Identities/MBR-013920
Gold, golden identity

Kathleen W Carter

4 source records from 2 feeds.

MBR-013920Verified4 records

Golden record

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

First nameENR
Kathleen
Middle nameENR
W
Last nameENR
Carter
Date of birthENR
2004-10-28
GenderENR
F
Member IDENR
UHC-09188-64
SSNENR
•••-••-1834
PhoneENR
8326882961
EmailENR
kathleen.carter@aol.com
AddressENR
2278 Pine Dr
CityENR
Miami
StateENR
FL
ZIPENR
33160
GroupENR
GRP-3907
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.990.990.99CLMCLM-408050CLMCLM-408048CLMCLM-408049ENRENR-110615IDMBR-013920
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-408050CLM2026-02-18Kathleen Carterflagged2004-10-28—83268829612278 Pine Dr, Miami, FLRule0.97D2 ssn4 + dob + last name
CLM-408048CLM2026-03-08Kathleen Carterflagged2004-10-28UHC-09188-64—2278 Pine Dr, Miami, FLRule0.99D1 member id + dob exact
CLM-408049CLM2026-03-08Kathleen Carterflagged2004-10-28UHC-09188-64—2278 Pine Dr, Miami, FLRule0.99D1 member id + dob exact
ENR-110615ENR2026-06-23Kathleen Carterflagged2004-10-28UHC-09188-6483268829612278 Pine Dr, Miami, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408048CLMCLM-408049CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-408048CLMENR-110615ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-408049CLMENR-110615ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-408050CLMCLM-408048CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408050CLMCLM-408049CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-408050CLMENR-110615ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408050 → UHC-09188-64 (Kathleen Carter)
    ACT-002049, Claims processor
  • Care coordination outreachProposed
    Kathleen Carter: 3 claims, no attributed provider
    ACT-018769, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically55e906c379
    matching_agent, ENR-110615, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:54:38Record linked automatically19665c5f88
    matching_agent, CLM-408049, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:54:38Record linked automatically03ee468d9d
    matching_agent, CLM-408048, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408049
  • 2026-10-19 19:54:38Record linked automatically953494c2a9
    matching_agent, CLM-408050, identity id MBR-013920, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408048
  • 2026-10-19 19:52:09Record linked automatically3bb83f4f4c
    matching_agent, ENR-110615, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:52:09Record linked automaticallyd79bc775a1
    matching_agent, CLM-408049, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:52:09Record linked automatically3f395c0fdc
    matching_agent, CLM-408048, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408049
  • 2026-10-19 19:52:09Record linked automatically3431bcf403
    matching_agent, CLM-408050, identity id MBR-013920, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408048
  • 2026-10-19 19:45:42Record linked automatically22e2238054
    matching_agent, ENR-110615, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:45:42Record linked automaticallyceef117a19
    matching_agent, CLM-408049, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:45:42Record linked automatically25a8a70705
    matching_agent, CLM-408048, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408049
  • 2026-10-19 19:45:42Record linked automatically362986de8f
    matching_agent, CLM-408050, identity id MBR-013920, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408048
  • 2026-10-19 19:32:31Record linked automaticallyef7f722946
    matching_agent, ENR-110615, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:32:31Record linked automaticallyb546c4546c
    matching_agent, CLM-408049, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:32:31Record linked automatically26d1a5300f
    matching_agent, CLM-408048, identity id MBR-013920, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408049
  • 2026-10-19 19:32:31Record linked automatically0f8b77db3c
    matching_agent, CLM-408050, identity id MBR-013920, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-408048
  • 2026-10-19 19:31:28Record linked automatically3c3ee3625b
    matching_agent, CLM-408048, identity id MBR-026421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110539

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0203112026-02-02Unity Counseling Center
in network
90791$314.00—Needs reviewNeeds review
CLM-2026-0133082026-03-04Evergreen Medical Group
out of network
99232$163.00$0.00ApprovedApproved
CLM-2026-0027462026-02-10Mesa Imaging Center
out of network
76700, 77067, 70553$3,741.00$0.00ApprovedApproved