Identities/MBR-013224

Gold, golden identity

Carl N Coleman

5 source records from 3 feeds.

MBR-013224Verified5 records

Golden record

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

First nameENR: Carl
Middle nameENR: N
Last nameENR: Coleman
Date of birthENR: 1970-03-15
GenderENR: M
Member IDENR: UHC-95130-07
SSNENR: •••-••-9326
PhoneENR: 9847669139
EmailCLM: carl.coleman67@proton.me
AddressENR: 3129 Church St
CityENR: San Antonio
StateENR: TX
ZIPENR: 78288
GroupENR: GRP-2535
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

TPA ×1CLM ×3ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-61241	TPA	2026-02-15	Carl Colemanflagged	1970-03-15	—	9847669139	3129 Church St, San Antonio, TX	Scored	1.00	—
CLM-425484	CLM	2026-07-24	Carl Colemanflagged	1970-03-15	UHC-95130-07	9847669139	3129 Church St, San Antonio, TX	Scored	1.00	—
CLM-425483	CLM	2026-07-24	Carl Colemanflagged	1970-03-15	UHC-95130-07	9847669139	3129 Church St, San Antonio, TX	Scored	1.00	—
CLM-425482	CLM	2026-08-15	Carl Colemanflagged	1970-03-15	UHC-95130-07	—	3129 Church St, San Antonio, TX	Scored	1.00	—
ENR-133335	ENR	2026-09-10	Carl Colemanflagged	1970-03-15	UHC-95130-07	9847669139	3129 Church St, San Antonio, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-61241TPACLM-425482CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61241TPACLM-425483CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61241TPACLM-425484CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61241TPAENR-133335ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425484CLMCLM-425482CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425483CLMCLM-425482CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425484CLMCLM-425483CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425484CLMENR-133335ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425483CLMENR-133335ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425482CLMENR-133335ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Carl Coleman: 3 claims, no attributed provider
ACT-018727, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically59cb6074b8
scoring_agent, ENR-133335, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-22 12:43:54Record linked automatically0ea317a436
scoring_agent, CLM-425482, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-22 12:43:54Record linked automaticallydf201877f3
scoring_agent, CLM-425483, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-22 12:43:54Record linked automatically6b34d020d5
scoring_agent, CLM-425484, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-22 12:43:54Record linked automatically687bbcef47
scoring_agent, TPA-61241, identity id MBR-013224, confidence 1, method probabilistic, matched record CLM-425484, policy version 1
2026-10-19 19:54:38Record linked automatically0af97147c1
scoring_agent, ENR-133335, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:54:38Record linked automaticallyead35f7558
scoring_agent, CLM-425482, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:54:38Record linked automaticallye3e900fd08
scoring_agent, CLM-425483, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:54:38Record linked automaticallyb74d937782
scoring_agent, CLM-425484, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:54:38Record linked automatically4f29277fa7
scoring_agent, TPA-61241, identity id MBR-013224, confidence 1, method probabilistic, matched record CLM-425484, policy version 1
2026-10-19 19:52:09Record linked automatically67878fc18b
scoring_agent, ENR-133335, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:52:09Record linked automaticallyc4d891afe0
scoring_agent, CLM-425482, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:52:09Record linked automatically41ca99c236
scoring_agent, CLM-425483, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:52:09Record linked automatically6a8eb9735b
scoring_agent, CLM-425484, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:52:09Record linked automatically4b9288540b
scoring_agent, TPA-61241, identity id MBR-013224, confidence 1, method probabilistic, matched record CLM-425484, policy version 1
2026-10-19 19:45:42Record linked automaticallyd7b2f93d78
scoring_agent, ENR-133335, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:45:42Record linked automaticallyc5902ef5bf
scoring_agent, CLM-425482, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:45:42Record linked automatically826ba37e33
scoring_agent, CLM-425483, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:45:42Record linked automatically4e0708a258
scoring_agent, CLM-425484, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:45:42Record linked automatically46422ea491
scoring_agent, TPA-61241, identity id MBR-013224, confidence 1, method probabilistic, matched record CLM-425484, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd473565e5
scoring_agent, ENR-133335, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:32:31Record linked automatically5ce724bf68
scoring_agent, CLM-425482, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:32:31Record linked automaticallye2a3476af8
scoring_agent, CLM-425483, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:32:31Record linked automatically04ccb456ac
scoring_agent, CLM-425484, identity id MBR-013224, confidence 1, method probabilistic, matched record TPA-61241, policy version 1
2026-10-19 19:32:31Record linked automaticallydc8e0f1774
scoring_agent, TPA-61241, identity id MBR-013224, confidence 1, method probabilistic, matched record CLM-425484, policy version 1
2026-10-19 19:31:28Record linked automatically11c16a7052
matching_agent, CLM-425482, identity id MBR-045608, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133583
2026-10-19 19:31:28Record linked automaticallye3c6d00b1d
scoring_agent, CLM-425484, identity id MBR-023752, confidence 1, method probabilistic, matched record ENR-133585, policy version 1
2026-10-19 19:31:28Record linked automatically1372f676b4
matching_agent, CLM-425483, identity id MBR-022861, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133584

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-2026-016318	2026-08-07	Riverside Medical Group in network	90471	$36.00	$0.00	Approved	Approved
CLM-2026-003758	2026-06-16	Northgate Orthopedic Specialists in network	20610	$307.00	—	Denied	Denied
CLM-2026-007982	2026-06-30	Cornerstone Internal Medicine Associates in network	99214, 93000	$397.00	$221.14	Approved	Approved
CLM-2026-003757	2026-06-16	Northgate Orthopedic Specialists in network	20610	$307.00	$115.34	Approved	Approved