Identities/MBR-018012
Gold, golden identity

Carlos Scott

4 source records from 2 feeds.

MBR-018012Verified4 records

Golden record

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

First nameCLM
Carlos
Middle name—
—
Last nameENR
Scott
Date of birthENR
1943-08-20
GenderENR
M
Member IDENR
UHC-29310-13
SSNENR
•••-••-8835
PhoneENR
3766814639
EmailENR
carlos.scott49@hotmail.com
AddressENR
6908 Harbor Blvd
CityENR
Los Angeles
StateENR
CA
ZIPENR
90093
GroupENR
GRP-4679
PlanENR
CORE-HMO
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

0.991.001.001.00CLMCLM-401251CLMCLM-401252ENRENR-101615CLMCLM-401253IDMBR-018012
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-401251CLM2026-03-07Carlos Scottflagged1943-08-20UHC-29310-13——Rule0.99D1 member id + dob exact
CLM-401252CLM2026-03-28Carlos Scottflagged1943-08-20—3766814639—Scored1.00—
ENR-101615ENR2026-05-07Carls Scottflagged1943-08-20UHC-29310-1337668146396908 Harbor Blvd, Los Angeles, CAScored1.00—
CLM-401253CLM2026-06-24Carlos Scottflagged1943-08-20—37668146396908 Harbor Blvd, Los Angeles, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401252CLMCLM-401253CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-101615ENRCLM-401253CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401251CLMENR-101615ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401251CLMCLM-401252CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401252CLMENR-101615ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401251CLMCLM-401253CLM 0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Carlos Scott: 2 plan codes across sources → canonical CORE-HMO
    ACT-000761, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-401253 → UHC-29310-13 (Carlos Scott)
    ACT-005382, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-401252 → UHC-29310-13 (Carlos Scott)
    ACT-006117, Claims processor
  • Care coordination outreachProposed
    Carlos Scott: 3 claims, no attributed provider
    ACT-018986, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically572ee2e090
    scoring_agent, CLM-401253, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401252, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb7599c37d2
    scoring_agent, ENR-101615, identity id MBR-018012, confidence 1.00, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0e59fdff4d
    scoring_agent, CLM-401252, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye9f7d687e6
    matching_agent, CLM-401251, identity id MBR-018012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101615
  • 2026-10-19 19:52:09Record linked automatically332e4cd05f
    scoring_agent, CLM-401253, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401252, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybe72f7f9d3
    scoring_agent, ENR-101615, identity id MBR-018012, confidence 1.00, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1b249df1fd
    scoring_agent, CLM-401252, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:52:09Record linked automatically247531d917
    matching_agent, CLM-401251, identity id MBR-018012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101615
  • 2026-10-19 19:45:42Record linked automaticallydb8337a15f
    scoring_agent, CLM-401253, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401252, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc6e0d72b55
    scoring_agent, ENR-101615, identity id MBR-018012, confidence 1.00, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya4e314ce0b
    scoring_agent, CLM-401252, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5fb3594ef4
    matching_agent, CLM-401251, identity id MBR-018012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101615
  • 2026-10-19 19:32:31Record linked automatically307821b703
    scoring_agent, CLM-401253, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401252, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf822f95283
    scoring_agent, ENR-101615, identity id MBR-018012, confidence 1.00, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallydfdb32642e
    scoring_agent, CLM-401252, identity id MBR-018012, confidence 1, method probabilistic, matched record CLM-401253, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf0845b5223
    matching_agent, CLM-401251, identity id MBR-018012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101615
  • 2026-10-19 19:31:28Record linked automatically24fe5720a2
    scoring_agent, CLM-401252, identity id MBR-028957, confidence 1, method probabilistic, matched record ENR-101702, policy version 1
  • 2026-10-19 19:31:28Record linked automatically509db67afa
    scoring_agent, CLM-401253, identity id MBR-011104, confidence 1, method probabilistic, matched record TPA-50533, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybf43e9ba35
    scoring_agent, CLM-401251, identity id MBR-004716, confidence 1, method probabilistic, matched record TPA-50530, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0153522026-05-22Unity Medical Group
in network
99232$167.00$0.00ApprovedApproved
CLM-2026-0179662026-03-17Cornerstone Cardiovascular Associates
in network
70553$3,411.00—Needs reviewNeeds review
CLM-2026-0169832026-01-26Northgate Clinical Laboratories
in network
83036, 80053$117.00$0.00ApprovedApproved