Identities/MBR-011214
Gold, golden identity

Nancy G Carr

5 source records from 3 feeds.

MBR-011214Verified5 records

Golden record

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

First nameENR
Nancy
Middle nameENR
G
Last nameENR
Carr
Date of birthENR
1992-05-05
GenderENR
F
Member IDENR
UHC-43731-30
SSNENR
•••-••-8317
PhoneENR
8036753461
EmailENR
nancy.carr@icloud.com
AddressENR
8493 Oak St
CityENR
Seattle
StateENR
WA
ZIPENR
98158
GroupENR
GRP-1082
PlanENR
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×3TPA ×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

1.001.001.001.001.00CLMCLM-409428CLMCLM-409429CLMCLM-409427TPATPA-54092ENRENR-112411IDMBR-011214
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-409428CLM2026-02-07Nancy Carrflagged1992-05-05—80367534618493 Oak St, Seattle, WAScored1.00—
CLM-409429CLM2026-03-21Nancy Carrflagged1992-05-05—80367534618493 Oak St, Seattle, WAScored1.00—
CLM-409427CLM2026-05-20Nancy Carrflagged1992-05-05UHC-43731-30—8493 Oak St, Seattle, WAScored1.00—
TPA-54092TPA2026-06-30Nancy Carrflagged1992-05-05——8493 Oak St, Seattle, WAScored1.00—
ENR-112411ENR2026-07-15Nancy Carrflagged1992-05-05UHC-43731-3080367534618493 Oak St, Seattle, WAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409428CLMCLM-409427CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409429CLMCLM-409427CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409428CLMCLM-409429CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409429CLMENR-112411ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-54092TPAENR-112411ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409428CLMTPA-54092TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409429CLMTPA-54092TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409427CLMTPA-54092TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409427CLMENR-112411ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409428CLMENR-112411ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409428 → UHC-43731-30 (Nancy Carr)
    ACT-007436, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409429 → UHC-43731-30 (Nancy Carr)
    ACT-009827, Claims processor
  • Care coordination outreachProposed
    Nancy Carr: 3 claims, no attributed provider
    ACT-018605, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallya22eb34dc8
    scoring_agent, ENR-112411, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyda3fb8c4cc
    scoring_agent, TPA-54092, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-22 12:43:54Record linked automatically8dcc11e548
    scoring_agent, CLM-409427, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-22 12:43:54Record linked automatically92e759536d
    scoring_agent, CLM-409429, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-22 12:43:54Record linked automatically71b3d14561
    scoring_agent, CLM-409428, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyade6a8b401
    scoring_agent, ENR-112411, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyce3b608423
    scoring_agent, TPA-54092, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd03cb97e3d
    scoring_agent, CLM-409427, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:54:38Record linked automatically71cbf6ae3a
    scoring_agent, CLM-409429, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybed6c30588
    scoring_agent, CLM-409428, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2b0eed8108
    scoring_agent, ENR-112411, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2b43503cd8
    scoring_agent, TPA-54092, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:52:09Record linked automatically37682c0910
    scoring_agent, CLM-409427, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0e3a3ebc7c
    scoring_agent, CLM-409429, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybb1d6da703
    scoring_agent, CLM-409428, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8a8490f049
    scoring_agent, ENR-112411, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6324c59f94
    scoring_agent, TPA-54092, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydc672d9cbf
    scoring_agent, CLM-409427, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:45:42Record linked automatically032318dc5d
    scoring_agent, CLM-409429, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb8ffb2419e
    scoring_agent, CLM-409428, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:32:31Record linked automatically81c7d77f22
    scoring_agent, ENR-112411, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:32:31Record linked automatically926c15e2a9
    scoring_agent, TPA-54092, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4f8f7bf8f8
    scoring_agent, CLM-409427, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd68df24d7f
    scoring_agent, CLM-409429, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409428, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfe97aa6b31
    scoring_agent, CLM-409428, identity id MBR-011214, confidence 1, method probabilistic, matched record CLM-409429, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc559b590fc
    scoring_agent, CLM-409429, identity id MBR-035438, confidence 0.99, method probabilistic, matched record PRV-22800, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2add7c4876
    scoring_agent, TPA-54092, identity id MBR-013694, confidence 1, method probabilistic, matched record TPA-54091, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9ee9eab392
    scoring_agent, CLM-409428, identity id MBR-006479, confidence 1, method probabilistic, matched record CLM-409426, policy version 1
  • 2026-10-19 19:31:28Record linked automatically38218ebad4
    scoring_agent, CLM-409427, identity id MBR-006479, confidence 1, method probabilistic, matched record CLM-409426, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0090302026-04-26Summit Heart Institute
in network
93458, 93306$6,938.00$3,000.64ApprovedApproved
CLM-2026-0323262026-02-06Meadow Family Practice
in network
99395, 99203$428.00—Needs reviewNeeds review
CLM-2026-0230692026-01-13Riverside Primary Care Associates
in network
36415, 99213$242.00$135.16ApprovedApproved