Identities/MBR-016682
Gold, golden identity

Karen N Welch

4 source records from 2 feeds.

MBR-016682Verified4 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
N
Last nameENR
Welch
Date of birthENR
1955-01-05
GenderENR
M
Member IDENR
UHC-51273-02
SSNENR
•••-••-4058
PhoneENR
5568119896
Email—
—
AddressENR
5842 Washington St
CityENR
Plano
StateENR
TX
ZIPENR
75096
GroupENR
GRP-8116
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
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

0.990.990.990.99CLMCLM-414133CLMCLM-414131CLMCLM-414132ENRENR-118532IDMBR-016682
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-414133CLM2026-03-01Karen Welchflagged1955-01-05UHC-51273-0255681198965842 Washington St, Plano, TXRule0.99D1 member id + dob exact
CLM-414131CLM2026-05-29Karen Welchflagged1955-01-05UHC-51273-0255681198965842 Washington St # 502, Plano, TXRule0.99D1 member id + dob exact
CLM-414132CLM2026-09-02Karen Welchflagged1955-01-05UHC-51273-0255681198965842 Washington St, Plano, TXRule0.99D1 member id + dob exact
ENR-118532ENR2026-09-04Karen Welchflagged1955-01-05UHC-51273-0255681198965842 Washington St, Plano, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414133CLMCLM-414131CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414133CLMCLM-414132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414131CLMCLM-414132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414133CLMENR-118532ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414131CLMENR-118532ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414132CLMENR-118532ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Karen Welch: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000705, Eligibility engine
  • Care coordination outreachProposed
    Karen Welch: 3 claims, no attributed provider
    ACT-018920, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically57fe5063b2
    matching_agent, ENR-118532, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:54:38Record linked automatically41cbdd705b
    matching_agent, CLM-414132, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:54:38Record linked automatically13c912034f
    matching_agent, CLM-414131, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:54:38Record linked automaticallyde47c8cfab
    matching_agent, CLM-414133, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414131
  • 2026-10-19 19:52:09Record linked automaticallyd0daa85c1c
    matching_agent, ENR-118532, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:52:09Record linked automatically42df0a05f7
    matching_agent, CLM-414132, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:52:09Record linked automaticallyef1c30089a
    matching_agent, CLM-414131, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:52:09Record linked automatically0407e5f404
    matching_agent, CLM-414133, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414131
  • 2026-10-19 19:45:42Record linked automatically38a8bdec2f
    matching_agent, ENR-118532, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:45:42Record linked automaticallyc383d8581a
    matching_agent, CLM-414132, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:45:42Record linked automatically8f95538e6c
    matching_agent, CLM-414131, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:45:42Record linked automaticallya779f346f5
    matching_agent, CLM-414133, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414131
  • 2026-10-19 19:32:31Record linked automaticallye1dcd167f3
    matching_agent, ENR-118532, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:32:31Record linked automatically7636183ed6
    matching_agent, CLM-414132, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:32:31Record linked automaticallya40024ea3a
    matching_agent, CLM-414131, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414133
  • 2026-10-19 19:32:31Record linked automatically1b7b528b06
    matching_agent, CLM-414133, identity id MBR-016682, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414131
  • 2026-10-19 19:31:28Record linked automaticallyc799d89912
    matching_agent, CLM-414132, identity id MBR-037710, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414131
  • 2026-10-19 19:31:28Record linked automatically4dc71323ce
    matching_agent, CLM-414131, identity id MBR-037710, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414132
  • 2026-10-19 19:31:28Record linked automatically660332dc64
    matching_agent, ENR-118532, identity id MBR-004232, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414109

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0126982026-08-04Meadow Imaging Center
in network
74177, 71046, 77067$2,212.00$0.00ApprovedApproved
CLM-2026-0317062026-05-17Riverside Clinical Laboratories
in network
80053$63.00$0.00ApprovedApproved
CLM-2026-0032592026-02-01Evergreen Family Practice
in network
99213$150.00$73.00ApprovedApproved