Identities/MBR-020352

Gold, golden identity

Joyce W Carlson

5 source records from 3 feeds.

MBR-020352Verified5 records

Golden record

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

First nameENR: Joyce
Middle nameENR: W
Last nameENR: Carlson
Date of birthENR: 1956-07-15
GenderENR: F
Member IDENR: UHC-05360-87
SSNENR: •••-••-5836
PhoneCLM: 4963618160
EmailCLM: joyce.carlson@hotmail.com
AddressENR: 2610 Baseline Rd
CityENR: Glendale
StateENR: AZ
ZIPENR: 85327
GroupENR: GRP-0207
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

ENR ×1CLM ×3TPA ×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
ENR-102360	ENR	2026-03-17	Joyce Carlsonflagged	1956-07-15	UHC-05360-87	—	2610 Baseline Rd, Glendale, AZ	Rule	0.99	D1 member id + dob exact
CLM-401809	CLM	2026-03-19	Joyce Carlsonflagged	1956-07-15	UHC-05360-87	—	2610 Baseline Rd, Glendale, AZ	Scored	1.00	—
TPA-50790	TPA	2026-05-30	Joyce Carlsonflagged	1956-07-15	—	—	2610 Baseline Rd, Glendale, AZ	Scored	1.00	—
CLM-401807	CLM	2026-06-03	Joyce Carlsonflagged	1956-07-15	—	4963618160	—	Scored	1.00	—
CLM-401808	CLM	2026-08-26	Joyce Carlsonflagged	1956-07-15	UHC-05360-87	4963618160	—	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-401807CLMCLM-401808 CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401809CLMTPA-50790TPA1.00Scoredweighted 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

▶ENR-102360ENRCLM-401808 CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401809CLMCLM-401808 CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-102360ENRCLM-401809CLM0.99RuleD1 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

▶ENR-102360ENRCLM-401807CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-50790TPACLM-401807CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-102360ENRTPA-50790TPA0.97RuleD2 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

▶CLM-401809CLMCLM-401807CLM0.83Scoredweighted 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-50790TPACLM-401808 CLM0.83Scoredweighted 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-401807 → UHC-05360-87 (Joyce Carlson)
ACT-008307, Claims processor
Care coordination outreachProposed
Joyce Carlson: 3 claims, no attributed provider
ACT-019106, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically628e40f863
scoring_agent, CLM-401808, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-22 12:43:54Record linked automatically5a1da1682d
scoring_agent, CLM-401807, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-22 12:43:54Record linked automatically1526bd473a
scoring_agent, TPA-50790, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401809, policy version 1
2026-10-22 12:43:54Record linked automatically079b097f07
scoring_agent, CLM-401809, identity id MBR-020352, confidence 1, method probabilistic, matched record TPA-50790, policy version 1
2026-10-22 12:43:54Record linked automatically83eca6f75d
matching_agent, ENR-102360, identity id MBR-020352, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401809
2026-10-19 19:54:38Record linked automatically9cbbf9c428
scoring_agent, CLM-401808, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-19 19:54:38Record linked automaticallyec8cd387d2
scoring_agent, CLM-401807, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-19 19:54:38Record linked automatically47853ee7bf
scoring_agent, TPA-50790, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401809, policy version 1
2026-10-19 19:54:38Record linked automatically2dc47eb09b
scoring_agent, CLM-401809, identity id MBR-020352, confidence 1, method probabilistic, matched record TPA-50790, policy version 1
2026-10-19 19:54:38Record linked automatically61bd21e494
matching_agent, ENR-102360, identity id MBR-020352, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401809
2026-10-19 19:52:09Record linked automatically8cf23ce83d
scoring_agent, CLM-401808, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-19 19:52:09Record linked automaticallyf2656e40b4
scoring_agent, CLM-401807, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-19 19:52:09Record linked automaticallydad200bf95
scoring_agent, TPA-50790, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401809, policy version 1
2026-10-19 19:52:09Record linked automaticallyd2d4899213
scoring_agent, CLM-401809, identity id MBR-020352, confidence 1, method probabilistic, matched record TPA-50790, policy version 1
2026-10-19 19:52:09Record linked automatically8867007eaf
matching_agent, ENR-102360, identity id MBR-020352, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401809
2026-10-19 19:45:42Record linked automatically58de34082a
scoring_agent, CLM-401808, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-19 19:45:42Record linked automaticallycb4366b541
scoring_agent, CLM-401807, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-19 19:45:42Record linked automatically20659fde6c
scoring_agent, TPA-50790, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401809, policy version 1
2026-10-19 19:45:42Record linked automaticallyc36ce2a938
scoring_agent, CLM-401809, identity id MBR-020352, confidence 1, method probabilistic, matched record TPA-50790, policy version 1
2026-10-19 19:45:42Record linked automaticallye736f75c20
matching_agent, ENR-102360, identity id MBR-020352, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401809
2026-10-19 19:32:31Record linked automatically15e82a8605
scoring_agent, CLM-401808, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-19 19:32:31Record linked automatically87bc91dddb
scoring_agent, CLM-401807, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-19 19:32:31Record linked automatically003b29ba48
scoring_agent, TPA-50790, identity id MBR-020352, confidence 1, method probabilistic, matched record CLM-401809, policy version 1
2026-10-19 19:32:31Record linked automatically561460b0e7
scoring_agent, CLM-401809, identity id MBR-020352, confidence 1, method probabilistic, matched record TPA-50790, policy version 1
2026-10-19 19:32:31Record linked automaticallyedbacdfd0a
matching_agent, ENR-102360, identity id MBR-020352, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401809
2026-10-19 19:31:28Record linked automatically725c8f6985
scoring_agent, TPA-50790, identity id MBR-035725, confidence 1, method probabilistic, matched record CLM-401799, policy version 1
2026-10-19 19:31:28Record linked automatically7e798183b9
scoring_agent, CLM-401808, identity id MBR-014383, confidence 1, method probabilistic, matched record CLM-401807, policy version 1
2026-10-19 19:31:28Record linked automaticallybbe2ce4d0d
scoring_agent, CLM-401807, identity id MBR-014383, confidence 1, method probabilistic, matched record CLM-401808, policy version 1
2026-10-19 19:31:28Record linked automatically0b4a1ac9ce
matching_agent, CLM-401809, identity id MBR-001299, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102341

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-2026-012566	2026-08-08	Canyon Internal Medicine Associates out of network	80053	$66.00	$0.00	Approved	Approved
CLM-2026-026372	2026-05-10	Unity Primary Care Associates in network	99213	$148.00	$61.76	Approved	Approved
CLM-2026-032435	2026-02-03	Mesa Bone and Joint Center in network	73721	$2,356.00	$0.00	Approved	Approved