Identities/MBR-011673
Gold, golden identity

Carol G Pierce

4 source records from 3 feeds.

MBR-011673Verified4 records

Golden record

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

First namePRV
Carol
Middle nameCLM
G
Last namePRV
Pierce
Date of birthPRV
1957-02-09
GenderPRV
M
Member IDPRV
UHC-80359-24
SSNPRV
•••-••-8891
PhonePRV
8215122517
Email—
—
AddressPRV
7677 Baseline Rd
CityPRV
Fresno
StatePRV
CA
ZIPPRV
93773
Group—
—
PlanPRV
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×2TPA ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.961.001.00CLMCLM-422970TPATPA-60092PRVPRV-26789CLMCLM-422969IDMBR-011673
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-422970CLM2026-02-09Carol Pierceflagged1957-02-09—8215122517—Scored1.00—
TPA-60092TPA2026-07-10Carol Pierceflagged—UHC-80359-24—7677 Baseline Rd Apt 33, Fresno, CARule0.96D3 member id + name
PRV-26789PRV2026-09-10Carol Pierceflagged1957-02-09UHC-80359-2482151225177677 Baseline Rd, Fresno, CAScored1.00—
CLM-422969CLM2026-10-16Carol Pierceflagged1957-02-09—82151225177677 Baseline Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422970CLMCLM-422969CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-26789PRVCLM-422969CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422970CLMPRV-26789PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60092TPAPRV-26789PRV0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60092TPACLM-422969CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422970 → UHC-80359-24 (Carol Pierce)
    ACT-009106, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-422969 → UHC-80359-24 (Carol Pierce)
    ACT-009836, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1074129721
    scoring_agent, CLM-422969, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfb7f42ff56
    scoring_agent, PRV-26789, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:54:38Record linked automatically71855d7261
    matching_agent, TPA-60092, identity id MBR-011673, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26789
  • 2026-10-19 19:54:38Record linked automatically9862d3f4e4
    scoring_agent, CLM-422970, identity id MBR-011673, confidence 1, method probabilistic, matched record PRV-26789, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd29d8dca69
    scoring_agent, CLM-422969, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:52:09Record linked automatically06571d16d5
    scoring_agent, PRV-26789, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3ef1350688
    matching_agent, TPA-60092, identity id MBR-011673, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26789
  • 2026-10-19 19:52:09Record linked automatically795d52a064
    scoring_agent, CLM-422970, identity id MBR-011673, confidence 1, method probabilistic, matched record PRV-26789, policy version 1
  • 2026-10-19 19:45:42Record linked automatically42a2928c94
    scoring_agent, CLM-422969, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye7b9a07652
    scoring_agent, PRV-26789, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye3e989e92d
    matching_agent, TPA-60092, identity id MBR-011673, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26789
  • 2026-10-19 19:45:42Record linked automatically0f023fe403
    scoring_agent, CLM-422970, identity id MBR-011673, confidence 1, method probabilistic, matched record PRV-26789, policy version 1
  • 2026-10-19 19:32:31Record linked automatically08acb6e6d5
    scoring_agent, CLM-422969, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf4ca3cb9ab
    scoring_agent, PRV-26789, identity id MBR-011673, confidence 1, method probabilistic, matched record CLM-422970, policy version 1
  • 2026-10-19 19:32:31Record linked automatically57aebe12c4
    matching_agent, TPA-60092, identity id MBR-011673, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26789
  • 2026-10-19 19:32:31Record linked automatically7411ead154
    scoring_agent, CLM-422970, identity id MBR-011673, confidence 1, method probabilistic, matched record PRV-26789, policy version 1
  • 2026-10-19 19:31:28Record linked automatically57d180b449
    scoring_agent, CLM-422969, identity id MBR-032614, confidence 1, method probabilistic, matched record TPA-60093, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2112e724a4
    scoring_agent, TPA-60092, identity id MBR-019380, confidence 1, method probabilistic, matched record CLM-422966, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf7fcfe5fd1
    matching_agent, CLM-422970, identity id MBR-013996, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130265
  • 2026-10-19 19:31:28Record linked automaticallyd3d68ec3be
    scoring_agent, PRV-26789, identity id MBR-010185, confidence 1, method probabilistic, matched record ENR-130358, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0323452026-10-11Mesa Bone and Joint Center
in network
70553$2,131.00—Needs reviewNeeds review
CLM-2026-0294722026-01-02Sunrise Skin Care Associates
in network
11102$211.00$70.82ApprovedApproved