Identities/MBR-017157
Gold, golden identity

Carl O Morales

6 source records from 4 feeds.

MBR-017157Verified6 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
O
Last nameENR
Morales
Date of birthENR
1979-12-15
GenderENR
M
Member IDENR
UHC-86655-79
SSNENR
•••-••-4931
PhoneENR
6095466523
EmailENR
carl.morales@proton.me
AddressENR
5098 Market St
CityENR
Orlando
StateENR
FL
ZIPENR
32800
GroupENR
GRP-7452
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1CLM ×2PRV ×1ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.000.990.99TPATPA-51011CLMCLM-402393CLMCLM-402392PRVPRV-20702ENRENR-103063ENRENR-103062IDMBR-017157
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
TPA-51011TPA2026-03-03Carl Moralesflagged1979-12-15—60954665235098 Market St, Orlando, FLScored1.00—
CLM-402393CLM2026-04-01Carl Moralesflagged1979-12-15UHC-86655-79——Rule0.99D1 member id + dob exact
CLM-402392CLM2026-06-24Carl Mralesflagged1979-12-15——5098 Market St, Orlando, FLScored0.99—
PRV-20702PRV2026-08-03Carl Moralesflagged1979-12-15—60954665235098 Market St, Orlando, FLScored1.00—
ENR-103063ENR2026-08-08Carl Morlesflagged1979-12-15UHC-86655-7960954665235098 Market St # 847, Orlando, FLScored0.99—
ENR-103062ENR2026-09-30Cerl Moralesflagged1979-12-15UHC-86655-7960954665235098 Market St, Orlando, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶TPA-51011TPAPRV-20702PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-20702PRVENR-103063ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-51011TPAENR-103063ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402392CLMPRV-20702PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51011TPACLM-402392CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-402393CLMENR-103062ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-103063ENRENR-103062ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.923
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-402393CLMENR-103063ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20702PRVENR-103062ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-51011TPAENR-103062ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402392CLMENR-103063ENR0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402392CLMENR-103062ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402393CLMCLM-402392CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-51011TPACLM-402393CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-402393CLMPRV-20702PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402392 → UHC-86655-79 (Carl Morales)
    ACT-004372, Claims processor
  • Outreach address correctedProposed
    Carl Morales: 5098 Market St # 847, Orlando → 5098 Market St, Orlando
    ACT-012038, Outreach
  • Duplicate member record retiredExecuted
    Carl Morales: 2 enrollment records collapsed into UHC-86655-79
    ACT-024244, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3d543d3785
    matching_agent, ENR-103062, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402393
  • 2026-10-19 19:54:38Record linked automaticallyde218ceb9f
    scoring_agent, ENR-103063, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1b994a13a2
    scoring_agent, PRV-20702, identity id MBR-017157, confidence 1, method probabilistic, matched record TPA-51011, policy version 1
  • 2026-10-19 19:54:38Record linked automatically300614a6ed
    scoring_agent, CLM-402392, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybdb30c8dbb
    matching_agent, CLM-402393, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103063
  • 2026-10-19 19:54:38Record linked automaticallyed9f9c50ce
    scoring_agent, TPA-51011, identity id MBR-017157, confidence 1, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0eafb27e35
    matching_agent, ENR-103062, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402393
  • 2026-10-19 19:52:09Record linked automaticallycbcb228dab
    scoring_agent, ENR-103063, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:52:09Record linked automatically23846c7078
    scoring_agent, PRV-20702, identity id MBR-017157, confidence 1, method probabilistic, matched record TPA-51011, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0bbd52278a
    scoring_agent, CLM-402392, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf697d83105
    matching_agent, CLM-402393, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103063
  • 2026-10-19 19:52:09Record linked automatically375a883d33
    scoring_agent, TPA-51011, identity id MBR-017157, confidence 1, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:45:42Record linked automatically83379bdd7d
    matching_agent, ENR-103062, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402393
  • 2026-10-19 19:45:42Record linked automaticallydddee08341
    scoring_agent, ENR-103063, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc9512f246e
    scoring_agent, PRV-20702, identity id MBR-017157, confidence 1, method probabilistic, matched record TPA-51011, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3d6dd9b189
    scoring_agent, CLM-402392, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:45:42Record linked automatically943a8c3047
    matching_agent, CLM-402393, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103063
  • 2026-10-19 19:45:42Record linked automaticallyf82eeeca27
    scoring_agent, TPA-51011, identity id MBR-017157, confidence 1, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc9b9e79986
    matching_agent, ENR-103062, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402393
  • 2026-10-19 19:32:31Record linked automatically2cb60a2cc1
    scoring_agent, ENR-103063, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc84296810a
    scoring_agent, PRV-20702, identity id MBR-017157, confidence 1, method probabilistic, matched record TPA-51011, policy version 1
  • 2026-10-19 19:32:31Record linked automatically094ff18301
    scoring_agent, CLM-402392, identity id MBR-017157, confidence 0.99, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:32:31Record linked automatically73fd50a57c
    matching_agent, CLM-402393, identity id MBR-017157, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103063
  • 2026-10-19 19:32:31Record linked automatically9ebdb90638
    scoring_agent, TPA-51011, identity id MBR-017157, confidence 1, method probabilistic, matched record PRV-20702, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb0eb3de461
    matching_agent, ENR-103062, identity id MBR-040500, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103061
  • 2026-10-19 19:31:28Record linked automatically0db49d2d05
    scoring_agent, CLM-402393, identity id MBR-036551, confidence 1, method probabilistic, matched record ENR-103159, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1244505933
    scoring_agent, TPA-51011, identity id MBR-020243, confidence 1, method probabilistic, matched record ENR-102906, policy version 1
  • 2026-10-19 19:31:28Record linked automatically95918eeaa1
    scoring_agent, PRV-20702, identity id MBR-015121, confidence 1, method probabilistic, matched record CLM-402309, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c9786d80a
    matching_agent, CLM-402392, identity id MBR-003938, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103157
  • 2026-10-19 19:31:28Record linked automaticallycf5ebe9cc0
    matching_agent, ENR-103063, identity id MBR-000329, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-20706

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0115942026-06-07Riverside Internal Medicine Associates
out of network
80053$46.00—DeniedDenied
CLM-2026-0033282026-03-29Mesa Clinical Laboratories
in network
87086$31.00$0.00ApprovedApproved