Identities/MBR-012686
Gold, golden identity

Carlos K Payne

5 source records from 2 feeds.

MBR-012686Verified5 recordsOpen steward case

Golden record

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

First nameENR
Carlos
Middle nameENR
K
Last nameENR
Payne
Date of birthENR
1951-08-07
GenderENR
M
Member IDENR
UHC-13103-96
SSNENR
•••-••-8718
PhoneENR
8973881268
EmailENR
carlos.payne@gmail.com
AddressENR
3843 Broadway
CityENR
Houston
StateENR
TX
ZIPENR
77040
GroupENR
GRP-3864
PlanENR
CORE-HMO
Min confidence
0.96
Sources
CLM ×4ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.960.960.99CLMCLM-432804ENRENR-143075CLMCLM-432806CLMCLM-432807CLMCLM-432805IDMBR-012686
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-432804CLM2026-02-13Carlos Payneflagged1951-08-07UHC-13103-96—3843 Broadway, Houston, TXRule0.99D1 member id + dob exact
ENR-143075ENR2026-04-07Carlos Payneflagged1951-08-07UHC-13103-9689738812683843 Broadway, Houston, TXRule0.99D1 member id + dob exact
CLM-432806CLM2026-08-21Carlos Payneflagged—UHC-13103-9689738812683843 Broadway, Houston, TXRule0.96D3 member id + name
CLM-432807CLM2026-08-21Carlos Payneflagged—UHC-13103-9689738812683843 Broadway, Houston, TXRule0.96D3 member id + name
CLM-432805CLM2026-10-14Carlos Payneflagged1951-08-07UHC-13103-968973881268—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432804CLMCLM-432805CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-143075ENRCLM-432805CLM0.99RuleD1 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
▶CLM-432804CLMENR-143075ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432806CLMCLM-432805CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432807CLMCLM-432805CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432804CLMCLM-432806CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-143075ENRCLM-432806CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-432804CLMCLM-432807CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-143075ENRCLM-432807CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-432806CLMCLM-432807CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Carlos Payne: 4 claims, no attributed provider
    ACT-018696, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7ade380b95
    matching_agent, CLM-432805, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-22 12:43:54Record linked automatically269bde6f7a
    matching_agent, CLM-432807, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-22 12:43:54Record linked automatically68b92cfae0
    matching_agent, CLM-432806, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-22 12:43:54Record linked automatically5f3ced8936
    matching_agent, ENR-143075, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-22 12:43:54Record linked automaticallyaeeaa9be0c
    matching_agent, CLM-432804, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143075
  • 2026-10-19 19:54:38Record linked automatically8ea50a6c6c
    matching_agent, CLM-432805, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:54:38Record linked automatically3f81cd8496
    matching_agent, CLM-432807, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:54:38Record linked automatically2517d8b66a
    matching_agent, CLM-432806, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:54:38Record linked automatically73bc590993
    matching_agent, ENR-143075, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:54:38Record linked automatically64d2db6389
    matching_agent, CLM-432804, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143075
  • 2026-10-19 19:52:09Record linked automaticallyede385f76d
    matching_agent, CLM-432805, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:52:09Record linked automaticallya5426891fa
    matching_agent, CLM-432807, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:52:09Record linked automatically27d7a53229
    matching_agent, CLM-432806, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:52:09Record linked automaticallye4e0ea8ef9
    matching_agent, ENR-143075, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:52:09Record linked automatically46d32ae483
    matching_agent, CLM-432804, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143075
  • 2026-10-19 19:45:42Record linked automatically8ee60c17c1
    matching_agent, CLM-432805, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:45:42Record linked automatically7f7a09fdc1
    matching_agent, CLM-432807, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:45:42Record linked automatically5f31a3bb66
    matching_agent, CLM-432806, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:45:42Record linked automatically4449841684
    matching_agent, ENR-143075, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:45:42Record linked automatically69d4518105
    matching_agent, CLM-432804, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143075
  • 2026-10-19 19:32:31Record linked automaticallyebb4c11c03
    matching_agent, CLM-432805, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:32:31Record linked automatically05b7cc2eae
    matching_agent, CLM-432807, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:32:31Record linked automaticallye3cb0b77fd
    matching_agent, CLM-432806, identity id MBR-012686, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432804
  • 2026-10-19 19:32:31Record linked automatically761d996c83
    matching_agent, ENR-143075, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:32:31Record linked automaticallya669a47001
    matching_agent, CLM-432804, identity id MBR-012686, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143075
  • 2026-10-19 19:31:28Record linked automatically643c37eea3
    matching_agent, CLM-432805, identity id MBR-040236, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432804
  • 2026-10-19 19:31:28Record linked automatically169e0354ca
    matching_agent, CLM-432804, identity id MBR-040236, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432805
  • 2026-10-19 19:31:28Record linked automatically6ab817f7e6
    scoring_agent, CLM-432806, identity id MBR-020944, confidence 1, method probabilistic, matched record ENR-143247, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyad1dfcee50
    scoring_agent, CLM-432807, identity id MBR-003500, confidence 1, method probabilistic, matched record ENR-143249, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329522026-09-02Canyon Primary Care Associates
in network
99214, 99395$566.00$330.92ApprovedApproved
CLM-2026-0220312026-07-20Evergreen Diagnostic Imaging
in network
70553, 74177, 77067$3,364.00—Needs reviewNeeds review
CLM-2026-0218222026-08-16Desert Reference Lab
in network
80061$66.00$0.00ApprovedApproved
CLM-2026-0075592026-01-28Lakeside Internal Medicine Associates
in network
99215$300.00$166.00ApprovedApproved