Theresa Carter

4 source records from 2 feeds.

MBR-008392Verified4 records

Golden record

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

First nameCLM: Theresa
Middle name—: —
Last nameCLM: Carter
Date of birthCLM: 1968-12-13
GenderCLM: M
Member IDCLM: UHC-04988-64
SSNCLM: •••-••-9945
PhoneCLM: 8186483464
Email—: —
AddressCLM: 4683 Palm Dr
CityCLM: Chandler
StateCLM: AZ
ZIPCLM: 85262
Group—: —
PlanTPA: OPTIONS-PPO

Min confidence

1.00

Sources

TPA ×2CLM ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-62999	TPA	2026-01-28	Theresa Carterflagged	1968-12-13	—	—	4683 Palm Dr, Chandler, AZ	Scored	1.00	—
TPA-62998	TPA	2026-03-03	Theresa Carterflagged	1968-12-13	UHC-04988-64	—	4683 Palm Dr, Chandler, AZ	Scored	1.00	—
CLM-429399	CLM	2026-09-29	Theresa Carterflagged	1968-12-13	—	8186483464	4683 Palm Dr, Chandler, AZ	Scored	1.00	—
CLM-429398	CLM	2026-10-09	Theresa Carterflagged	1968-12-13	UHC-04988-64	8186483464	4683 Palm Dr, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-62999TPACLM-429398CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-429399CLMCLM-429398CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62998TPACLM-429399CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62999TPATPA-62998TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-62998TPACLM-429398CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62999TPACLM-429399CLM0.97RuleD2 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429399 → UHC-04988-64 (Theresa Carter)
ACT-003571, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically2e1ec54dee
scoring_agent, CLM-429398, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-22 12:43:54Record linked automatically22f06317b6
scoring_agent, CLM-429399, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-22 12:43:54Record linked automatically1888b0c1fa
scoring_agent, TPA-62998, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-22 12:43:54Record linked automatically8662af75b3
scoring_agent, TPA-62999, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:54:38Record linked automaticallye8f7b88a7e
scoring_agent, CLM-429398, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:54:38Record linked automatically5e252ce4db
scoring_agent, CLM-429399, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:54:38Record linked automatically4f83e759aa
scoring_agent, TPA-62998, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:54:38Record linked automatically3ba8c11e7c
scoring_agent, TPA-62999, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:52:09Record linked automatically163323fe3a
scoring_agent, CLM-429398, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:52:09Record linked automaticallyfed9805a3f
scoring_agent, CLM-429399, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:52:09Record linked automatically6c21900375
scoring_agent, TPA-62998, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:52:09Record linked automaticallyb3addba053
scoring_agent, TPA-62999, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:45:42Record linked automaticallye45926d677
scoring_agent, CLM-429398, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:45:42Record linked automaticallya700242e84
scoring_agent, CLM-429399, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:45:42Record linked automatically93ab919e8f
scoring_agent, TPA-62998, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:45:42Record linked automatically8329061056
scoring_agent, TPA-62999, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:32:31Record linked automaticallyc61245eb3c
scoring_agent, CLM-429398, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:32:31Record linked automatically816746e770
scoring_agent, CLM-429399, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:32:31Record linked automatically752de5a426
scoring_agent, TPA-62998, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62999, policy version 1
2026-10-19 19:32:31Record linked automatically6f999a7503
scoring_agent, TPA-62999, identity id MBR-008392, confidence 1, method probabilistic, matched record TPA-62998, policy version 1
2026-10-19 19:31:28Record linked automatically0d3ba86a62
scoring_agent, TPA-62998, identity id MBR-021628, confidence 1.00, method probabilistic, matched record CLM-429610, policy version 1
2026-10-19 19:31:28Record linked automatically25240c7e7c
matching_agent, CLM-429399, identity id MBR-008375, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138821
2026-10-19 19:31:28Record linked automatically46deaee6ad
scoring_agent, TPA-62999, identity id MBR-007363, confidence 1, method probabilistic, matched record ENR-139111, 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-2026-010020	2026-09-22	Pinecrest Medical Group in network	80053	$69.00	$12.78	Approved	Approved
CLM-2026-008451	2026-08-18	Summit Family Practice in network	99203	$260.00	$131.20	Approved	Approved