Identities/MBR-024646
Gold, golden identity

Andrea Carroll

4 source records from 2 feeds.

MBR-024646Verified4 records

Golden record

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

First nameCLM
Andrea
Middle name—
—
Last nameCLM
Carroll
Date of birthCLM
1988-07-02
GenderCLM
M
Member IDCLM
UHC-45950-02
SSNCLM
•••-••-2034
PhoneCLM
2617194299
EmailCLM
andrea.carroll35@proton.me
AddressCLM
6828 Oak St
CityCLM
Sacramento
StateCLM
CA
ZIPCLM
95878
GroupCLM
GRP-8898
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×3TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.00CLMCLM-408956TPATPA-53927CLMCLM-408959CLMCLM-408958IDMBR-024646
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-408956CLM2026-04-08Andrea Carrollflagged———6828 Oak St, Sacramento, CAScored1.00—
TPA-53927TPA2026-07-31Andera Carrollflagged1988-07-02——6828 Oak St, Sacramento, CAScored0.99—
CLM-408959CLM2026-08-14Andrea Carrollflagged1988-07-02UHC-45950-02——Rule0.99D1 member id + dob exact
CLM-408958CLM2026-10-14Andrea Carrollflagged1988-07-02UHC-45950-0226171942996828 Oak St, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-408956CLMCLM-408958CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53927TPACLM-408958CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-408959CLMCLM-408958CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53927TPACLM-408959CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-408956CLMTPA-53927TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408956 → UHC-45950-02 (Andrea Carroll)
    ACT-001518, Claims processor
  • Care coordination outreachProposed
    Andrea Carroll: 3 claims, no attributed provider
    ACT-019277, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya100819d00
    scoring_agent, CLM-408958, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408956, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd71496902b
    matching_agent, CLM-408959, identity id MBR-024646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408958
  • 2026-10-19 19:54:38Record linked automatically4703212649
    scoring_agent, TPA-53927, identity id MBR-024646, confidence 0.99, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:54:38Record linked automatically724cbbef42
    scoring_agent, CLM-408956, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0d90a6efc8
    scoring_agent, CLM-408958, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408956, policy version 1
  • 2026-10-19 19:52:09Record linked automatically591ed3d432
    matching_agent, CLM-408959, identity id MBR-024646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408958
  • 2026-10-19 19:52:09Record linked automatically0ef1db407e
    scoring_agent, TPA-53927, identity id MBR-024646, confidence 0.99, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6c83ec345e
    scoring_agent, CLM-408956, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:45:42Record linked automatically842947edb2
    scoring_agent, CLM-408958, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408956, policy version 1
  • 2026-10-19 19:45:42Record linked automatically76b354129c
    matching_agent, CLM-408959, identity id MBR-024646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408958
  • 2026-10-19 19:45:42Record linked automaticallyc5f9124621
    scoring_agent, TPA-53927, identity id MBR-024646, confidence 0.99, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:45:42Record linked automatically36671a82a8
    scoring_agent, CLM-408956, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyae38567a22
    scoring_agent, CLM-408958, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408956, policy version 1
  • 2026-10-19 19:32:31Record linked automatically458c1d4c56
    matching_agent, CLM-408959, identity id MBR-024646, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408958
  • 2026-10-19 19:32:31Record linked automaticallydf3e4019ad
    scoring_agent, TPA-53927, identity id MBR-024646, confidence 0.99, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf59416dc3a
    scoring_agent, CLM-408956, identity id MBR-024646, confidence 1, method probabilistic, matched record CLM-408958, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb66027e452
    matching_agent, CLM-408959, identity id MBR-038928, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111811
  • 2026-10-19 19:31:28Record linked automatically67986f3838
    matching_agent, CLM-408958, identity id MBR-010208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111809
  • 2026-10-19 19:31:28Record linked automaticallybfd3615bf2
    matching_agent, CLM-408956, identity id MBR-003275, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111807

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0208982026-10-02Pinecrest Behavioral Health
in network
90791, 90837$557.00$270.34ApprovedApproved
CLM-2026-0116552026-07-16Northgate Heart Institute
in network
93306, 93458$6,431.00—Needs reviewNeeds review
CLM-2026-0116542026-07-16Northgate Heart Institute
in network
93306, 93458$6,431.00$1,565.64ApprovedApproved
CLM-2026-0007882026-02-22Cornerstone Reference Lab
out of network
87086, 80061, 85025$155.00—DeniedDenied