Carol Crawford

3 source records from 2 feeds.

MBR-037564Verified3 records

Golden record

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

First nameCLM: Carol
Middle name—: —
Last nameCLM: Crawford
Date of birthCLM: 1980-09-14
GenderTPA: F
Member IDTPA: UHC-16231-67
SSNCLM: •••-••-2881
Phone—: —
Email—: —
AddressCLM: 9283 Indian School Rd
CityCLM: Scottsdale
StateCLM: AZ
ZIPCLM: 85247
GroupCLM: GRP-9545
PlanCLM: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×1TPA ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-413881	CLM	2026-07-07	Carol Crawfordflagged	1980-09-14	—	—	9283 Indian School Rd, Scottsdale, AZ	Scored	1.00	—
TPA-56112	TPA	2026-07-08	Carol Crawfordflagged	1980-09-14	UHC-16231-67	—	9283 Indian School Rd, Scottsdale, AZ	Scored	1.00	—
TPA-56111	TPA	2026-09-04	Carol Crawfordflagged	1980-09-14	UHC-16231-67	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-413881CLM TPA-56112TPA1.00Scoredweighted 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

▶TPA-56112TPATPA-56111TPA0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-413881CLM TPA-56111TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-413881 → UHC-16231-67 (Carol Crawford)
ACT-009432, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automaticallyc630654367
matching_agent, TPA-56111, identity id MBR-037564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56112
2026-10-22 12:43:55Record linked automatically53142a3e4e
scoring_agent, TPA-56112, identity id MBR-037564, confidence 1, method probabilistic, matched record CLM-413881, policy version 1
2026-10-22 12:43:55Record linked automatically1781442b6c
scoring_agent, CLM-413881, identity id MBR-037564, confidence 1, method probabilistic, matched record TPA-56112, policy version 1
2026-10-19 19:54:39Record linked automaticallyf88b561662
matching_agent, TPA-56111, identity id MBR-037564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56112
2026-10-19 19:54:39Record linked automaticallyb3f87b3265
scoring_agent, TPA-56112, identity id MBR-037564, confidence 1, method probabilistic, matched record CLM-413881, policy version 1
2026-10-19 19:54:39Record linked automaticallyfe6daaf3e7
scoring_agent, CLM-413881, identity id MBR-037564, confidence 1, method probabilistic, matched record TPA-56112, policy version 1
2026-10-19 19:52:09Record linked automaticallya1365cddd7
matching_agent, TPA-56111, identity id MBR-037564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56112
2026-10-19 19:52:09Record linked automatically6f58dd66b3
scoring_agent, TPA-56112, identity id MBR-037564, confidence 1, method probabilistic, matched record CLM-413881, policy version 1
2026-10-19 19:52:09Record linked automatically8d256c87e7
scoring_agent, CLM-413881, identity id MBR-037564, confidence 1, method probabilistic, matched record TPA-56112, policy version 1
2026-10-19 19:45:42Record linked automatically11b20f8779
matching_agent, TPA-56111, identity id MBR-037564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56112
2026-10-19 19:45:42Record linked automaticallye925457679
scoring_agent, TPA-56112, identity id MBR-037564, confidence 1, method probabilistic, matched record CLM-413881, policy version 1
2026-10-19 19:45:42Record linked automaticallyf859dcdfa5
scoring_agent, CLM-413881, identity id MBR-037564, confidence 1, method probabilistic, matched record TPA-56112, policy version 1
2026-10-19 19:32:31Record linked automatically930425d2a7
matching_agent, TPA-56111, identity id MBR-037564, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56112
2026-10-19 19:32:31Record linked automatically50d4207cd7
scoring_agent, TPA-56112, identity id MBR-037564, confidence 1, method probabilistic, matched record CLM-413881, policy version 1
2026-10-19 19:32:31Record linked automatically2514583e8e
scoring_agent, CLM-413881, identity id MBR-037564, confidence 1, method probabilistic, matched record TPA-56112, policy version 1
2026-10-19 19:31:28Record linked automaticallyb448fee8e8
scoring_agent, TPA-56112, identity id MBR-010663, confidence 1, method probabilistic, matched record TPA-56110, policy version 1
2026-10-19 19:31:28Record linked automaticallycea3e2645d
scoring_agent, TPA-56111, identity id MBR-010663, confidence 0.93, method probabilistic, matched record TPA-56110, policy version 1
2026-10-19 19:31:28Record linked automatically0e83204c39
matching_agent, CLM-413881, identity id MBR-003671, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413882

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-2026-030889	2026-06-16	Riverside Family Practice in network	99214	$248.00	$113.76	Approved	Approved