Janet V Carroll

4 source records from 3 feeds.

MBR-022901Verified4 records

Golden record

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

First nameENR: Janet
Middle nameENR: V
Last nameENR: Carroll
Date of birthENR: 1980-01-11
GenderENR: F
Member IDENR: UHC-53874-23
SSNENR: •••-••-6754
Phone—: —
EmailENR: janet.carroll44@gmail.com
AddressENR: 4277 Elm St
CityENR: Tucson
StateENR: AZ
ZIP—: —
GroupENR: GRP-7086
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×2ENR ×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

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-408566	CLM	2026-03-30	Janet Carrollflagged	1980-01-11	—	—	4277 Elm St, Tucson, AZ	Scored	1.00	—
ENR-111300	ENR	2026-06-04	Janet Carrollflagged	1980-01-11	UHC-53874-23	—	4277 Elm St, Tucson, AZ	Scored	1.00	—
TPA-53770	TPA	2026-06-09	Janet Carrollflagged	1980-01-11	—	—	4277 Elm St, Tucson, AZ	Scored	1.00	—
CLM-408565	CLM	2026-09-26	Janet Carrollflagged	1980-01-11	UHC-53874-23	—	4277 Elm St, Tucson, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53770TPACLM-408565CLM1.00Scoredweighted 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-408566CLMENR-111300ENR1.00Scoredweighted 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-111300ENRCLM-408565CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111300ENRTPA-53770TPA0.97RuleD2 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408566CLMCLM-408565CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408566CLMTPA-53770TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408566 → UHC-53874-23 (Janet Carroll)
ACT-009719, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf32a3c62df
scoring_agent, CLM-408565, identity id MBR-022901, confidence 1, method probabilistic, matched record TPA-53770, policy version 1
2026-10-19 19:54:38Record linked automatically55fd280519
scoring_agent, TPA-53770, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408565, policy version 1
2026-10-19 19:54:38Record linked automatically845b4b2824
scoring_agent, ENR-111300, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408566, policy version 1
2026-10-19 19:54:38Record linked automaticallyaaed7e99f2
scoring_agent, CLM-408566, identity id MBR-022901, confidence 1, method probabilistic, matched record ENR-111300, policy version 1
2026-10-19 19:52:09Record linked automatically149bd77be2
scoring_agent, CLM-408565, identity id MBR-022901, confidence 1, method probabilistic, matched record TPA-53770, policy version 1
2026-10-19 19:52:09Record linked automaticallyc27882e08b
scoring_agent, TPA-53770, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408565, policy version 1
2026-10-19 19:52:09Record linked automaticallyfab80ad64d
scoring_agent, ENR-111300, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408566, policy version 1
2026-10-19 19:52:09Record linked automatically15608331e8
scoring_agent, CLM-408566, identity id MBR-022901, confidence 1, method probabilistic, matched record ENR-111300, policy version 1
2026-10-19 19:45:42Record linked automaticallyc3de81d823
scoring_agent, CLM-408565, identity id MBR-022901, confidence 1, method probabilistic, matched record TPA-53770, policy version 1
2026-10-19 19:45:42Record linked automatically5b1a037715
scoring_agent, TPA-53770, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408565, policy version 1
2026-10-19 19:45:42Record linked automatically125b8640b1
scoring_agent, ENR-111300, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408566, policy version 1
2026-10-19 19:45:42Record linked automatically454b392686
scoring_agent, CLM-408566, identity id MBR-022901, confidence 1, method probabilistic, matched record ENR-111300, policy version 1
2026-10-19 19:32:31Record linked automatically9176f0617b
scoring_agent, CLM-408565, identity id MBR-022901, confidence 1, method probabilistic, matched record TPA-53770, policy version 1
2026-10-19 19:32:31Record linked automatically3ffa0f058a
scoring_agent, TPA-53770, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408565, policy version 1
2026-10-19 19:32:31Record linked automaticallya76de5f356
scoring_agent, ENR-111300, identity id MBR-022901, confidence 1, method probabilistic, matched record CLM-408566, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd3ec175b9
scoring_agent, CLM-408566, identity id MBR-022901, confidence 1, method probabilistic, matched record ENR-111300, policy version 1
2026-10-19 19:31:28Record linked automaticallya321342f85
matching_agent, TPA-53770, identity id MBR-033986, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111218
2026-10-19 19:31:28Record linked automaticallyeb2e6997ba
matching_agent, ENR-111300, identity id MBR-015172, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53789
2026-10-19 19:31:28Record linked automatically6c2606138c
matching_agent, CLM-408566, identity id MBR-010468, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111284
2026-10-19 19:31:28Record linked automaticallyea41c6d430
matching_agent, CLM-408565, identity id MBR-002052, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22526

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-007865	2026-09-23	Northgate Primary Care Associates out of network	99395	$261.00	$87.45	Approved	Approved
CLM-2026-031893	2026-03-11	Mesa Diabetes Center in network	99215, 83036, 99214	$680.00	—	Needs review	Needs review