Gold, golden identity
Karen R Stewart
5 source records from 3 feeds.
MBR-017304Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Karen
- Middle nameENR
- R
- Last nameENR
- Stewart
- Date of birthENR
- 2000-02-02
- GenderENR
- M
- Member IDENR
- UHC-89576-14
- SSNENR
- •••-••-6135
- PhoneENR
- 3985202442
- Email—
- —
- AddressENR
- 6295 Lincoln Way
- CityENR
- Tempe
- StateENR
- AZ
- ZIPENR
- 85228
- GroupENR
- GRP-5266
- PlanENR
- OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-419587 | CLM | 2026-03-04 | Karen Stewartflagged | 2001-02-02 | UHC-89576-14 | — | — | Rule | 0.96 | D3 member id + name |
| ENR-125807 | ENR | 2026-04-29 | Kaern Stewartflagged | 2000-02-02 | UHC-89576-14 | 3985202442 | 6295 Lincoln Way, Tempe, AZ | Scored | 0.99 | — |
| TPA-58640 | TPA | 2026-05-27 | Karen Stewartflagged | 2000-02-02 | — | — | 6295 Lincoln Way, Tempe, AZ | Scored | 0.99 | — |
| CLM-419588 | CLM | 2026-08-11 | Karen Stewartflagged | — | — | 3985202442 | — | Scored | 1.00 | — |
| CLM-419586 | CLM | 2026-10-09 | Karen Stewartflagged | — | — | 3985202442 | 6295 Lincoln Way, Tempe, AZ | Scored | 1.00 | — |
Evidence
7 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-419588CLMCLM-419586CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-125807ENRCLM-419586CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-125807ENRTPA-58640TPA0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-125807ENRCLM-419588CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-419587CLMENR-125807ENR0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-58640TPACLM-419586CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare | ||||||||||||||||||||||||||
▶CLM-419587CLMTPA-58640TPA0.75Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-419588 → UHC-89576-14 (Karen Stewart)ACT-006473, Claims processor
- Orphan claim re-pointedExecutedCLM-419586 → UHC-89576-14 (Karen Stewart)ACT-009510, Claims processor
- Care coordination outreachProposedKaren Stewart: 3 claims, no attributed providerACT-018951, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically77eeb39963scoring_agent, CLM-419586, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419588, policy version 1
- 2026-10-19 19:54:38Record linked automatically9344915114scoring_agent, CLM-419588, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:54:38Record linked automatically2ba629b37ascoring_agent, TPA-58640, identity id MBR-017304, confidence 0.99, method probabilistic, matched record ENR-125807, policy version 1
- 2026-10-19 19:54:38Record linked automatically5d8b660e8escoring_agent, ENR-125807, identity id MBR-017304, confidence 0.99, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:54:38Record linked automaticallydd63de4910matching_agent, CLM-419587, identity id MBR-017304, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125807
- 2026-10-19 19:52:09Record linked automatically43c6c88dc1scoring_agent, CLM-419586, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419588, policy version 1
- 2026-10-19 19:52:09Record linked automatically222e4af317scoring_agent, CLM-419588, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:52:09Record linked automatically60f695659dscoring_agent, TPA-58640, identity id MBR-017304, confidence 0.99, method probabilistic, matched record ENR-125807, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb8bc9dd19ascoring_agent, ENR-125807, identity id MBR-017304, confidence 0.99, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:52:09Record linked automatically88f4126eebmatching_agent, CLM-419587, identity id MBR-017304, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125807
- 2026-10-19 19:45:42Record linked automaticallybcf3db6b3escoring_agent, CLM-419586, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419588, policy version 1
- 2026-10-19 19:45:42Record linked automatically1b94898b4ascoring_agent, CLM-419588, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf01dc3f136scoring_agent, TPA-58640, identity id MBR-017304, confidence 0.99, method probabilistic, matched record ENR-125807, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyfd51f6e8bdscoring_agent, ENR-125807, identity id MBR-017304, confidence 0.99, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:45:42Record linked automatically86cac71d0cmatching_agent, CLM-419587, identity id MBR-017304, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125807
- 2026-10-19 19:32:31Record linked automatically2390895529scoring_agent, CLM-419586, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419588, policy version 1
- 2026-10-19 19:32:31Record linked automatically386afe7645scoring_agent, CLM-419588, identity id MBR-017304, confidence 1, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:32:31Record linked automatically05a536b6a6scoring_agent, TPA-58640, identity id MBR-017304, confidence 0.99, method probabilistic, matched record ENR-125807, policy version 1
- 2026-10-19 19:32:31Record linked automatically7931db2b67scoring_agent, ENR-125807, identity id MBR-017304, confidence 0.99, method probabilistic, matched record CLM-419586, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf7f396ad3cmatching_agent, CLM-419587, identity id MBR-017304, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-125807
- 2026-10-19 19:31:28Record linked automatically0e73c4d5f4matching_agent, CLM-419587, identity id MBR-025867, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-58540
- 2026-10-19 19:31:28Record linked automatically8fd3c93389matching_agent, CLM-419586, identity id MBR-023455, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125694
- 2026-10-19 19:31:28Record linked automatically1120d59125matching_agent, TPA-58640, identity id MBR-021777, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-419821
- 2026-10-19 19:31:28Record linked automatically8a5f67dc88matching_agent, CLM-419588, identity id MBR-006320, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125697
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-2026-031181 | 2026-09-29 | Summit Medical Group in network | 99214 | $309.00 | $151.58 | Approved | Approved |
| CLM-2026-019375 | 2026-07-28 | Canyon Reference Lab in network | 80061, 83036 | $156.00 | $0.00 | Approved | Approved |
| CLM-2026-024894 | 2026-02-17 | Northgate Internal Medicine Associates in network | 93000 | $92.00 | $17.04 | Approved | Approved |