Identities/MBR-009013

Gold, golden identity

Carolyn J Fisher

4 source records from 2 feeds.

MBR-009013Verified4 records

Golden record

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

First nameCLM: Carolyn
Middle nameCLM: J
Last nameCLM: Fisher
Date of birthCLM: 1951-05-24
GenderCLM: F
Member IDCLM: UHC-83736-19
SSNCLM: •••-••-2522
PhoneCLM: 5153310641
Email—: —
AddressCLM: 7001 Baseline Rd
CityCLM: Eden Prairie
StateCLM: MN
ZIPCLM: 55378
GroupCLM: GRP-5002
PlanCLM: MEDICARE-ADV-B

Min confidence

0.97

Sources

TPA ×2CLM ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-55155	TPA	2026-01-30	Carolyn Fisherflagged	1951-05-24	—	5153310641	7001 Baseline Rd, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
TPA-55156	TPA	2026-01-30	Carolyn Fisherflagged	1951-05-24	—	5153310641	7001 Baseline Rd, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
CLM-411679	CLM	2026-02-26	Carolyn Fisherflagged	1951-05-24	UHC-83736-19	5153310641	7001 Baseline Rd, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
CLM-411678	CLM	2026-08-22	Carolyn Fisherflagged	1951-05-24	—	5153310641	7001 Baseline Rd, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-55155TPACLM-411678CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55156TPACLM-411678CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-411679CLMCLM-411678CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55155TPACLM-411679CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55156TPACLM-411679CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-55155TPATPA-55156TPA0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Carolyn Fisher: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000411, Eligibility engine
Orphan claim re-pointedExecuted
CLM-411678 → UHC-83736-19 (Carolyn Fisher)
ACT-006814, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6bbc7f6e30
matching_agent, CLM-411678, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:54:38Record linked automaticallye2c4f51151
matching_agent, CLM-411679, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:54:38Record linked automaticallybaec198c59
matching_agent, TPA-55156, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:54:38Record linked automatically4baa65ae8a
matching_agent, TPA-55155, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55156
2026-10-19 19:52:09Record linked automatically6e65d19087
matching_agent, CLM-411678, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:52:09Record linked automatically361a0ef8c9
matching_agent, CLM-411679, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:52:09Record linked automatically74fdcc3d9b
matching_agent, TPA-55156, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:52:09Record linked automatically43b27723a4
matching_agent, TPA-55155, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55156
2026-10-19 19:45:42Record linked automatically989e219939
matching_agent, CLM-411678, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:45:42Record linked automatically81f2bf9d63
matching_agent, CLM-411679, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:45:42Record linked automaticallydf8dea76e0
matching_agent, TPA-55156, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:45:42Record linked automatically992e522aa7
matching_agent, TPA-55155, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55156
2026-10-19 19:32:31Record linked automatically19f38c53b9
matching_agent, CLM-411678, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:32:31Record linked automaticallyfb76aa7eee
matching_agent, CLM-411679, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:32:31Record linked automatically7958d90c1f
matching_agent, TPA-55156, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55155
2026-10-19 19:32:31Record linked automatically8afa4d6b9b
matching_agent, TPA-55155, identity id MBR-009013, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-55156
2026-10-19 19:31:28Record linked automaticallybdaae2ae1f
scoring_agent, TPA-55155, identity id MBR-019981, confidence 1, method probabilistic, matched record ENR-115407, policy version 1
2026-10-19 19:31:28Record linked automaticallyaf4eeb833a
scoring_agent, CLM-411679, identity id MBR-009699, confidence 1, method probabilistic, matched record CLM-411678, policy version 1
2026-10-19 19:31:28Record linked automaticallyecef1db50d
scoring_agent, CLM-411678, identity id MBR-009699, confidence 1, method probabilistic, matched record ENR-115502, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-020614	2026-07-17	Sunrise Cardiovascular Associates out of network	93015, 93458	$9,340.00	$3,168.53	Approved	Approved
CLM-2026-006024	2026-01-27	Heritage Medical Group out of network	90471, 99395, 99213	$569.00	$240.30	Approved	Approved