Identities/MBR-000942
Gold, golden identity

Kevin I Johnston

4 source records from 2 feeds.

MBR-000942Verified4 records

Golden record

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

First nameENR
Kevin
Middle nameENR
I
Last nameENR
Johnston
Date of birthENR
1956-06-01
GenderENR
F
Member IDENR
UHC-81285-76
SSNENR
•••-••-4958
PhoneENR
3885379182
EmailENR
kevin.johnston@aol.com
AddressCLM
8262 Maple Ave # 382
CityENR
Fresno
StateENR
CA
ZIPENR
93752
GroupENR
GRP-4490
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.97CLMCLM-432507ENRENR-142660CLMCLM-432509CLMCLM-432508IDMBR-000942
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-432507CLM2026-01-03Kevin Johnstonflagged1956-06-01UHC-81285-763885379182—Scored1.00—
ENR-142660ENR2026-02-07Kevin Johnstonflagged1956-06-01UHC-81285-7638853791828262 Maple Ave, Fresno, CARule0.99D1 member id + dob exact
CLM-432509CLM2026-04-27Kevin Johnstonflagged1956-06-01—38853791828262 Maple Ave # 382, Fresno, CAScored1.00—
CLM-432508CLM2026-09-15Kevin Johnstonflagged1956-06-01———Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432507CLMCLM-432509CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432507CLMENR-142660ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-142660ENRCLM-432508CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432509CLMCLM-432508CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142660ENRCLM-432509CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-432507CLMCLM-432508CLM0.83Scoredweighted 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-432509 → UHC-81285-76 (Kevin Johnston)
    ACT-003734, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-432508 → UHC-81285-76 (Kevin Johnston)
    ACT-006954, Claims processor
  • Outreach address correctedProposed
    Kevin Johnston: 8262 Maple Ave, Fresno → 8262 Maple Ave # 382, Fresno
    ACT-010551, Outreach
  • Care coordination outreachProposed
    Kevin Johnston: 3 claims, no attributed provider
    ACT-017841, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6fe2c8153e
    matching_agent, CLM-432508, identity id MBR-000942, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142660
  • 2026-10-19 19:54:38Record linked automaticallyee04a83e7b
    scoring_agent, CLM-432509, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432507, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7b4600a180
    matching_agent, ENR-142660, identity id MBR-000942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432507
  • 2026-10-19 19:54:38Record linked automatically384f8d5e56
    scoring_agent, CLM-432507, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432509, policy version 1
  • 2026-10-19 19:52:08Record linked automatically01628fdcbc
    matching_agent, CLM-432508, identity id MBR-000942, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142660
  • 2026-10-19 19:52:08Record linked automaticallyf378548ae7
    scoring_agent, CLM-432509, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432507, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5cf34d3893
    matching_agent, ENR-142660, identity id MBR-000942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432507
  • 2026-10-19 19:52:08Record linked automatically2db887d671
    scoring_agent, CLM-432507, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432509, policy version 1
  • 2026-10-19 19:45:41Record linked automatically9c703aa795
    matching_agent, CLM-432508, identity id MBR-000942, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142660
  • 2026-10-19 19:45:41Record linked automatically1934f2aa32
    scoring_agent, CLM-432509, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432507, policy version 1
  • 2026-10-19 19:45:41Record linked automatically709b4a2b8d
    matching_agent, ENR-142660, identity id MBR-000942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432507
  • 2026-10-19 19:45:41Record linked automaticallyc4619d8728
    scoring_agent, CLM-432507, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432509, policy version 1
  • 2026-10-19 19:32:31Record linked automatically30cce5708a
    matching_agent, CLM-432508, identity id MBR-000942, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142660
  • 2026-10-19 19:32:31Record linked automatically6fb4ad0be0
    scoring_agent, CLM-432509, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432507, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0c623f0fb6
    matching_agent, ENR-142660, identity id MBR-000942, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432507
  • 2026-10-19 19:32:31Record linked automaticallyd5753be951
    scoring_agent, CLM-432507, identity id MBR-000942, confidence 1, method probabilistic, matched record CLM-432509, policy version 1
  • 2026-10-19 19:31:28Record linked automatically28525df347
    scoring_agent, CLM-432508, identity id MBR-032806, confidence 1, method probabilistic, matched record TPA-64226, policy version 1
  • 2026-10-19 19:31:28Record linked automatically07e3f619f5
    scoring_agent, ENR-142660, identity id MBR-017488, confidence 1, method probabilistic, matched record TPA-64160, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybaf2b8ea72
    scoring_agent, CLM-432507, identity id MBR-013230, confidence 1, method probabilistic, matched record ENR-142854, policy version 1
  • 2026-10-19 19:31:28Record linked automatically67e4b76a0d
    scoring_agent, CLM-432509, identity id MBR-005447, confidence 1, method probabilistic, matched record ENR-142858, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0211572026-08-29Mesa Cardiovascular Associates
in network
93458$8,722.00—DeniedDenied
CLM-2026-0090982026-04-08Desert Diabetes Center
in network
83036$67.00$0.00ApprovedApproved
CLM-2026-0140902025-11-27Meadow Cardiovascular Associates
in network
93224, 99214$773.00$404.26ApprovedApproved