Identities/MBR-015332
Gold, golden identity

Carlos Stone

5 source records from 3 feeds.

MBR-015332Verified5 records

Golden record

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

First nameENR
Carlos
Middle name—
—
Last nameENR
Stone
Date of birthENR
1982-01-01
GenderENR
M
Member IDENR
UHC-21036-35
SSNENR
•••-••-2447
PhoneENR
7916049053
EmailENR
carlos.stone@yahoo.com
AddressENR
3927 Lincoln Way
CityENR
Atlanta
StateENR
GA
ZIPENR
30345
GroupENR
GRP-5865
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×2TPA ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.970.99ENRENR-110584CLMCLM-408022TPATPA-53537CLMCLM-408021TPATPA-53538IDMBR-015332
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
ENR-110584ENR2026-02-23Carlos Stoneflagged1982-01-01UHC-21036-3579160490533927 Lincoln Way, Atlanta, GARule0.99D1 member id + dob exact
CLM-408022CLM2026-03-02Carlos Stoneflagged1982-01-01UHC-21036-3579160490533927 Lincoln Way, Atlanta, GARule0.99D1 member id + dob exact
TPA-53537TPA2026-05-01Carlos Stoneflagged1982-01-01UHC-21036-35—3927 Lincoln Way, Atlanta, GARule0.99D1 member id + dob exact
CLM-408021CLM2026-05-11Carlos Stoneflagged1982-01-01——3927 Lincoln Way, Atlanta, GARule0.97D2 ssn4 + dob + last name
TPA-53538TPA2026-05-13Carlos Stoneflagged1982-01-01UHC-21036-35—3927 Lincoln Way, Atlanta, GARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-110584ENRCLM-408022CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-110584ENRTPA-53537TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408022CLMTPA-53537TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110584ENRTPA-53538 TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408022CLMTPA-53538 TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53537TPATPA-53538 TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110584ENRCLM-408021 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408022CLMCLM-408021 CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53537TPACLM-408021 CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408021 CLMTPA-53538 TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408021 → UHC-21036-35 (Carlos Stone)
    ACT-007779, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallye81e87be45
    matching_agent, TPA-53538, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-22 12:43:54Record linked automaticallyde61c609de
    matching_agent, CLM-408021, identity id MBR-015332, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110584
  • 2026-10-22 12:43:54Record linked automaticallyb640b31e14
    matching_agent, TPA-53537, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-22 12:43:54Record linked automatically8e94e3a831
    matching_agent, CLM-408022, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-22 12:43:54Record linked automaticallya8831fa817
    matching_agent, ENR-110584, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408022
  • 2026-10-19 19:54:38Record linked automaticallyc1baac4df2
    matching_agent, TPA-53538, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:54:38Record linked automaticallyf46bb21030
    matching_agent, CLM-408021, identity id MBR-015332, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110584
  • 2026-10-19 19:54:38Record linked automaticallyb0bbd22eaf
    matching_agent, TPA-53537, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:54:38Record linked automatically4e3bc031bb
    matching_agent, CLM-408022, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:54:38Record linked automatically207d183e6b
    matching_agent, ENR-110584, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408022
  • 2026-10-19 19:52:09Record linked automaticallyfdf915a250
    matching_agent, TPA-53538, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:52:09Record linked automaticallybe7563072f
    matching_agent, CLM-408021, identity id MBR-015332, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110584
  • 2026-10-19 19:52:09Record linked automatically17e09d05d0
    matching_agent, TPA-53537, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:52:09Record linked automatically3fca8c1ac8
    matching_agent, CLM-408022, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:52:09Record linked automatically9389a02375
    matching_agent, ENR-110584, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408022
  • 2026-10-19 19:45:42Record linked automaticallye92371a039
    matching_agent, TPA-53538, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:45:42Record linked automaticallyb6ab8991ab
    matching_agent, CLM-408021, identity id MBR-015332, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110584
  • 2026-10-19 19:45:42Record linked automaticallyb7a60e76a1
    matching_agent, TPA-53537, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:45:42Record linked automatically1a7fe2f251
    matching_agent, CLM-408022, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:45:42Record linked automatically92201e3f6b
    matching_agent, ENR-110584, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408022
  • 2026-10-19 19:32:31Record linked automatically045606374f
    matching_agent, TPA-53538, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:32:31Record linked automatically53d638301d
    matching_agent, CLM-408021, identity id MBR-015332, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110584
  • 2026-10-19 19:32:31Record linked automatically2c06406bfb
    matching_agent, TPA-53537, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:32:31Record linked automatically9048fd3b27
    matching_agent, CLM-408022, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110584
  • 2026-10-19 19:32:31Record linked automatically5883485a67
    matching_agent, ENR-110584, identity id MBR-015332, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408022
  • 2026-10-19 19:31:28Record linked automatically9f3f1cef73
    scoring_agent, CLM-408022, identity id MBR-019779, confidence 0.87, method probabilistic, matched record CLM-408023, policy version 1
  • 2026-10-19 19:31:28Record linked automatically60a503cfc7
    scoring_agent, TPA-53538, identity id MBR-008092, confidence 1, method probabilistic, matched record ENR-110583, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye07f1f06cf
    scoring_agent, TPA-53537, identity id MBR-004601, confidence 1, method probabilistic, matched record PRV-22375, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb070d932e8
    matching_agent, CLM-408021, identity id MBR-004181, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408020

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0244102026-04-13Sunrise Family Practice
in network
36415$15.00$0.00ApprovedApproved
CLM-2026-0101892026-02-26Northgate Dermatology Clinic
in network
99213$154.00$55.48ApprovedApproved