Identities/MBR-008173
Gold, golden identity

Karen Padilla

4 source records from 2 feeds.

MBR-008173Verified4 recordsOpen steward case

Golden record

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

First nameENR
Karen
Middle name—
—
Last nameENR
Padilla
Date of birthENR
1998-05-28
GenderCLM
F
Member IDENR
UHC-05442-22
SSNENR
•••-••-5746
PhoneENR
2773930913
EmailENR
karen.padilla@hotmail.com
AddressENR
8532 Forest Ave
CityENR
Tucson
StateENR
AZ
ZIPENR
85740
GroupENR
GRP-9339
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-419519CLMCLM-419517ENRENR-125704CLMCLM-419516IDMBR-008173
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-419519CLM2026-01-27Karen Pdillaflagged1998-05-28UHC-05442-22—8532 Forest Ave, Tucson, AZRule0.99D1 member id + dob exact
CLM-419517CLM2026-06-14Karen Padillaflagged1998-05-28UHC-05442-2227739309138532 Forest Ave, Tucson, AZRule0.99D1 member id + dob exact
ENR-125704ENR2026-08-06Karen Padillaflagged1998-05-28UHC-05442-2227739309138532 Forest Ave, Tucson, AZRule0.99D1 member id + dob exact
CLM-419516CLM2026-09-23Karen Padillaflagged1998-05-28UHC-05442-2227739309138532 Forest Ave, Tucson, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419519CLMCLM-419516CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419517 CLMCLM-419516CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-125704ENRCLM-419516CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419519CLMCLM-419517 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419519CLMENR-125704ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419517 CLMENR-125704ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Karen Padilla: 3 claims, no attributed provider
    ACT-018419, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3567a736c8
    matching_agent, CLM-419516, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:54:38Record linked automatically51fc4ef640
    matching_agent, ENR-125704, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:54:38Record linked automatically8cb18ab3cc
    matching_agent, CLM-419517, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:54:38Record linked automatically140ec3d46d
    matching_agent, CLM-419519, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419517
  • 2026-10-19 19:52:09Record linked automatically4c22d84071
    matching_agent, CLM-419516, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:52:09Record linked automatically48981d2ebe
    matching_agent, ENR-125704, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:52:09Record linked automatically441c15f5bf
    matching_agent, CLM-419517, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:52:09Record linked automatically941c748e18
    matching_agent, CLM-419519, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419517
  • 2026-10-19 19:45:42Record linked automatically909fa73001
    matching_agent, CLM-419516, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:45:42Record linked automaticallyb4ec0f3892
    matching_agent, ENR-125704, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:45:42Record linked automaticallyda4a028436
    matching_agent, CLM-419517, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:45:42Record linked automaticallyc8e1055852
    matching_agent, CLM-419519, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419517
  • 2026-10-19 19:32:31Record linked automatically87286d0471
    matching_agent, CLM-419516, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:32:31Record linked automatically5e7aa53268
    matching_agent, ENR-125704, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:32:31Record linked automaticallye18dde2d84
    matching_agent, CLM-419517, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419519
  • 2026-10-19 19:32:31Record linked automaticallydcea4fed79
    matching_agent, CLM-419519, identity id MBR-008173, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419517
  • 2026-10-19 19:31:28Record linked automaticallyaad5ff252d
    matching_agent, CLM-419516, identity id MBR-021498, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125598
  • 2026-10-19 19:31:28Record linked automatically26085af734
    scoring_agent, CLM-419519, identity id MBR-020399, confidence 0.93, method probabilistic, matched record TPA-58503, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2b5c830db4
    matching_agent, CLM-419517, identity id MBR-006242, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-419518

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0129682026-09-09Lakeside Orthopedic Specialists
in network
99213$192.00—DeniedDenied
CLM-2026-0065792026-05-20Evergreen Primary Care Associates
in network
70553$2,010.00—DeniedDenied
CLM-2026-0093972026-01-07Evergreen Clinical Laboratories
in network
83036$49.00—DeniedDenied
CLM-2026-0093962026-01-07Evergreen Clinical Laboratories
in network
83036$49.00$0.00ApprovedApproved