Identities/MBR-024032
Gold, golden identity

Karen Roberts

3 source records from 1 feed.

MBR-024032Verified3 records

Golden record

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

First nameCLM
Karen
Middle name—
—
Last nameCLM
Roberts
Date of birthCLM
1944-08-03
GenderCLM
F
Member IDCLM
UHC-49232-31
SSNCLM
•••-••-7740
PhoneCLM
4515352745
Email—
—
AddressCLM
3071 Cedar Ln
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92160
GroupCLM
GRP-8503
PlanCLM
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

0.970.990.99CLMCLM-415072CLMCLM-415070CLMCLM-415071IDMBR-024032
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-415072CLM2026-04-04Karen Robertsflagged1944-08-03—45153527453071 Cedar Ln, San Diego, CARule0.97D2 ssn4 + dob + last name
CLM-415070CLM2026-07-10Karne Robertsflagged1944-08-03UHC-49232-31—3071 Cedar Ln Apt 3, San Diego, CARule0.99D1 member id + dob exact
CLM-415071CLM2026-09-02Karen Robertsflagged1944-08-03UHC-49232-3145153527453071 Cedar Ln, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415070CLMCLM-415071CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415072CLMCLM-415070CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415072CLMCLM-415071CLM0.97RuleD2 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

  • Orphan claim re-pointedExecuted
    CLM-415072 → UHC-49232-31 (Karen Roberts)
    ACT-003787, Claims processor
  • Care coordination outreachProposed
    Karen Roberts: 3 claims, no attributed provider
    ACT-019255, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically611e28901d
    matching_agent, CLM-415071, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415070
  • 2026-10-22 12:43:54Record linked automatically49d5ff6091
    matching_agent, CLM-415070, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415071
  • 2026-10-22 12:43:54Record linked automaticallyc4cdc44b4a
    matching_agent, CLM-415072, identity id MBR-024032, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415070
  • 2026-10-19 19:54:38Record linked automatically1651d76447
    matching_agent, CLM-415071, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415070
  • 2026-10-19 19:54:38Record linked automatically46a0802bc5
    matching_agent, CLM-415070, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415071
  • 2026-10-19 19:54:38Record linked automatically86d0a13bda
    matching_agent, CLM-415072, identity id MBR-024032, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415070
  • 2026-10-19 19:52:09Record linked automatically14d86a821a
    matching_agent, CLM-415071, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415070
  • 2026-10-19 19:52:09Record linked automatically3c7c560b99
    matching_agent, CLM-415070, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415071
  • 2026-10-19 19:52:09Record linked automaticallyc46f90c278
    matching_agent, CLM-415072, identity id MBR-024032, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415070
  • 2026-10-19 19:45:42Record linked automatically10a5a717c4
    matching_agent, CLM-415071, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415070
  • 2026-10-19 19:45:42Record linked automatically8fe2f8d684
    matching_agent, CLM-415070, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415071
  • 2026-10-19 19:45:42Record linked automaticallyd6828040f4
    matching_agent, CLM-415072, identity id MBR-024032, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415070
  • 2026-10-19 19:32:31Record linked automaticallyd2984d6df0
    matching_agent, CLM-415071, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415070
  • 2026-10-19 19:32:31Record linked automatically820d833316
    matching_agent, CLM-415070, identity id MBR-024032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415071
  • 2026-10-19 19:32:31Record linked automaticallyfba8e5857e
    matching_agent, CLM-415072, identity id MBR-024032, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415070
  • 2026-10-19 19:31:28Record linked automatically8769607e3f
    scoring_agent, CLM-415071, identity id MBR-028128, confidence 1, method probabilistic, matched record TPA-56559, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf2afb5968b
    matching_agent, CLM-415070, identity id MBR-028128, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-415071
  • 2026-10-19 19:31:28Record linked automaticallyf8983c35d6
    scoring_agent, CLM-415072, identity id MBR-020928, confidence 0.93, method probabilistic, matched record ENR-119736, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0161242026-07-25Desert Diagnostic Imaging
in network
76700$402.00$0.00ApprovedApproved
CLM-2026-0082692026-05-31Mesa Reference Lab
in network
85025, 80053, 83036, 87086$198.00$0.00ApprovedApproved
CLM-2026-0093422026-02-22Mesa Cardiovascular Associates
in network
93458$5,181.00$2,009.30ApprovedApproved