Identities/MBR-018889

Gold, golden identity

Karen I Thomas

6 source records from 3 feeds.

MBR-018889Verified6 records

Golden record

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

First nameENR: Karen
Middle nameENR: I
Last nameENR: Thomas
Date of birthENR: 2005-11-05
GenderCLM: M
Member IDENR: UHC-47494-97
SSNCLM: •••-••-4760
PhoneCLM: 3516962268
EmailCLM: karen.thomas94@proton.me
AddressENR: 6718 Mesa Dr
CityENR: Houston
StateENR: TX
ZIPENR: 77082
GroupENR: GRP-7804
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×3TPA ×2ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-430981	CLM	2026-03-11	Karen Thomasflagged	2005-11-05	UHC-47494-97	—	6718 Mesa Dr, Houston, TX	Scored	1.00	—
TPA-63690	TPA	2026-03-13	Karen Thomasflagged	2005-11-05	—	—	6718 Mesa Dr, Houston, TX	Scored	1.00	—
CLM-430980	CLM	2026-04-14	Karen Thomasflagged	2005-11-05	UHC-47494-97	—	6718 Mesa Dr, Houston, TX	Scored	1.00	—
TPA-63689	TPA	2026-06-14	Karen Thomasflagged	2005-11-05	—	3516962268	—	Scored	1.00	—
ENR-140687	ENR	2026-08-23	Karen Thomasflagged	2005-11-05	UHC-47494-97	—	6718 Mesa Dr, Houston, TX	Scored	1.00	—
CLM-430979	CLM	2026-08-30	Karen Thomasflagged	2005-11-05	—	3516962268	6718 Mesa Dr, Houston, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-430981CLM CLM-430979CLM 1.00Scoredweighted 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-63690TPACLM-430979CLM 1.00Scoredweighted 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-63689TPACLM-430979CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-140687ENRCLM-430979CLM 1.00Scoredweighted 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-63690TPACLM-430980CLM1.00Scoredweighted 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-63690TPAENR-140687ENR1.00Scoredweighted 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-430981CLM TPA-63690TPA1.00Scoredweighted 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-430981CLM CLM-430980CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430981CLM ENR-140687ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430980CLMENR-140687ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430980CLMCLM-430979CLM 0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63689TPAENR-140687ENR0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-430981CLM TPA-63689TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-63690TPATPA-63689TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-430980CLMTPA-63689TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430979 → UHC-47494-97 (Karen Thomas)
ACT-002291, Claims processor
Care coordination outreachProposed
Karen Thomas: 3 claims, no attributed provider
ACT-019030, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyea59359ec1
scoring_agent, CLM-430979, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-22 12:43:54Record linked automatically02b7d32227
scoring_agent, ENR-140687, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-22 12:43:54Record linked automatically23321786b0
scoring_agent, TPA-63689, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430979, policy version 1
2026-10-22 12:43:54Record linked automatically8b71d698af
scoring_agent, CLM-430980, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-22 12:43:54Record linked automatically22dd3344c6
scoring_agent, TPA-63690, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-22 12:43:54Record linked automatically1511b3c320
scoring_agent, CLM-430981, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:54:38Record linked automaticallyefd079dc17
scoring_agent, CLM-430979, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:54:38Record linked automatically1adf1299be
scoring_agent, ENR-140687, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:54:38Record linked automatically94250a2970
scoring_agent, TPA-63689, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430979, policy version 1
2026-10-19 19:54:38Record linked automatically4a55b6f440
scoring_agent, CLM-430980, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:54:38Record linked automaticallyd58d392792
scoring_agent, TPA-63690, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:54:38Record linked automatically332aeeea5a
scoring_agent, CLM-430981, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:52:09Record linked automaticallycaf3b7c39b
scoring_agent, CLM-430979, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:52:09Record linked automaticallyfa9cab8885
scoring_agent, ENR-140687, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:52:09Record linked automatically13aba57c8a
scoring_agent, TPA-63689, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430979, policy version 1
2026-10-19 19:52:09Record linked automatically4d10915204
scoring_agent, CLM-430980, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:52:09Record linked automatically1f225079ff
scoring_agent, TPA-63690, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:52:09Record linked automatically68f91f43d4
scoring_agent, CLM-430981, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:45:42Record linked automatically255bd02370
scoring_agent, CLM-430979, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:45:42Record linked automatically99eb9053a5
scoring_agent, ENR-140687, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:45:42Record linked automaticallye2f3c149b8
scoring_agent, TPA-63689, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430979, policy version 1
2026-10-19 19:45:42Record linked automaticallyfbc1d8bcd6
scoring_agent, CLM-430980, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:45:42Record linked automaticallyab79f4d16e
scoring_agent, TPA-63690, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:45:42Record linked automaticallye3857293bf
scoring_agent, CLM-430981, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:32:31Record linked automaticallycb462722bf
scoring_agent, CLM-430979, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:32:31Record linked automatically5ba52ad582
scoring_agent, ENR-140687, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:32:31Record linked automatically78a9bdfd90
scoring_agent, TPA-63689, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430979, policy version 1
2026-10-19 19:32:31Record linked automatically8f0439fecf
scoring_agent, CLM-430980, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:32:31Record linked automatically2f13323159
scoring_agent, TPA-63690, identity id MBR-018889, confidence 1, method probabilistic, matched record CLM-430981, policy version 1
2026-10-19 19:32:31Record linked automatically713d5eea81
scoring_agent, CLM-430981, identity id MBR-018889, confidence 1, method probabilistic, matched record TPA-63690, policy version 1
2026-10-19 19:31:28Record linked automatically355a1b3f66
scoring_agent, TPA-63689, identity id MBR-031929, confidence 1, method probabilistic, matched record CLM-431242, policy version 1
2026-10-19 19:31:28Record linked automaticallydcecc3113c
matching_agent, CLM-430980, identity id MBR-017773, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430981
2026-10-19 19:31:28Record linked automatically7aa4fba681
matching_agent, CLM-430981, identity id MBR-017773, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430980
2026-10-19 19:31:28Record linked automatically1440729c9b
scoring_agent, CLM-430979, identity id MBR-009478, confidence 1, method probabilistic, matched record ENR-140896, 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-2026-003587	2026-07-24	Heritage GI Associates in network	43239, 88305	$1,651.00	$572.11	Approved	Approved
CLM-2026-008996	2026-04-03	Summit Reference Lab out of network	85025, 83036	$100.00	$0.00	Approved	Approved
CLM-2026-022794	2026-02-07	Northgate Medical Group in network	99203, 99213, 99214	$608.00	$356.96	Approved	Approved