Identities/MBR-007782
Gold, golden identity

Carolyn Y Jimenez

3 source records from 2 feeds.

MBR-007782Verified3 records

Golden record

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

First nameCLM
Carolyn
Middle nameCLM
Y
Last nameCLM
Jimenez
Date of birthCLM
1945-05-14
GenderCLM
M
Member IDTPA
UHC-56314-20
SSNCLM
•••-••-5235
PhoneCLM
3326457974
Email—
—
AddressCLM
3996 Baseline Rd # 490
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92198
GroupCLM
GRP-8178
Plan—
—
Min confidence
0.97
Sources
TPA ×2CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.97TPATPA-61851TPATPA-61850CLMCLM-426838IDMBR-007782
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
TPA-61851TPA2026-01-26Carolyn Jimenezflagged1945-05-14UHC-56314-20——Rule0.99D1 member id + dob exact
TPA-61850TPA2026-01-26Carolyn Jimenezflagged1945-05-14UHC-56314-20——Rule0.99D1 member id + dob exact
CLM-426838CLM2026-06-10Carolyn Jimenezflagged1945-05-14—33264579743996 Baseline Rd # 490, San Diego, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-61851TPATPA-61850TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61851TPACLM-426838CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61850TPACLM-426838CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426838 → UHC-56314-20 (Carolyn Jimenez)
    ACT-007697, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically062bc766ec
    matching_agent, CLM-426838, identity id MBR-007782, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61851
  • 2026-10-22 12:43:54Record linked automatically9d3a7420f0
    matching_agent, TPA-61850, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61851
  • 2026-10-22 12:43:54Record linked automatically8cc1eb7692
    matching_agent, TPA-61851, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61850
  • 2026-10-19 19:54:38Record linked automaticallyb989ebd923
    matching_agent, CLM-426838, identity id MBR-007782, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61851
  • 2026-10-19 19:54:38Record linked automatically7a814d7dc2
    matching_agent, TPA-61850, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61851
  • 2026-10-19 19:54:38Record linked automatically8878e35bd0
    matching_agent, TPA-61851, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61850
  • 2026-10-19 19:52:09Record linked automatically5c2c133477
    matching_agent, CLM-426838, identity id MBR-007782, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61851
  • 2026-10-19 19:52:09Record linked automatically2e5c8327cf
    matching_agent, TPA-61850, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61851
  • 2026-10-19 19:52:09Record linked automatically7b253c48d6
    matching_agent, TPA-61851, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61850
  • 2026-10-19 19:45:42Record linked automaticallya30d37f593
    matching_agent, CLM-426838, identity id MBR-007782, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61851
  • 2026-10-19 19:45:42Record linked automatically7e1bdc2437
    matching_agent, TPA-61850, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61851
  • 2026-10-19 19:45:42Record linked automaticallye8802027b5
    matching_agent, TPA-61851, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61850
  • 2026-10-19 19:32:31Record linked automatically5d966d8a62
    matching_agent, CLM-426838, identity id MBR-007782, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61851
  • 2026-10-19 19:32:31Record linked automatically41ffc0213b
    matching_agent, TPA-61850, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61851
  • 2026-10-19 19:32:31Record linked automatically4d7c6fd122
    matching_agent, TPA-61851, identity id MBR-007782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61850
  • 2026-10-19 19:31:28Record linked automatically082cb4c5c8
    matching_agent, CLM-426838, identity id MBR-043358, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135480
  • 2026-10-19 19:31:28Record linked automatically2638b3b61f
    scoring_agent, TPA-61850, identity id MBR-022177, confidence 1, method probabilistic, matched record ENR-135623, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya266adb26d
    matching_agent, TPA-61851, identity id MBR-008699, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426954

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0241362026-05-01Summit Digestive Health Center
in network
88305, 45378$2,473.00—Needs reviewNeeds review