Identities/MBR-008254
Gold, golden identity

Karen O Montgomery

4 source records from 2 feeds.

MBR-008254Verified4 records

Golden record

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

First nameENR
Karen
Middle nameENR
O
Last nameENR
Montgomery
Date of birthENR
1949-10-28
GenderENR
F
Member IDENR
UHC-84155-80
SSNENR
•••-••-8177
PhoneENR
5132862299
EmailENR
karen.montgomery@aol.com
AddressENR
6291 Oak St
CityENR
Las Vegas
StateENR
NV
ZIPENR
89185
GroupENR
GRP-1050
PlanENR
OPTIONS-PPO
Min confidence
1.00
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.001.00CLMCLM-415919CLMCLM-415918CLMCLM-415917ENRENR-120975IDMBR-008254
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-415919CLM2026-01-28Karen Montgomery1949-10-28——6291 Oak St, Las Vegas, NVScored1.00—
CLM-415918CLM2026-04-13Karen Montgomeryflagged1949-10-28——6291 Oak St, Las Vegas, NVScored1.00—
CLM-415917CLM2026-04-13Karen Montgomeryflagged1949-10-28——6291 Oak St, Las Vegas, NVScored1.00—
ENR-120975ENR2026-05-07Karen Montgomeryflagged1949-10-28UHC-84155-8051328622996291 Oak St, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415919CLMCLM-415917CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415918CLMCLM-415917CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415919CLMCLM-415918CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415918CLMENR-120975ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415917CLMENR-120975ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415919CLMENR-120975ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-415918 → UHC-84155-80 (Karen Montgomery)
    ACT-004602, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-415917 → UHC-84155-80 (Karen Montgomery)
    ACT-007759, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-415919 → UHC-84155-80 (Karen Montgomery)
    ACT-009725, Claims processor
  • Care coordination outreachProposed
    Karen Montgomery: 3 claims, no attributed provider
    ACT-018427, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyb0291c41aa
    scoring_agent, ENR-120975, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyd2766c6860
    scoring_agent, CLM-415917, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-22 12:43:54Record linked automatically59cccba542
    scoring_agent, CLM-415918, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-22 12:43:54Record linked automatically9eec73f683
    scoring_agent, CLM-415919, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:54:38Record linked automatically90fe17ab44
    scoring_agent, ENR-120975, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya7b162d2c7
    scoring_agent, CLM-415917, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya6f543b294
    scoring_agent, CLM-415918, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:54:38Record linked automatically67f42345a5
    scoring_agent, CLM-415919, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:52:09Record linked automatically41cb654cee
    scoring_agent, ENR-120975, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6d342995a0
    scoring_agent, CLM-415917, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyad30b2045b
    scoring_agent, CLM-415918, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyadab4c7a2e
    scoring_agent, CLM-415919, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:45:42Record linked automatically85410972bc
    scoring_agent, ENR-120975, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:45:42Record linked automatically136e759ef1
    scoring_agent, CLM-415917, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6745d7fd29
    scoring_agent, CLM-415918, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:45:42Record linked automatically521b705fa0
    scoring_agent, CLM-415919, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfd0354fb86
    scoring_agent, ENR-120975, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:32:31Record linked automatically868d731d0e
    scoring_agent, CLM-415917, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc2997cb461
    scoring_agent, CLM-415918, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415919, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7f1d8fd70f
    scoring_agent, CLM-415919, identity id MBR-008254, confidence 1, method probabilistic, matched record CLM-415918, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9c325d1c22
    matching_agent, ENR-120975, identity id MBR-025946, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416036
  • 2026-10-19 19:31:28Record linked automaticallyac89a31aee
    matching_agent, CLM-415918, identity id MBR-023137, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-120825
  • 2026-10-19 19:31:28Record linked automatically76fd1c29f8
    scoring_agent, CLM-415919, identity id MBR-023137, confidence 1, method probabilistic, matched record PRV-24660, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya42fee1fd5
    matching_agent, CLM-415917, identity id MBR-012714, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120824

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0243492026-04-10Evergreen Primary Care Associates
in network
70553$3,502.00—Needs reviewNeeds review
CLM-2026-0124042026-03-10Unity Diagnostic Imaging
in network
74177$1,238.00$0.00ApprovedApproved
CLM-2026-0319032025-12-21Summit Regional Medical Center
in network
70553$2,031.00—Needs reviewNeeds review