Identities/MBR-026324
Gold, golden identity

Stephen X Carter

5 source records from 3 feeds.

MBR-026324Verified5 recordsOpen steward case

Golden record

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

First nameENR
Stephen
Middle nameENR
X
Last nameENR
Carter
Date of birthENR
1945-09-16
GenderCLM
M
Member IDENR
UHC-47675-96
SSNENR
•••-••-4215
PhoneENR
4782268064
EmailENR
stephen.carter@icloud.com
AddressENR
8200 Pine Dr
CityENR
Tempe
StateENR
AZ
ZIPENR
85245
GroupENR
GRP-3409
PlanENR
MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×3TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.00CLMCLM-427244CLMCLM-427242TPATPA-62037ENRENR-135719CLMCLM-427243IDMBR-026324
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-427244CLM2026-04-17Stephen Carterflagged1945-09-16UHC-47675-96—8200 Pine Dr, Tempe, AZScored1.00—
CLM-427242CLM2026-08-02Stephen Carterflagged1945-09-16——8200 Pine Dr, Tempe, AZScored1.00—
TPA-62037TPA2026-09-11Stephen Carterflagged1945-09-16—4782268064—Scored1.00—
ENR-135719ENR2026-09-24Stephen Carterflagged1945-09-16UHC-47675-9647822680648200 Pine Dr, Tempe, AZScored1.00—
CLM-427243CLM2026-10-11Stephen Carterflagged1945-09-16——8200 Pine Dr, Tempe, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427244CLMCLM-427242CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427244CLMCLM-427243CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-62037TPAENR-135719ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-427244CLMENR-135719ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427242CLMCLM-427243CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-135719ENR CLM-427243CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427242CLMENR-135719ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62037TPACLM-427243CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427244CLMTPA-62037TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-427242CLMTPA-62037TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427243 → UHC-47675-96 (Stephen Carter)
    ACT-007897, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-427242 → UHC-47675-96 (Stephen Carter)
    ACT-009898, Claims processor
  • Care coordination outreachProposed
    Stephen Carter: 3 claims, no attributed provider
    ACT-019327, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydcb89c206c
    scoring_agent, CLM-427243, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:54:38Record linked automatically454f054ca3
    scoring_agent, ENR-135719, identity id MBR-026324, confidence 1, method probabilistic, matched record TPA-62037, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0aba3eff6a
    scoring_agent, TPA-62037, identity id MBR-026324, confidence 1, method probabilistic, matched record ENR-135719, policy version 1
  • 2026-10-19 19:54:38Record linked automatically494e48cdda
    scoring_agent, CLM-427242, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya66a0644d7
    scoring_agent, CLM-427244, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427242, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc68c6809e3
    scoring_agent, CLM-427243, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7299a06392
    scoring_agent, ENR-135719, identity id MBR-026324, confidence 1, method probabilistic, matched record TPA-62037, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyadc1e4fe3c
    scoring_agent, TPA-62037, identity id MBR-026324, confidence 1, method probabilistic, matched record ENR-135719, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye1f70bc402
    scoring_agent, CLM-427242, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycaed22c485
    scoring_agent, CLM-427244, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427242, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7902732440
    scoring_agent, CLM-427243, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a469d1ae8
    scoring_agent, ENR-135719, identity id MBR-026324, confidence 1, method probabilistic, matched record TPA-62037, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfda8d62373
    scoring_agent, TPA-62037, identity id MBR-026324, confidence 1, method probabilistic, matched record ENR-135719, policy version 1
  • 2026-10-19 19:45:42Record linked automatically51fe3e665b
    scoring_agent, CLM-427242, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye97b34788f
    scoring_agent, CLM-427244, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427242, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab2b877cc7
    scoring_agent, CLM-427243, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b852ec6fd
    scoring_agent, ENR-135719, identity id MBR-026324, confidence 1, method probabilistic, matched record TPA-62037, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb0c2ab6f67
    scoring_agent, TPA-62037, identity id MBR-026324, confidence 1, method probabilistic, matched record ENR-135719, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya8d1a31afc
    scoring_agent, CLM-427242, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3a20a47f6f
    scoring_agent, CLM-427244, identity id MBR-026324, confidence 1, method probabilistic, matched record CLM-427242, policy version 1
  • 2026-10-19 19:31:28Record linked automatically496b941954
    scoring_agent, CLM-427244, identity id MBR-015662, confidence 1, method probabilistic, matched record CLM-427242, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc5f58e0ff0
    scoring_agent, CLM-427243, identity id MBR-015662, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5f031c6802
    scoring_agent, CLM-427242, identity id MBR-015662, confidence 1, method probabilistic, matched record CLM-427244, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyda3fa89103
    matching_agent, ENR-135719, identity id MBR-015644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427013

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0248532026-09-01Unity Medical Group
in network
99215$336.00$183.32ApprovedApproved
CLM-2026-0326222026-07-27Meadow Medical Group
in network
99214, 99203$464.00$262.68ApprovedApproved
CLM-2026-0196622026-04-08Pinecrest GI Associates
in network
45378$1,989.00—DeniedDenied
CLM-2026-0196612026-04-08Pinecrest GI Associates
in network
45378$1,989.00$931.65ApprovedApproved