Identities/MBR-008494
Gold, golden identity

Carlos Campbell

5 source records from 2 feeds.

MBR-008494Verified5 records

Golden record

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

First nameCLM
Carlos
Middle name—
—
Last nameCLM
Campbell
Date of birthCLM
1961-06-18
GenderCLM
M
Member IDCLM
UHC-89227-34
SSNCLM
•••-••-4604
PhoneCLM
5482126607
EmailCLM
carlos.campbell@outlook.com
AddressCLM
1159 Bayshore Dr
CityCLM
Austin
StateCLM
TX
ZIPCLM
78762
GroupCLM
GRP-9054
PlanCLM
CORE-HMO
Min confidence
0.96
Sources
CLM ×4TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.961.000.991.001.00CLMCLM-422045CLMCLM-422047CLMCLM-422046CLMCLM-422048TPATPA-59684IDMBR-008494
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-422045CLM2026-01-28Carlos Campbell1960-06-18UHC-89227-34——Rule0.96D3 member id + name
CLM-422047CLM2026-02-10Carlos Campbellflagged1961-06-18—54821266071159 Bayshore Dr, Austin, TXScored1.00—
CLM-422046CLM2026-04-10Campbell Carlosflagged1961-06-18UHC-89227-34—1159 Bayshore Dr Apt 18, Austin, TXRule0.99D1 member id + dob exact
CLM-422048CLM2026-07-14Carlos Campbellflagged1961-06-18UHC-89227-34—1159 Bayshore Dr, Austin, TXScored1.00—
TPA-59684TPA2026-09-06Carlos Campbellflagged1961-06-18—54821266071159 Bayshore Dr, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422047CLMCLM-422048CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422047CLMTPA-59684TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422048CLMTPA-59684TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422046CLMCLM-422048CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422047CLMCLM-422046CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422045CLMCLM-422046CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth0.503one_digit
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422045CLMCLM-422048CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422045CLMCLM-422047CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-422045CLMTPA-59684TPA0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422047 → UHC-89227-34 (Carlos Campbell)
    ACT-009720, Claims processor
  • Care coordination outreachProposed
    Carlos Campbell: 4 claims, no attributed provider
    ACT-018439, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically58453558ac
    scoring_agent, TPA-59684, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:54:38Record linked automatically96d439bb41
    scoring_agent, CLM-422048, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc06dec418f
    matching_agent, CLM-422046, identity id MBR-008494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422048
  • 2026-10-19 19:54:38Record linked automaticallye8de294d29
    scoring_agent, CLM-422047, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422048, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9323749712
    matching_agent, CLM-422045, identity id MBR-008494, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422046
  • 2026-10-19 19:52:09Record linked automaticallybe6a1bda90
    scoring_agent, TPA-59684, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf7aaa7bd59
    scoring_agent, CLM-422048, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybbe0f5cc3a
    matching_agent, CLM-422046, identity id MBR-008494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422048
  • 2026-10-19 19:52:09Record linked automatically5f54320db7
    scoring_agent, CLM-422047, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422048, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6825d219ff
    matching_agent, CLM-422045, identity id MBR-008494, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422046
  • 2026-10-19 19:45:42Record linked automatically734ca06315
    scoring_agent, TPA-59684, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2dc105d6a7
    scoring_agent, CLM-422048, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0a65b87ae5
    matching_agent, CLM-422046, identity id MBR-008494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422048
  • 2026-10-19 19:45:42Record linked automatically5d52465b79
    scoring_agent, CLM-422047, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422048, policy version 1
  • 2026-10-19 19:45:42Record linked automatically122e279237
    matching_agent, CLM-422045, identity id MBR-008494, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422046
  • 2026-10-19 19:32:31Record linked automatically07a9bbd7fc
    scoring_agent, TPA-59684, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:32:31Record linked automatically32381c3690
    scoring_agent, CLM-422048, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422047, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6d2db62d2e
    matching_agent, CLM-422046, identity id MBR-008494, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422048
  • 2026-10-19 19:32:31Record linked automatically24a3688221
    scoring_agent, CLM-422047, identity id MBR-008494, confidence 1, method probabilistic, matched record CLM-422048, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5ea947c59a
    matching_agent, CLM-422045, identity id MBR-008494, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422046
  • 2026-10-19 19:31:28Record linked automaticallya209e494e5
    matching_agent, CLM-422045, identity id MBR-018686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128996
  • 2026-10-19 19:31:28Record linked automaticallyaf94c6b48d
    scoring_agent, CLM-422046, identity id MBR-017048, confidence 0.88, method probabilistic, matched record ENR-128998, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyca2c3affe2
    scoring_agent, CLM-422047, identity id MBR-009420, confidence 1, method probabilistic, matched record TPA-59647, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyde553c2fc3
    scoring_agent, TPA-59684, identity id MBR-008671, confidence 1, method probabilistic, matched record CLM-422115, policy version 1
  • 2026-10-19 19:31:28Record linked automatically45366df9ee
    matching_agent, CLM-422048, identity id MBR-007337, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129003

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0071382026-06-17Valley Cardiovascular Associates
in network
93015$647.00$0.00ApprovedApproved
CLM-2026-0069122026-04-04Valley Heart Institute
in network
99214$226.00$80.12ApprovedApproved
CLM-2026-0318942026-02-04Lakeside Medical Group
out of network
99203$190.00—DeniedDenied
CLM-2026-0001172026-01-21Heritage Community Hospital
in network
99284, 96374, 71046$1,528.00$490.40ApprovedApproved