—	4075 Maple Ave, Denver, CO	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-422808CLMTPA-60012TPA0.97RuleD2 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

▶PRV-26740PRVCLM-422808CLM0.93Scoredweighted 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

▶PRV-26740PRVTPA-60012TPA0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6b120e2d74
matching_agent, TPA-60012, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422808
2026-10-19 19:54:38Record linked automatically07befb801d
matching_agent, CLM-422808, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60012
2026-10-19 19:54:38Record linked automaticallye7affc5e06
scoring_agent, PRV-26740, identity id MBR-007352, confidence 0.93, method probabilistic, matched record CLM-422808, policy version 1
2026-10-19 19:52:09Record linked automatically3242000e6d
matching_agent, TPA-60012, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422808
2026-10-19 19:52:09Record linked automatically63d0505422
matching_agent, CLM-422808, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60012
2026-10-19 19:52:09Record linked automaticallyf298f4fcdf
scoring_agent, PRV-26740, identity id MBR-007352, confidence 0.93, method probabilistic, matched record CLM-422808, policy version 1
2026-10-19 19:45:42Record linked automatically8b78c62f48
matching_agent, TPA-60012, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422808
2026-10-19 19:45:42Record linked automatically23fbac8d8d
matching_agent, CLM-422808, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60012
2026-10-19 19:45:42Record linked automaticallyee902d3d02
scoring_agent, PRV-26740, identity id MBR-007352, confidence 0.93, method probabilistic, matched record CLM-422808, policy version 1
2026-10-19 19:32:31Record linked automatically9e0e7858a5
matching_agent, TPA-60012, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422808
2026-10-19 19:32:31Record linked automaticallyc2747d7c89
matching_agent, CLM-422808, identity id MBR-007352, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-60012
2026-10-19 19:32:31Record linked automaticallyf7102a94c8
scoring_agent, PRV-26740, identity id MBR-007352, confidence 0.93, method probabilistic, matched record CLM-422808, policy version 1
2026-10-19 19:31:28Record linked automaticallyad95cbba61
scoring_agent, PRV-26740, identity id MBR-027840, confidence 1, method probabilistic, matched record PRV-26738, policy version 1
2026-10-19 19:31:28Record linked automaticallyef1cbce036
scoring_agent, TPA-60012, identity id MBR-012716, confidence 1, method probabilistic, matched record ENR-129992, policy version 1
2026-10-19 19:31:28Record linked automaticallyda0d92c492
scoring_agent, CLM-422808, identity id MBR-002242, confidence 1, method probabilistic, matched record TPA-60020, 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-2026-014027	2026-03-04	Mesa Clinical Laboratories out of network	80053, 85025	$114.00	—	Needs review	Needs review
CLM-2026-014026	2026-03-04	Mesa Clinical Laboratories out of network	80053, 85025	$114.00	$0.00	Approved	Approved