Identities/MBR-019520
Gold, golden identity

Karen T Rojas

3 source records from 3 feeds.

MBR-019520Verified3 records

Golden record

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

First namePRV
Karen
Middle namePRV
T
Last namePRV
Rojas
Date of birthPRV
1996-05-21
GenderPRV
M
Member IDPRV
UHC-95344-65
SSNCLM
•••-••-0393
PhonePRV
9038384737
EmailTPA
karen.rojas@icloud.com
AddressCLM
6039 Sage Ct
CityPRV
Miami
StatePRV
FL
ZIPPRV
33184
GroupCLM
GRP-2673
Plan—
—
Min confidence
0.99
Sources
CLM ×1PRV ×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

0.991.001.00CLMCLM-400708PRVPRV-20216TPATPA-50322IDMBR-019520
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-400708CLM2026-03-14Karen Rojasflagged1996-05-21UHC-95344-6590383847376039 Sage Ct, Miami, FLRule0.99D1 member id + dob exact
PRV-20216PRV2026-04-19Karen Rojasflagged1996-05-21UHC-95344-6590383847376039 Sage Ct # 528, Miami, FLScored1.00—
TPA-50322TPA2026-07-29Karen Rojasflagged1996-05-21—90383847376039 Sage Ct, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-20216PRVTPA-50322TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400708CLMPRV-20216PRV0.99RuleD1 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
▶CLM-400708CLMTPA-50322TPA0.97RuleD2 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

Actions

What downstream consumers did with this identity

No actions yet
Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically32884bd151
    scoring_agent, TPA-50322, identity id MBR-019520, confidence 1, method probabilistic, matched record PRV-20216, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8bf31b4d7f
    scoring_agent, PRV-20216, identity id MBR-019520, confidence 1, method probabilistic, matched record TPA-50322, policy version 1
  • 2026-10-19 19:54:38Record linked automatically950990c801
    matching_agent, CLM-400708, identity id MBR-019520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20216
  • 2026-10-19 19:52:09Record linked automatically9256cbe8c4
    scoring_agent, TPA-50322, identity id MBR-019520, confidence 1, method probabilistic, matched record PRV-20216, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2c0ce61a63
    scoring_agent, PRV-20216, identity id MBR-019520, confidence 1, method probabilistic, matched record TPA-50322, policy version 1
  • 2026-10-19 19:52:09Record linked automatically12e976b44f
    matching_agent, CLM-400708, identity id MBR-019520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20216
  • 2026-10-19 19:45:42Record linked automaticallya24c76e88f
    scoring_agent, TPA-50322, identity id MBR-019520, confidence 1, method probabilistic, matched record PRV-20216, policy version 1
  • 2026-10-19 19:45:42Record linked automatically11f46adbe4
    scoring_agent, PRV-20216, identity id MBR-019520, confidence 1, method probabilistic, matched record TPA-50322, policy version 1
  • 2026-10-19 19:45:42Record linked automatically878a7c32f3
    matching_agent, CLM-400708, identity id MBR-019520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20216
  • 2026-10-19 19:32:31Record linked automatically1d52645869
    scoring_agent, TPA-50322, identity id MBR-019520, confidence 1, method probabilistic, matched record PRV-20216, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd1af3f2204
    scoring_agent, PRV-20216, identity id MBR-019520, confidence 1, method probabilistic, matched record TPA-50322, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2d9b5de9e1
    matching_agent, CLM-400708, identity id MBR-019520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20216
  • 2026-10-19 19:31:28Record linked automatically4327052f8f
    matching_agent, TPA-50322, identity id MBR-034849, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50323
  • 2026-10-19 19:31:28Record linked automatically79590624dd
    matching_agent, CLM-400708, identity id MBR-012182, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100991

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0012122026-02-15Sunrise Heart Institute
in network
93224$414.00$216.68ApprovedApproved