Identities/MBR-017617

Gold, golden identity

Carolyn H Wong

5 source records from 4 feeds.

MBR-017617Verified5 records

Golden record

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

First nameENR: Carolyn
Middle nameENR: H
Last nameENR: Wong
Date of birthENR: 1977-01-09
GenderENR: F
Member IDENR: UHC-08618-64
SSNENR: •••-••-0727
PhoneENR: 9184250815
EmailENR: carolyn.wong65@proton.me
AddressENR: 2259 Highland Ave
CityENR: Sacramento
StateENR: CA
ZIPENR: 95840
GroupENR: GRP-1486
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

PRV ×1CLM ×2ENR ×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
PRV-23139	PRV	2026-03-05	Carolyn Wongflagged	1977-01-09	—	9184250815	2259 Highland Ave, Sacramento, CA	Scored	1.00	—
CLM-410848	CLM	2026-03-26	Carolyn Wongflagged	1977-01-09	UHC-08618-64	9184250815	2259 Highland Ave, Sacramento, CA	Scored	1.00	—
ENR-114233	ENR	2026-08-09	Carolyn Wongflagged	1977-01-09	UHC-08618-64	9184250815	2259 Highland Ave, Sacramento, CA	Scored	1.00	—
TPA-54758	TPA	2026-08-26	Carolyn Wongflagged	1977-01-09	—	—	2259 Highland Ave, Sacramento, CA	Scored	1.00	—
CLM-410847	CLM	2026-10-03	Carolyn Wongflagged	1977-01-09	—	—	2259 Highland Ave, Sacramento, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-23139PRVCLM-410847 CLM1.00Scoredweighted 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-410848CLMCLM-410847 CLM1.00Scoredweighted 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-114233 ENRCLM-410847 CLM1.00Scoredweighted 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-54758TPACLM-410847 CLM1.00Scoredweighted 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

▶PRV-23139PRVTPA-54758TPA1.00Scoredweighted 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-410848CLMTPA-54758TPA1.00Scoredweighted 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-114233 ENRTPA-54758TPA1.00Scoredweighted 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-410848CLMENR-114233 ENR0.99RuleD1 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

▶PRV-23139PRVCLM-410848CLM0.97RuleD2 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

▶PRV-23139PRVENR-114233 ENR0.97RuleD2 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

Eligibility conflict resolvedProposed
Carolyn Wong: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000746, Eligibility engine
Orphan claim re-pointedExecuted
CLM-410847 → UHC-08618-64 (Carolyn Wong)
ACT-004578, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8432a4fa56
scoring_agent, CLM-410847, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:54:38Record linked automatically5068451935
scoring_agent, TPA-54758, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:54:38Record linked automatically4d2d811a2e
scoring_agent, ENR-114233, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:54:38Record linked automatically36586f0a68
scoring_agent, CLM-410848, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:54:38Record linked automaticallya1e19c7683
scoring_agent, PRV-23139, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:52:09Record linked automatically87b4e50a46
scoring_agent, CLM-410847, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:52:09Record linked automaticallyccdd4b236b
scoring_agent, TPA-54758, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:52:09Record linked automaticallybdcb5802b7
scoring_agent, ENR-114233, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:52:09Record linked automatically1cb636d8f7
scoring_agent, CLM-410848, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:52:09Record linked automatically3956d5eeda
scoring_agent, PRV-23139, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:45:42Record linked automatically76e9e26f1d
scoring_agent, CLM-410847, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:45:42Record linked automatically5f0412ac22
scoring_agent, TPA-54758, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:45:42Record linked automaticallyeccd774f08
scoring_agent, ENR-114233, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:45:42Record linked automaticallyf1cea39306
scoring_agent, CLM-410848, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:45:42Record linked automatically388d00fea9
scoring_agent, PRV-23139, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:32:31Record linked automaticallyb74465f57e
scoring_agent, CLM-410847, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:32:31Record linked automatically87cfbc9f1a
scoring_agent, TPA-54758, identity id MBR-017617, confidence 1, method probabilistic, matched record PRV-23139, policy version 1
2026-10-19 19:32:31Record linked automaticallyf1c15672b2
scoring_agent, ENR-114233, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:32:31Record linked automatically48d8a04148
scoring_agent, CLM-410848, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:32:31Record linked automatically53380630c0
scoring_agent, PRV-23139, identity id MBR-017617, confidence 1, method probabilistic, matched record TPA-54758, policy version 1
2026-10-19 19:31:28Record linked automatically882498ba0b
matching_agent, CLM-410847, identity id MBR-025776, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54800
2026-10-19 19:31:28Record linked automatically415eff7b06
scoring_agent, ENR-114233, identity id MBR-022350, confidence 1, method probabilistic, matched record CLM-410748, policy version 1
2026-10-19 19:31:28Record linked automaticallyffe2d4aece
matching_agent, TPA-54758, identity id MBR-011216, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114206
2026-10-19 19:31:28Record linked automatically9493dea3fd
scoring_agent, PRV-23139, identity id MBR-009977, confidence 1, method probabilistic, matched record PRV-23138, 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-2026-012324	2026-09-17	Valley Skin Care Associates in network	99213, 17110	$421.00	—	Denied	Denied
CLM-2026-033328	2026-03-12	Evergreen Primary Care Associates in network	99395, 99214	$529.00	$287.98	Approved	Approved