Identities/MBR-019086

Gold, golden identity

Carolyn King

5 source records from 2 feeds.

MBR-019086Verified5 records

Golden record

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

First nameCLM: Carolyn
Middle name—: —
Last nameCLM: King
Date of birthCLM: 1957-07-13
GenderCLM: M
Member IDCLM: UHC-08940-62
SSNCLM: •••-••-3137
PhoneTPA: 8936265186
Email—: —
AddressCLM: 2064 Park Pl
CityCLM: San Antonio
StateCLM: TX
ZIPCLM: 78271
GroupCLM: GRP-8830
PlanCLM: MEDICARE-ADV-A

Min confidence

0.96

Sources

TPA ×2CLM ×3

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
TPA-54679	TPA	2026-03-12	Carolyn Kingflagged	1957-07-13	—	—	2064 Park Pl, San Antonio, TX	Scored	1.00	—
CLM-410663	CLM	2026-03-14	Carolyn Kingflagged	—	UHC-08940-62	—	2064 Park Pl, San Antonio, TX	Rule	0.96	D3 member id + name
CLM-410662	CLM	2026-04-10	Carolyn Kingflagged	1957-07-13	UHC-08940-62	—	2064 Park Pl, San Antonio, TX	Scored	1.00	—
CLM-410664	CLM	2026-07-21	Carolyn Kingflagged	1957-07-13	—	—	2064 Park Pl, San Antonio, TX	Scored	1.00	—
TPA-54680	TPA	2026-09-29	Carolyn Kingflagged	1957-07-13	—	8936265186	2064 Park Pl, San Antonio, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-54679TPACLM-410662CLM1.00Scoredweighted 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-54679TPACLM-410664CLM1.00Scoredweighted 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-410662CLMCLM-410664CLM1.00Scoredweighted 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-54679TPATPA-54680TPA1.00Scoredweighted 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-410662CLMTPA-54680TPA1.00Scoredweighted 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-410664CLMTPA-54680TPA1.00Scoredweighted 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-410663CLMCLM-410662CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54679TPACLM-410663CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-410663CLMCLM-410664CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-410663CLMTPA-54680TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410664 → UHC-08940-62 (Carolyn King)
ACT-003288, Claims processor
Care coordination outreachProposed
Carolyn King: 3 claims, no attributed provider
ACT-019042, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7e47497283
scoring_agent, TPA-54680, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:54:38Record linked automaticallyc4b78f8b88
scoring_agent, CLM-410664, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:54:38Record linked automatically330e362686
scoring_agent, CLM-410662, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:54:38Record linked automaticallybe91a49c20
matching_agent, CLM-410663, identity id MBR-019086, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410662
2026-10-19 19:54:38Record linked automaticallyccdd937ec5
scoring_agent, TPA-54679, identity id MBR-019086, confidence 1, method probabilistic, matched record CLM-410662, policy version 1
2026-10-19 19:52:09Record linked automaticallybf5b9326f0
scoring_agent, TPA-54680, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:52:09Record linked automatically9fd367de84
scoring_agent, CLM-410664, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:52:09Record linked automatically2462db4d1f
scoring_agent, CLM-410662, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:52:09Record linked automatically6e67865d28
matching_agent, CLM-410663, identity id MBR-019086, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410662
2026-10-19 19:52:09Record linked automaticallyaf94007e4d
scoring_agent, TPA-54679, identity id MBR-019086, confidence 1, method probabilistic, matched record CLM-410662, policy version 1
2026-10-19 19:45:42Record linked automatically46080cbf78
scoring_agent, TPA-54680, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:45:42Record linked automatically22ca652735
scoring_agent, CLM-410664, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:45:42Record linked automaticallya41f8ec207
scoring_agent, CLM-410662, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:45:42Record linked automatically657e10b6f7
matching_agent, CLM-410663, identity id MBR-019086, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410662
2026-10-19 19:45:42Record linked automatically3fdf1ee43e
scoring_agent, TPA-54679, identity id MBR-019086, confidence 1, method probabilistic, matched record CLM-410662, policy version 1
2026-10-19 19:32:31Record linked automaticallycffa48e5d6
scoring_agent, TPA-54680, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:32:31Record linked automaticallyfe582de043
scoring_agent, CLM-410664, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:32:31Record linked automatically8c552bf43c
scoring_agent, CLM-410662, identity id MBR-019086, confidence 1, method probabilistic, matched record TPA-54679, policy version 1
2026-10-19 19:32:31Record linked automatically384be692b1
matching_agent, CLM-410663, identity id MBR-019086, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410662
2026-10-19 19:32:31Record linked automaticallyd0eb1e1214
scoring_agent, TPA-54679, identity id MBR-019086, confidence 1, method probabilistic, matched record CLM-410662, policy version 1
2026-10-19 19:31:28Record linked automatically99a14b09e3
matching_agent, CLM-410664, identity id MBR-033456, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114118
2026-10-19 19:31:28Record linked automatically2160395e04
scoring_agent, TPA-54680, identity id MBR-028728, confidence 1, method probabilistic, matched record PRV-23131, policy version 1
2026-10-19 19:31:28Record linked automatically8c186e704f
matching_agent, TPA-54679, identity id MBR-025137, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113914
2026-10-19 19:31:28Record linked automatically543b3ecdbf
matching_agent, CLM-410662, identity id MBR-020776, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114110
2026-10-19 19:31:28Record linked automatically98e170ab32
matching_agent, CLM-410663, identity id MBR-020776, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-410662

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-2026-007416	2026-06-25	Heritage Family Practice in network	36415, 99213, 99395	$401.00	$233.12	Approved	Approved
CLM-2026-024318	2026-03-13	Desert Internal Medicine Associates in network	99215, 99214	$613.00	$350.06	Approved	Approved
CLM-2026-011360	2026-02-04	Mesa Orthopedic Specialists in network	20610	$221.00	$77.02	Approved	Approved