Identities/MBR-016170

Gold, golden identity

Karen E Wagner

6 source records from 3 feeds.

MBR-016170Verified6 records

Golden record

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

First nameENR: Karen
Middle nameENR: E
Last nameENR: Wagner
Date of birthENR: 1995-02-07
GenderENR: F
Member IDENR: UHC-77548-67
SSNENR: •••-••-5994
PhoneENR: 5572330096
EmailENR: karen.wagner76@hotmail.com
AddressENR: 3199 Market St
CityENR: Nashville
StateENR: TN
ZIPENR: 37213
GroupENR: GRP-2945
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

ENR ×2CLM ×3TPA ×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
ENR-116501	ENR	2026-02-27	Karen Wagnerflagged	1995-02-07	UHC-77548-67	5572330096	3199 Market St, Nashville, TN	Scored	1.00	—
CLM-412532	CLM	2026-03-03	Karen Wagnerflagged	1995-02-07	—	5572330096	3199 Market St, Nashville, TN	Scored	1.00	—
TPA-55521	TPA	2026-05-24	Karen Wagnerflagged	1995-02-07	—	—	3199 Market St, Nashville, TN	Scored	1.00	—
CLM-412530	CLM	2026-06-06	Karen Wagnerflagged	1995-02-07	UHC-77548-67	—	3199 Market St, Nashville, TN	Scored	1.00	—
ENR-116502	ENR	2026-06-11	Karen Wagnerflagged	1995-02-07	UHC-77548-67	5572330096	3199 Market St, Nashville, TN	Scored	1.00	—
CLM-412531	CLM	2026-07-07	Karen Wagnerflagged	1995-02-07	—	—	3199 Market St, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-55521TPACLM-412530CLM1.00Scoredweighted 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

▶ENR-116501ENRCLM-412531CLM1.00Scoredweighted 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

▶CLM-412532CLMCLM-412531CLM1.00Scoredweighted 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-55521TPACLM-412531CLM1.00Scoredweighted 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

▶CLM-412530CLMCLM-412531CLM1.00Scoredweighted 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

▶ENR-116502ENRCLM-412531CLM1.00Scoredweighted 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-55521TPAENR-116502ENR1.00Scoredweighted 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

▶ENR-116501ENRTPA-55521TPA1.00Scoredweighted 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

▶CLM-412532CLMTPA-55521TPA1.00Scoredweighted 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

▶ENR-116501ENRCLM-412530CLM0.99RuleD1 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

▶ENR-116501ENRENR-116502ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-412530CLMENR-116502ENR0.99RuleD1 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

▶CLM-412532CLMCLM-412530CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116501ENRCLM-412532CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-412532CLMENR-116502ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412531 → UHC-77548-67 (Karen Wagner)
ACT-002180, Claims processor
Orphan claim re-pointedExecuted
CLM-412532 → UHC-77548-67 (Karen Wagner)
ACT-010140, Claims processor
Care coordination outreachProposed
Karen Wagner: 3 claims, no attributed provider
ACT-018898, Next-best-action
Duplicate member record retiredExecuted
Karen Wagner: 2 enrollment records collapsed into UHC-77548-67
ACT-024108, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallycf04d62aa8
scoring_agent, CLM-412531, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-22 12:43:54Record linked automatically1768b5f95c
scoring_agent, ENR-116502, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-22 12:43:54Record linked automatically3534515854
scoring_agent, CLM-412530, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-22 12:43:54Record linked automaticallycc401c7f57
scoring_agent, TPA-55521, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-22 12:43:54Record linked automatically4d13974d52
scoring_agent, CLM-412532, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-22 12:43:54Record linked automaticallycd07600381
scoring_agent, ENR-116501, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:54:38Record linked automaticallydeb4715d75
scoring_agent, CLM-412531, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:54:38Record linked automatically07257263bf
scoring_agent, ENR-116502, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:54:38Record linked automatically8036515382
scoring_agent, CLM-412530, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:54:38Record linked automatically7e4341f1d8
scoring_agent, TPA-55521, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0b56ca8ae
scoring_agent, CLM-412532, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:54:38Record linked automaticallyf48ff0d2c1
scoring_agent, ENR-116501, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:52:09Record linked automatically28ffdd8440
scoring_agent, CLM-412531, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:52:09Record linked automatically78d4bb7240
scoring_agent, ENR-116502, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:52:09Record linked automaticallya5b4a0d699
scoring_agent, CLM-412530, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:52:09Record linked automatically1b3ce47609
scoring_agent, TPA-55521, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:52:09Record linked automatically2e33ccb5fb
scoring_agent, CLM-412532, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:52:09Record linked automaticallyf19566b971
scoring_agent, ENR-116501, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:45:42Record linked automaticallye71f8eef35
scoring_agent, CLM-412531, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:45:42Record linked automatically47093d3910
scoring_agent, ENR-116502, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:45:42Record linked automaticallyc1480af7a6
scoring_agent, CLM-412530, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:45:42Record linked automaticallyaee30ae2c2
scoring_agent, TPA-55521, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:45:42Record linked automaticallye6de404128
scoring_agent, CLM-412532, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:45:42Record linked automatically3b4aac5d44
scoring_agent, ENR-116501, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:32:31Record linked automatically634cc3853e
scoring_agent, CLM-412531, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:32:31Record linked automatically19cca03faa
scoring_agent, ENR-116502, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:32:31Record linked automaticallyc9e5802626
scoring_agent, CLM-412530, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:32:31Record linked automaticallyfcdb1c4197
scoring_agent, TPA-55521, identity id MBR-016170, confidence 1, method probabilistic, matched record ENR-116501, policy version 1
2026-10-19 19:32:31Record linked automatically80361b71c9
scoring_agent, CLM-412532, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:32:31Record linked automatically4cec41ca6d
scoring_agent, ENR-116501, identity id MBR-016170, confidence 1, method probabilistic, matched record TPA-55521, policy version 1
2026-10-19 19:31:28Record linked automatically18346d82e9
matching_agent, CLM-412530, identity id MBR-033275, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116602
2026-10-19 19:31:28Record linked automaticallyd820dce009
matching_agent, ENR-116501, identity id MBR-004018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23667
2026-10-19 19:31:28Record linked automatically188aff334f
scoring_agent, CLM-412532, identity id MBR-002056, confidence 1, method probabilistic, matched record PRV-23703, policy version 1
2026-10-19 19:31:28Record linked automaticallycafa157fd8
scoring_agent, CLM-412531, identity id MBR-002056, confidence 1, method probabilistic, matched record TPA-55527, policy version 1
2026-10-19 19:31:28Record linked automatically60f20d9cec
scoring_agent, ENR-116502, identity id MBR-000182, confidence 1, method probabilistic, matched record TPA-55497, policy version 1

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-2026-003256	2026-06-03	Harbor Reference Lab in network	83036, 80053	$106.00	$0.00	Approved	Approved
CLM-2026-015034	2026-05-06	Mesa Cardiovascular Associates in network	93015, 93306	$1,522.00	$0.00	Approved	Approved
CLM-2026-033484	2026-02-28	Desert Reference Lab in network	87086	$34.00	$0.00	Approved	Approved