Identities/MBR-008406
Gold, golden identity

Carol Q Carlson

4 source records from 4 feeds.

MBR-008406Verified4 records

Golden record

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

First nameENR
Carol
Middle nameENR
Q
Last nameENR
Carlson
Date of birthENR
1994-06-12
GenderENR
M
Member IDENR
UHC-74968-93
SSNENR
•••-••-4833
PhoneENR
2485851096
EmailENR
carol.carlson67@outlook.com
AddressPRV
841 Central Ave
CityPRV
Dallas
StatePRV
TX
ZIPPRV
75220
GroupENR
GRP-9934
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1PRV ×1CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.991.001.000.99TPATPA-51544PRVPRV-21003CLMCLM-403542ENRENR-104619IDMBR-008406
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-51544TPA2026-01-28Carool Carlsonflagged1994-06-12UHC-74968-93—841 Central Ave, Dallas, TXScored0.99—
PRV-21003PRV2026-02-04Carol Carlsonflagged1994-06-12UHC-74968-932485851096841 Central Ave, Dallas, TXScored1.00—
CLM-403542CLM2026-06-03Carol Carlsonflagged1994-06-12——841 Central Ave, Dallas, TXScored1.00—
ENR-104619ENR2026-08-25Carol Carlsonflagged1994-06-12UHC-74968-932485851096—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶PRV-21003PRVCLM-403542CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51544TPACLM-403542CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51544TPAENR-104619ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-21003PRVENR-104619ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-51544TPAPRV-21003PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403542CLMENR-104619ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403542 → UHC-74968-93 (Carol Carlson)
    ACT-003451, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically11a1019cb1
    matching_agent, ENR-104619, identity id MBR-008406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51544
  • 2026-10-22 12:43:54Record linked automatically5c3975bcf1
    scoring_agent, CLM-403542, identity id MBR-008406, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyfb4b3d4a38
    scoring_agent, PRV-21003, identity id MBR-008406, confidence 1, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7d789dee94
    scoring_agent, TPA-51544, identity id MBR-008406, confidence 0.99, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:54:38Record linked automatically58bed717c6
    matching_agent, ENR-104619, identity id MBR-008406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51544
  • 2026-10-19 19:54:38Record linked automaticallyc2b1cdfddc
    scoring_agent, CLM-403542, identity id MBR-008406, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
  • 2026-10-19 19:54:38Record linked automatically42e3f34157
    scoring_agent, PRV-21003, identity id MBR-008406, confidence 1, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:54:38Record linked automatically76db462ab1
    scoring_agent, TPA-51544, identity id MBR-008406, confidence 0.99, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9998c02885
    matching_agent, ENR-104619, identity id MBR-008406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51544
  • 2026-10-19 19:52:09Record linked automatically47e619904a
    scoring_agent, CLM-403542, identity id MBR-008406, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6585bc99b5
    scoring_agent, PRV-21003, identity id MBR-008406, confidence 1, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:52:09Record linked automatically82a7ab823d
    scoring_agent, TPA-51544, identity id MBR-008406, confidence 0.99, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:45:42Record linked automatically533b672073
    matching_agent, ENR-104619, identity id MBR-008406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51544
  • 2026-10-19 19:45:42Record linked automatically23b6755645
    scoring_agent, CLM-403542, identity id MBR-008406, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4da2356381
    scoring_agent, PRV-21003, identity id MBR-008406, confidence 1, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyee3b960e2a
    scoring_agent, TPA-51544, identity id MBR-008406, confidence 0.99, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyffd21901a2
    matching_agent, ENR-104619, identity id MBR-008406, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-51544
  • 2026-10-19 19:32:31Record linked automatically4f4db5dc83
    scoring_agent, CLM-403542, identity id MBR-008406, confidence 1, method probabilistic, matched record PRV-21003, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2b3b960464
    scoring_agent, PRV-21003, identity id MBR-008406, confidence 1, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd07481b475
    scoring_agent, TPA-51544, identity id MBR-008406, confidence 0.99, method probabilistic, matched record CLM-403542, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5324f348d7
    scoring_agent, PRV-21003, identity id MBR-032055, confidence 1, method probabilistic, matched record CLM-403295, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya257afc2b2
    matching_agent, CLM-403542, identity id MBR-027982, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104602

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0080122026-05-17Riverside GI Associates
in network
99214$309.00$116.58ApprovedApproved