Identities/MBR-020649

Gold, golden identity

Carol Burton

4 source records from 2 feeds.

MBR-020649Verified4 records

Golden record

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

First nameCLM: Carol
Middle name—: —
Last nameCLM: Burton
Date of birthCLM: 1984-02-02
GenderCLM: F
Member IDCLM: UHC-89891-19
SSNTPA: •••-••-4197
Phone—: —
EmailTPA: carol.burton@outlook.com
AddressCLM: 5385 Broadway
CityCLM: Orlando
StateCLM: FL
ZIPCLM: 32807
GroupCLM: GRP-7305
PlanCLM: SELECT-EPO

Min confidence

1.00

Sources

TPA ×2CLM ×2

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-56117	TPA	2026-03-19	Carol Burtonflagged	1984-02-02	—	—	5385 Broadway, Orlando, FL	Scored	1.00	—
CLM-413887	CLM	2026-05-13	Carol Burtonflagged	1984-02-02	—	—	5385 Broadway, Orlando, FL	Scored	1.00	—
CLM-413888	CLM	2026-07-08	Carol Burtonflagged	1984-02-02	UHC-89891-19	—	5385 Broadway # 324, Orlando, FL	Scored	1.00	—
TPA-56118	TPA	2026-09-09	Carol Burtonflagged	1984-02-02	—	—	5385 Broadway, Orlando, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-56117TPACLM-413887CLM1.00Scoredweighted 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-56117TPACLM-413888 CLM1.00Scoredweighted 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-413887CLMCLM-413888 CLM1.00Scoredweighted 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-56117TPATPA-56118TPA1.00Scoredweighted 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-413887CLMTPA-56118TPA1.00Scoredweighted 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-413888 CLMTPA-56118TPA1.00Scoredweighted 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Carol Burton: 2 plan codes across sources → canonical SELECT-EPO
ACT-000866, Eligibility engine
Orphan claim re-pointedExecuted
CLM-413887 → UHC-89891-19 (Carol Burton)
ACT-004957, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically03da82e2ef
scoring_agent, TPA-56118, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:54:38Record linked automatically4536f91d46
scoring_agent, CLM-413888, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:54:38Record linked automatically52a86c38e1
scoring_agent, CLM-413887, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:54:38Record linked automaticallye0ed518e1f
scoring_agent, TPA-56117, identity id MBR-020649, confidence 1, method probabilistic, matched record CLM-413887, policy version 1
2026-10-19 19:52:09Record linked automaticallyebf50c5e35
scoring_agent, TPA-56118, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:52:09Record linked automatically7afada0374
scoring_agent, CLM-413888, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:52:09Record linked automatically041bbed2a7
scoring_agent, CLM-413887, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:52:09Record linked automatically57f07f60b4
scoring_agent, TPA-56117, identity id MBR-020649, confidence 1, method probabilistic, matched record CLM-413887, policy version 1
2026-10-19 19:45:42Record linked automatically9330d57fcc
scoring_agent, TPA-56118, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:45:42Record linked automaticallye2a55b8745
scoring_agent, CLM-413888, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:45:42Record linked automaticallyd16c7d04eb
scoring_agent, CLM-413887, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:45:42Record linked automaticallyc00720dfe9
scoring_agent, TPA-56117, identity id MBR-020649, confidence 1, method probabilistic, matched record CLM-413887, policy version 1
2026-10-19 19:32:31Record linked automatically2e53a252f6
scoring_agent, TPA-56118, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:32:31Record linked automatically4efd840590
scoring_agent, CLM-413888, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:32:31Record linked automaticallyad623d2237
scoring_agent, CLM-413887, identity id MBR-020649, confidence 1, method probabilistic, matched record TPA-56117, policy version 1
2026-10-19 19:32:31Record linked automatically66266104bf
scoring_agent, TPA-56117, identity id MBR-020649, confidence 1, method probabilistic, matched record CLM-413887, policy version 1
2026-10-19 19:31:28Record linked automaticallyadd3278066
matching_agent, CLM-413888, identity id MBR-023521, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118249
2026-10-19 19:31:28Record linked automatically710efb17bb
scoring_agent, CLM-413887, identity id MBR-023521, confidence 1, method probabilistic, matched record ENR-118249, policy version 1
2026-10-19 19:31:28Record linked automatically5b78c202c6
scoring_agent, TPA-56118, identity id MBR-005452, confidence 1, method probabilistic, matched record CLM-414058, policy version 1
2026-10-19 19:31:28Record linked automatically7a5b24d213
scoring_agent, TPA-56117, identity id MBR-005452, confidence 1, method probabilistic, matched record TPA-56118, 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-2026-029900	2026-06-29	Harbor Primary Care Associates out of network	99395	$246.00	$90.70	Approved	Approved
CLM-2026-013693	2026-05-09	Cornerstone Bone and Joint Center in network	29881	$7,711.00	$2,402.56	Approved	Approved