Identities/MBR-000730

Gold, golden identity

Kyle Romero

5 source records from 2 feeds.

MBR-000730Verified5 records

Golden record

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

First nameCLM: Kyle
Middle name—: —
Last nameENR: Romero
Date of birthENR: 1943-05-03
GenderENR: F
Member IDENR: UHC-90669-86
SSNENR: •••-••-8698
PhoneENR: 6286932860
Email—: —
AddressENR: 7259 Lincoln Way
CityENR: Minneapolis
StateENR: MN
ZIPENR: 55484
GroupENR: GRP-9702
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.87

Sources

CLM ×4ENR ×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-404801	CLM	2026-01-03	Kyle Romeroflagged	1943-05-03	UHC-90669-86	—	7259 Lincoln Way, Minneapolis, MN	Scored	1.00	—
CLM-404802	CLM	2026-05-05	Kyle Romeroflagged	1942-05-03	—	6286932860	7259 Lincoln Way, Minneapolis, MN	Scored	0.87	—
ENR-106327	ENR	2026-05-09	Kye Romeroflagged	1943-05-03	UHC-90669-86	6286932860	7259 Lincoln Way, Minneapolis, MN	Scored	0.99	—
CLM-404804	CLM	2026-09-08	Kyle Romeroflagged	1943-05-03	—	6286932860	7259 Lincoln Way, Minneapolis, MN	Scored	1.00	—
CLM-404803	CLM	2026-10-08	Kyle Romeroflagged	1943-05-03	—	—	7259 Lincoln Way, Minneapolis, MN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-404804CLMCLM-404803CLM1.00Scoredweighted 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-404801CLMCLM-404804CLM1.00Scoredweighted 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-106327ENRCLM-404804CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404801CLMENR-106327ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-404801CLMCLM-404803CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-106327ENRCLM-404803CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404802CLMENR-106327ENR0.87Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-404801CLMCLM-404802CLM0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404802CLMCLM-404803CLM0.86Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-404802CLMCLM-404804CLM0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404804 → UHC-90669-86 (Kyle Romero)
ACT-003694, Claims processor
Orphan claim re-pointedExecuted
CLM-404802 → UHC-90669-86 (Kyle Romero)
ACT-007572, Claims processor
Orphan claim re-pointedExecuted
CLM-404803 → UHC-90669-86 (Kyle Romero)
ACT-010110, Claims processor
Care coordination outreachProposed
Kyle Romero: 4 claims, no attributed provider
ACT-017822, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically80724abe94
scoring_agent, CLM-404803, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:54:38Record linked automatically50bb8ab5fe
scoring_agent, CLM-404804, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404801, policy version 1
2026-10-19 19:54:38Record linked automatically809f28c87e
scoring_agent, ENR-106327, identity id MBR-000730, confidence 0.99, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:54:38Record linked automatically5d10a78909
scoring_agent, CLM-404802, identity id MBR-000730, confidence 0.87, method probabilistic, matched record ENR-106327, policy version 1
2026-10-19 19:54:38Record linked automatically67bd0ca9a3
scoring_agent, CLM-404801, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:52:08Record linked automatically09d04a4113
scoring_agent, CLM-404803, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:52:08Record linked automatically5a8ae9776a
scoring_agent, CLM-404804, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404801, policy version 1
2026-10-19 19:52:08Record linked automaticallya13c9ea7b7
scoring_agent, ENR-106327, identity id MBR-000730, confidence 0.99, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:52:08Record linked automatically3a32e83f49
scoring_agent, CLM-404802, identity id MBR-000730, confidence 0.87, method probabilistic, matched record ENR-106327, policy version 1
2026-10-19 19:52:08Record linked automaticallyf87dee1770
scoring_agent, CLM-404801, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:45:41Record linked automatically4f9e46bca7
scoring_agent, CLM-404803, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:45:41Record linked automatically6d523d2fd5
scoring_agent, CLM-404804, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404801, policy version 1
2026-10-19 19:45:41Record linked automaticallyf60cb369fd
scoring_agent, ENR-106327, identity id MBR-000730, confidence 0.99, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:45:41Record linked automatically6f4572f985
scoring_agent, CLM-404802, identity id MBR-000730, confidence 0.87, method probabilistic, matched record ENR-106327, policy version 1
2026-10-19 19:45:41Record linked automatically9a2b1391e4
scoring_agent, CLM-404801, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:32:31Record linked automatically448089690f
scoring_agent, CLM-404803, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:32:31Record linked automaticallyb41b360125
scoring_agent, CLM-404804, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404801, policy version 1
2026-10-19 19:32:31Record linked automaticallye959e04612
scoring_agent, ENR-106327, identity id MBR-000730, confidence 0.99, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:32:31Record linked automatically2b013a66cf
scoring_agent, CLM-404802, identity id MBR-000730, confidence 0.87, method probabilistic, matched record ENR-106327, policy version 1
2026-10-19 19:32:31Record linked automatically55dac004a6
scoring_agent, CLM-404801, identity id MBR-000730, confidence 1, method probabilistic, matched record CLM-404804, policy version 1
2026-10-19 19:31:28Record linked automatically081a32e179
scoring_agent, CLM-404802, identity id MBR-033474, confidence 1, method probabilistic, matched record CLM-404800, policy version 1
2026-10-19 19:31:28Record linked automatically8bdea2aef4
scoring_agent, CLM-404801, identity id MBR-033474, confidence 1, method probabilistic, matched record CLM-404802, policy version 1
2026-10-19 19:31:28Record linked automaticallyead58e0932
matching_agent, ENR-106327, identity id MBR-032403, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21428
2026-10-19 19:31:28Record linked automaticallya4eb1aaccd
scoring_agent, CLM-404803, identity id MBR-027867, confidence 1, method probabilistic, matched record ENR-106271, policy version 1
2026-10-19 19:31:28Record linked automaticallyfad6f57056
scoring_agent, CLM-404804, identity id MBR-014693, confidence 1, method probabilistic, matched record TPA-52142, 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-2026-033372	2026-09-04	Sunrise Cardiovascular Associates in network	93224	$371.00	$170.02	Approved	Approved
CLM-2026-008884	2026-08-22	Lakeside Medical Group in network	99215, 93000	$406.00	$221.72	Approved	Approved
CLM-2026-023591	2026-04-10	Valley Bone and Joint Center out of network	27447	$48,009.00	—	Needs review	Needs review
CLM-2026-028849	2025-11-23	Pinecrest Behavioral Health in network	90834, 90837	$393.00	$183.66	Approved	Approved