Carol Hughes

4 source records from 3 feeds.

MBR-041840Verified4 records

Golden record

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

First nameENR: Carol
Middle name—: —
Last nameENR: Hughes
Date of birthENR: 1979-02-28
GenderENR: M
Member IDENR: UHC-70476-15
SSNENR: •••-••-6328
PhoneENR: 3375477490
EmailENR: carol.hughes49@yahoo.com
AddressPRV: 2280 Bayshore Dr
CityENR: Seattle
StateENR: WA
ZIPENR: 98128
GroupENR: GRP-8602
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.99

Sources

CLM ×2ENR ×1PRV ×1

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
CLM-410910	CLM	2026-08-18	Carol Hughesflagged	1979-02-28	UHC-70476-15	3375477490	—	Scored	0.99	—
CLM-410909	CLM	2026-09-07	Carol Hughesflagged	1979-02-28	—	—	2280 Bayshore Dr, Seattle, WA	Scored	1.00	—
ENR-114300	ENR	2026-09-15	Carol Hughesflagged	1979-02-28	UHC-70476-15	3375477490	2280 Bayshore Dr # 570, Seattle, WA	Scored	1.00	—
PRV-23153	PRV	2026-10-03	Carol Hughsflagged	1979-02-28	—	3375477490	2280 Bayshore Dr, Seattle, WA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-410909CLMENR-114300ENR1.00Scoredweighted 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

▶CLM-410910CLMPRV-23153PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410910CLMENR-114300ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-114300ENRPRV-23153PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-410910CLMCLM-410909CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-410909 → UHC-70476-15 (Carol Hughes)
ACT-001850, Claims processor
Outreach address correctedProposed
Carol Hughes: 2280 Bayshore Dr # 570, Seattle → 2280 Bayshore Dr, Seattle
ACT-013377, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically4c1ed38dc1
scoring_agent, PRV-23153, identity id MBR-041840, confidence 0.99, method probabilistic, matched record CLM-410910, policy version 1
2026-10-19 19:54:39Record linked automatically930e3df4df
scoring_agent, ENR-114300, identity id MBR-041840, confidence 1, method probabilistic, matched record CLM-410909, policy version 1
2026-10-19 19:54:39Record linked automatically9d077d3754
scoring_agent, CLM-410909, identity id MBR-041840, confidence 1, method probabilistic, matched record ENR-114300, policy version 1
2026-10-19 19:54:39Record linked automaticallyd5bc63da61
scoring_agent, CLM-410910, identity id MBR-041840, confidence 0.99, method probabilistic, matched record PRV-23153, policy version 1
2026-10-19 19:52:09Record linked automaticallya3015a140e
scoring_agent, PRV-23153, identity id MBR-041840, confidence 0.99, method probabilistic, matched record CLM-410910, policy version 1
2026-10-19 19:52:09Record linked automatically6de78db637
scoring_agent, ENR-114300, identity id MBR-041840, confidence 1, method probabilistic, matched record CLM-410909, policy version 1
2026-10-19 19:52:09Record linked automatically11db607d81
scoring_agent, CLM-410909, identity id MBR-041840, confidence 1, method probabilistic, matched record ENR-114300, policy version 1
2026-10-19 19:52:09Record linked automaticallya06a7e4b1e
scoring_agent, CLM-410910, identity id MBR-041840, confidence 0.99, method probabilistic, matched record PRV-23153, policy version 1
2026-10-19 19:45:42Record linked automaticallycdf4bb5014
scoring_agent, PRV-23153, identity id MBR-041840, confidence 0.99, method probabilistic, matched record CLM-410910, policy version 1
2026-10-19 19:45:42Record linked automatically9fe3a00278
scoring_agent, ENR-114300, identity id MBR-041840, confidence 1, method probabilistic, matched record CLM-410909, policy version 1
2026-10-19 19:45:42Record linked automatically2636c9d88c
scoring_agent, CLM-410909, identity id MBR-041840, confidence 1, method probabilistic, matched record ENR-114300, policy version 1
2026-10-19 19:45:42Record linked automatically83bf2603de
scoring_agent, CLM-410910, identity id MBR-041840, confidence 0.99, method probabilistic, matched record PRV-23153, policy version 1
2026-10-19 19:32:31Record linked automaticallyff4b09589c
scoring_agent, PRV-23153, identity id MBR-041840, confidence 0.99, method probabilistic, matched record CLM-410910, policy version 1
2026-10-19 19:32:31Record linked automaticallyf78c49e635
scoring_agent, ENR-114300, identity id MBR-041840, confidence 1, method probabilistic, matched record CLM-410909, policy version 1
2026-10-19 19:32:31Record linked automatically4856834e95
scoring_agent, CLM-410909, identity id MBR-041840, confidence 1, method probabilistic, matched record ENR-114300, policy version 1
2026-10-19 19:32:31Record linked automatically4e18596cb4
scoring_agent, CLM-410910, identity id MBR-041840, confidence 0.99, method probabilistic, matched record PRV-23153, policy version 1
2026-10-19 19:31:28Record linked automatically97344c3655
scoring_agent, CLM-410909, identity id MBR-034673, confidence 1, method probabilistic, matched record TPA-54837, policy version 1
2026-10-19 19:31:28Record linked automaticallyd752b1d522
matching_agent, CLM-410910, identity id MBR-028680, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-114458
2026-10-19 19:31:28Record linked automaticallyae9e9cffa2
matching_agent, ENR-114300, identity id MBR-024894, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23204

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-2026-002032	2026-08-11	Cornerstone Family Practice out of network	99213, 99214	$506.00	$187.70	Approved	Approved
CLM-2026-017396	2026-07-17	Summit Imaging Center in network	74177, 76700	$2,262.00	$116.67	Approved	Approved