Identities/MBR-025239

Gold, golden identity

Carolyn J Martin

5 source records from 3 feeds.

MBR-025239Verified5 recordsOpen steward case

Golden record

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

First nameENR: Carolyn
Middle nameENR: J
Last nameENR: Martin
Date of birthENR: 1986-03-17
GenderCLM: M
Member IDENR: UHC-41069-52
SSNENR: •••-••-3078
PhoneENR: 4282790462
EmailENR: carolyn.martin98@gmail.com
AddressENR: 5919 Church St
CityENR: Plano
StateENR: TX
ZIP—: —
GroupENR: GRP-1893
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

PRV ×1ENR ×1CLM ×3

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
PRV-26905	PRV	2026-04-11	Carolyn Martinflagged	—	—	4282790462	5919 Church St, Plano, TX	Scored	1.00	—
ENR-130596	ENR	2026-04-22	Carolyn Martinflagged	1986-03-17	UHC-41069-52	4282790462	5919 Church St, Plano, TX	Scored	1.00	—
CLM-423401	CLM	2026-06-02	Carolyn Martinflagged	1986-03-17	UHC-41069-52	4282790462	5919 Church St Apt 11, Plano, TX	Scored	1.00	—
CLM-423403	CLM	2026-08-13	Carolyn Martinflagged	1986-03-17	—	4282790462	5919 Church St, Plano, TX	Scored	1.00	—
CLM-423402	CLM	2026-08-24	Carolyn Martinflagged	1986-03-17	UHC-41069-52	4282790462	5919 Church St, Plano, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-26905PRVCLM-423401CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-423403CLMCLM-423402CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26905PRVENR-130596ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-130596ENRCLM-423401CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-130596ENRCLM-423402CLM0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-423401CLMCLM-423402CLM0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-130596ENRCLM-423403CLM0.97RuleD2 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-423401CLMCLM-423403CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26905PRVCLM-423402CLM0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26905PRVCLM-423403CLM0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Carolyn Martin: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-001015, Eligibility engine
Orphan claim re-pointedExecuted
CLM-423403 → UHC-41069-52 (Carolyn Martin)
ACT-008161, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically28d9c6a528
scoring_agent, CLM-423402, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423403, policy version 1
2026-10-19 19:54:38Record linked automatically4cc61fecce
scoring_agent, CLM-423403, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423402, policy version 1
2026-10-19 19:54:38Record linked automatically4559b73870
scoring_agent, CLM-423401, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:54:38Record linked automatically17c04f87e6
scoring_agent, ENR-130596, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:54:38Record linked automatically1dc5e0f111
scoring_agent, PRV-26905, identity id MBR-025239, confidence 1, method probabilistic, matched record ENR-130596, policy version 1
2026-10-19 19:52:09Record linked automatically7ca36c4163
scoring_agent, CLM-423402, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423403, policy version 1
2026-10-19 19:52:09Record linked automatically9211705d5d
scoring_agent, CLM-423403, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423402, policy version 1
2026-10-19 19:52:09Record linked automatically41796d37e1
scoring_agent, CLM-423401, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:52:09Record linked automatically37bc0aea88
scoring_agent, ENR-130596, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:52:09Record linked automatically71e2595d3f
scoring_agent, PRV-26905, identity id MBR-025239, confidence 1, method probabilistic, matched record ENR-130596, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8d5f6b90e
scoring_agent, CLM-423402, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423403, policy version 1
2026-10-19 19:45:42Record linked automatically05cc73a706
scoring_agent, CLM-423403, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423402, policy version 1
2026-10-19 19:45:42Record linked automatically999459be5f
scoring_agent, CLM-423401, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:45:42Record linked automatically5e5e6dea4e
scoring_agent, ENR-130596, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:45:42Record linked automaticallye9c555951c
scoring_agent, PRV-26905, identity id MBR-025239, confidence 1, method probabilistic, matched record ENR-130596, policy version 1
2026-10-19 19:32:31Record linked automaticallya4df20314d
scoring_agent, CLM-423402, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423403, policy version 1
2026-10-19 19:32:31Record linked automaticallyeb478237ba
scoring_agent, CLM-423403, identity id MBR-025239, confidence 1, method probabilistic, matched record CLM-423402, policy version 1
2026-10-19 19:32:31Record linked automatically7753f1c421
scoring_agent, CLM-423401, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:32:31Record linked automatically760236cff3
scoring_agent, ENR-130596, identity id MBR-025239, confidence 1, method probabilistic, matched record PRV-26905, policy version 1
2026-10-19 19:32:31Record linked automatically3260ce6247
scoring_agent, PRV-26905, identity id MBR-025239, confidence 1, method probabilistic, matched record ENR-130596, policy version 1
2026-10-19 19:31:28Record linked automatically10fe6c011e
matching_agent, ENR-130596, identity id MBR-028200, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-60210
2026-10-19 19:31:28Record linked automaticallyfb4b1c24d3
scoring_agent, PRV-26905, identity id MBR-016174, confidence 1, method probabilistic, matched record ENR-130854, policy version 1
2026-10-19 19:31:28Record linked automatically6789cdab9f
matching_agent, CLM-423403, identity id MBR-010637, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130830
2026-10-19 19:31:28Record linked automaticallya3e5228bbe
scoring_agent, CLM-423401, identity id MBR-008257, confidence 1, method probabilistic, matched record TPA-60300, 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-2026-007266	2026-08-18	Harbor Primary Care Associates in network	99203, 99214	$534.00	—	Denied	Denied
CLM-2026-007265	2026-08-18	Harbor Primary Care Associates in network	99203, 99214	$534.00	$311.08	Approved	Approved
CLM-2026-025885	2026-07-02	Mesa Orthopedic Specialists out of network	99213	$192.00	—	Denied	Denied
CLM-2026-027843	2026-05-29	Canyon Community Hospital out of network	99283, 99284	$2,153.00	—	Needs review	Needs review