Identities/MBR-018557
Gold, golden identity

Carol G Fowler

6 source records from 2 feeds.

MBR-018557Verified6 records

Golden record

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

First nameENR
Carol
Middle nameENR
G
Last nameENR
Fowler
Date of birthENR
1995-04-09
GenderENR
M
Member IDENR
UHC-12538-47
SSNENR
•••-••-9801
PhoneENR
2275168933
EmailENR
carol.fowler90@gmail.com
AddressENR
7684 Lincoln Way
CityENR
Sacramento
StateENR
CA
ZIPENR
95821
GroupENR
GRP-7734
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×4ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.990.991.001.00CLMCLM-413112ENRENR-117216ENRENR-117215CLMCLM-413113CLMCLM-413114CLMCLM-413111IDMBR-018557
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-413112CLM2026-03-09Carol Fowlerflagged1995-04-09UHC-12538-4722751689337684 Lincoln Way, Sacramento, CAScored1.00—
ENR-117216ENR2026-07-14Carol Fowlerflagged1995-04-09UHC-12538-4722751689337684 Lincoln Way, Sacramento, CARule0.99D1 member id + dob exact
ENR-117215ENR2026-08-16Carol Fowler1995-04-09UHC-12538-4722751689337684 Lincoln Way, Sacramento, CARule0.99D1 member id + dob exact
CLM-413113CLM2026-09-29Carol Fowlerflagged1995-04-09UHC-12538-472275168933—Rule0.99D1 member id + dob exact
CLM-413114CLM2026-09-30Carol Fowlerflagged1995-04-09—22751689337684 Lincoln Way, Sacramento, CAScored1.00—
CLM-413111CLM2026-10-07Carol Fowlerflagged1995-04-09UHC-12538-47—7684 Lincoln Way, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413114CLMCLM-413111CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413112CLMCLM-413114CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413112CLMCLM-413111CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117216ENRCLM-413111CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117215ENRCLM-413111CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413113CLMCLM-413111CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413112CLMCLM-413113CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117216ENRCLM-413113CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-117215ENRCLM-413113CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413112CLMENR-117215ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-117216ENRENR-117215ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-413112CLMENR-117216ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-117216ENRCLM-413114CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-117215ENRCLM-413114CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-413113CLMCLM-413114CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413114 → UHC-12538-47 (Carol Fowler)
    ACT-001528, Claims processor
  • Care coordination outreachProposed
    Carol Fowler: 4 claims, no attributed provider
    ACT-019015, Next-best-action
  • Duplicate member record retiredExecuted
    Carol Fowler: 2 enrollment records collapsed into UHC-12538-47
    ACT-024435, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya616f66852
    scoring_agent, CLM-413111, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5bb04dc8dd
    scoring_agent, CLM-413114, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413112, policy version 1
  • 2026-10-19 19:54:38Record linked automatically06fbc2ba19
    matching_agent, CLM-413113, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:54:38Record linked automatically624448ba40
    matching_agent, ENR-117215, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:54:38Record linked automaticallyd8cb5d12a0
    matching_agent, ENR-117216, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:54:38Record linked automaticallyb6aca186cf
    scoring_agent, CLM-413112, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydbdbab5823
    scoring_agent, CLM-413111, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb7e3fe7210
    scoring_agent, CLM-413114, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413112, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3dc9a038c3
    matching_agent, CLM-413113, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:52:09Record linked automatically349c08f8e7
    matching_agent, ENR-117215, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:52:09Record linked automaticallya6a61f150e
    matching_agent, ENR-117216, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:52:09Record linked automatically03f0343d36
    scoring_agent, CLM-413112, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyecd2be6927
    scoring_agent, CLM-413111, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye090cedb0a
    scoring_agent, CLM-413114, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413112, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3ea26646f2
    matching_agent, CLM-413113, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:45:42Record linked automatically757f4cf055
    matching_agent, ENR-117215, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:45:42Record linked automaticallyc42643bf63
    matching_agent, ENR-117216, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:45:42Record linked automatically5c2efa521d
    scoring_agent, CLM-413112, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb38b08f4a
    scoring_agent, CLM-413111, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8bf83a112f
    scoring_agent, CLM-413114, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413112, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc4e5dcfb55
    matching_agent, CLM-413113, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:32:31Record linked automaticallyb6783788bc
    matching_agent, ENR-117215, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:32:31Record linked automatically092c88da12
    matching_agent, ENR-117216, identity id MBR-018557, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413112
  • 2026-10-19 19:32:31Record linked automaticallyd67a75b67c
    scoring_agent, CLM-413112, identity id MBR-018557, confidence 1, method probabilistic, matched record CLM-413114, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6d6dc0b3e7
    scoring_agent, CLM-413111, identity id MBR-035987, confidence 1, method probabilistic, matched record ENR-117323, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2ff0d591ba
    scoring_agent, ENR-117216, identity id MBR-023602, confidence 1, method probabilistic, matched record TPA-55704, policy version 1
  • 2026-10-19 19:31:28Record linked automatically92e852a929
    matching_agent, CLM-413112, identity id MBR-016642, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117327
  • 2026-10-19 19:31:28Record linked automaticallye597f1d30f
    scoring_agent, ENR-117215, identity id MBR-016624, confidence 0.99, method probabilistic, matched record CLM-413025, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4d2176ee82
    matching_agent, CLM-413113, identity id MBR-010086, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117329
  • 2026-10-19 19:31:28Record linked automatically6eb14d193b
    scoring_agent, CLM-413114, identity id MBR-010086, confidence 1, method probabilistic, matched record TPA-55743, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0318562026-08-24Mesa Internal Medicine Associates
in network
80053, 93000$124.00—DeniedDenied
CLM-2026-0008192026-09-26Pinecrest Internal Medicine Associates
in network
99215$344.00—DeniedDenied
CLM-2026-0064412026-09-26Evergreen Internal Medicine Associates
in network
70553$3,146.00—Needs reviewNeeds review
CLM-2026-0008182026-09-26Pinecrest Internal Medicine Associates
in network
99215$344.00$193.28ApprovedApproved
CLM-2026-0318552026-08-24Mesa Internal Medicine Associates
in network
80053, 93000$124.00$56.88ApprovedApproved
CLM-2026-0023692026-02-16Lakeside Physical Therapy
in network
97110$198.00$102.76ApprovedApproved