Identities/MBR-038320

Gold, golden identity

Carol I Warren

4 source records from 3 feeds.

MBR-038320Verified4 records

Golden record

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

First nameENR: Carol
Middle nameENR: I
Last nameENR: Warren
Date of birthENR: 1952-07-21
GenderENR: F
Member IDENR: UHC-16792-90
SSNENR: •••-••-4062
PhoneENR: 7727283716
EmailPRV: carol.warren70@gmail.com
AddressPRV: 7040 Hillcrest Rd
CityPRV: Gilbert
StateENR: AZ
ZIP—: —
GroupENR: GRP-5082
PlanENR: SELECT-EPO

Min confidence

0.94

Sources

PRV ×2ENR ×1CLM ×1

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
PRV-28812	PRV	2026-07-13	Carol Warrenflagged	1952-07-21	—	7727283716	7040 Hillcrest Rd, Gilbert, AZ	Scored	1.00	—
ENR-139484	ENR	2026-07-26	Carol Warrenflagged	1952-07-21	UHC-16792-90	7727283716	1006 River Rd, Chandler, AZ	Rule	0.97	D2 ssn4 + dob + last name
CLM-430104	CLM	2026-08-07	Carol Warrenflagged	1952-07-21	—	—	7040 Hillcrest Rd, Gilbert, AZ	Scored	1.00	—
PRV-28813	PRV	2026-09-06	Carol Warrenflagged	1952-07-21	—	7727283716	7040 Hillcrest Rd, Gilbert, AZ	Scored	0.94	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-28812PRVCLM-430104CLM1.00Scoredweighted 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

▶ENR-139484ENRCLM-430104CLM0.97RuleD2 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
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28812PRVPRV-28813PRV0.94Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-430104CLMPRV-28813PRV0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-28812PRVENR-139484ENR0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-139484ENRPRV-28813PRV0.79Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430104 → UHC-16792-90 (Carol Warren)
ACT-010114, Claims processor
Outreach address correctedProposed
Carol Warren: 1006 River Rd, Chandler → 7040 Hillcrest Rd, Gilbert
ACT-013287, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically7724a3e601
scoring_agent, PRV-28813, identity id MBR-038320, confidence 0.94, method probabilistic, matched record PRV-28812, policy version 1
2026-10-22 12:43:55Record linked automaticallyd7db6d134b
scoring_agent, CLM-430104, identity id MBR-038320, confidence 1, method probabilistic, matched record PRV-28812, policy version 1
2026-10-22 12:43:55Record linked automatically1311cf4481
matching_agent, ENR-139484, identity id MBR-038320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430104
2026-10-22 12:43:55Record linked automatically7de5cac7f5
scoring_agent, PRV-28812, identity id MBR-038320, confidence 1, method probabilistic, matched record CLM-430104, policy version 1
2026-10-19 19:54:39Record linked automatically1d0e5730a3
scoring_agent, PRV-28813, identity id MBR-038320, confidence 0.94, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:54:39Record linked automatically4fc085bc3e
scoring_agent, CLM-430104, identity id MBR-038320, confidence 1, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:54:39Record linked automatically7d0d78d260
matching_agent, ENR-139484, identity id MBR-038320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430104
2026-10-19 19:54:39Record linked automatically776a8e1688
scoring_agent, PRV-28812, identity id MBR-038320, confidence 1, method probabilistic, matched record CLM-430104, policy version 1
2026-10-19 19:52:09Record linked automaticallya070408044
scoring_agent, PRV-28813, identity id MBR-038320, confidence 0.94, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:52:09Record linked automatically35f373cd2d
scoring_agent, CLM-430104, identity id MBR-038320, confidence 1, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:52:09Record linked automaticallyb7215372e7
matching_agent, ENR-139484, identity id MBR-038320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430104
2026-10-19 19:52:09Record linked automaticallya7d4a79a44
scoring_agent, PRV-28812, identity id MBR-038320, confidence 1, method probabilistic, matched record CLM-430104, policy version 1
2026-10-19 19:45:42Record linked automatically22a8d58da2
scoring_agent, PRV-28813, identity id MBR-038320, confidence 0.94, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:45:42Record linked automaticallyd21b542315
scoring_agent, CLM-430104, identity id MBR-038320, confidence 1, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:45:42Record linked automatically4c1c774494
matching_agent, ENR-139484, identity id MBR-038320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430104
2026-10-19 19:45:42Record linked automatically86283323c8
scoring_agent, PRV-28812, identity id MBR-038320, confidence 1, method probabilistic, matched record CLM-430104, policy version 1
2026-10-19 19:32:31Record linked automatically992d16b707
scoring_agent, PRV-28813, identity id MBR-038320, confidence 0.94, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:32:31Record linked automatically6628079c71
scoring_agent, CLM-430104, identity id MBR-038320, confidence 1, method probabilistic, matched record PRV-28812, policy version 1
2026-10-19 19:32:31Record linked automatically516431ee98
matching_agent, ENR-139484, identity id MBR-038320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430104
2026-10-19 19:32:31Record linked automaticallyc701a8689d
scoring_agent, PRV-28812, identity id MBR-038320, confidence 1, method probabilistic, matched record CLM-430104, policy version 1
2026-10-19 19:31:28Record linked automatically62e1e2c74f
scoring_agent, CLM-430104, identity id MBR-014260, confidence 0.99, method probabilistic, matched record TPA-63212, policy version 1
2026-10-19 19:31:28Record linked automatically1f1c92eada
matching_agent, PRV-28812, identity id MBR-010485, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430092
2026-10-19 19:31:28Record linked automatically1d292bb894
scoring_agent, PRV-28813, identity id MBR-000832, confidence 1, method probabilistic, matched record CLM-430101, 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-2026-033385	2026-08-02	Mesa Family Practice in network	99395	$300.00	$166.00	Approved	Approved