Identities/MBR-001609

Gold, golden identity

Katherine N James

6 source records from 3 feeds.

MBR-001609Verified6 records

Golden record

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

First nameENR: Katherine
Middle nameENR: N
Last nameENR: James
Date of birthENR: 2001-09-14
GenderCLM: M
Member IDENR: UHC-01774-66
SSNENR: •••-••-5880
PhoneENR: 4465816841
EmailENR: katherine.james82@outlook.com
AddressENR: 6636 Highland Ave
CityENR: Miami
StateENR: FL
ZIPENR: 33180
GroupENR: GRP-4781
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

TPA ×2CLM ×2ENR ×2

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
TPA-53246	TPA	2026-01-05	Katherine Jamesflagged	2001-09-14	—	—	6636 Highland Ave, Miami, FL	Scored	1.00	—
TPA-53247	TPA	2026-01-18	Katherine Jamesflagged	2001-09-14	—	—	6636 Highland Ave, Miami, FL	Scored	1.00	—
CLM-407387	CLM	2026-01-22	Katherine Jamesflagged	2001-09-14	UHC-01774-66	4465816841	—	Rule	0.99	D1 member id + dob exact
CLM-407386	CLM	2026-04-09	Katherine Jamesflagged	2001-09-14	UHC-01774-66	—	6636 Highland Ave, Miami, FL	Scored	1.00	—
ENR-109668	ENR	2026-06-30	Katherine Jamesflagged	2001-09-14	UHC-01774-66	4465816841	6636 Highland Ave, Miami, FL	Scored	1.00	—
ENR-109669	ENR	2026-07-27	Katherine Jamesflagged	2001-09-14	UHC-01774-66	—	6636 Highland Ave, Miami, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53246TPACLM-407386CLM1.00Scoredweighted 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-53246TPAENR-109668ENR1.00Scoredweighted 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-53247TPAENR-109668ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53246TPAENR-109669ENR1.00Scoredweighted 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-53246TPATPA-53247TPA1.00Scoredweighted 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-407387CLMCLM-407386CLM0.99RuleD1 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-407387CLMENR-109668ENR0.99RuleD1 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

▶CLM-407386CLMENR-109668ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407387CLMENR-109669ENR0.99RuleD1 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-407386CLMENR-109669ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-109668ENRENR-109669ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53247TPACLM-407386CLM0.97RuleD2 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

▶TPA-53247TPAENR-109669ENR0.97RuleD2 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

▶TPA-53246TPACLM-407387CLM0.83Scoredweighted 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

▶TPA-53247TPACLM-407387CLM0.83Scoredweighted 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

Duplicate member record retiredExecuted
Katherine James: 2 enrollment records collapsed into UHC-01774-66
ACT-021939, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically10c0c7aae4
scoring_agent, ENR-109669, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:54:38Record linked automaticallya3da6a1917
scoring_agent, ENR-109668, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:54:38Record linked automatically8c0d25c08d
scoring_agent, CLM-407386, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:54:38Record linked automatically13acb0b1ca
matching_agent, CLM-407387, identity id MBR-001609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407386
2026-10-19 19:54:38Record linked automatically32e44fe37e
scoring_agent, TPA-53247, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:54:38Record linked automatically2b679c315a
scoring_agent, TPA-53246, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53247, policy version 1
2026-10-19 19:52:08Record linked automatically4c996a1048
scoring_agent, ENR-109669, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:52:08Record linked automatically4a613a8990
scoring_agent, ENR-109668, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:52:08Record linked automatically62a9c4f320
scoring_agent, CLM-407386, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:52:08Record linked automatically70a61b9c55
matching_agent, CLM-407387, identity id MBR-001609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407386
2026-10-19 19:52:08Record linked automatically507110f4a2
scoring_agent, TPA-53247, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:52:08Record linked automatically839cc1b822
scoring_agent, TPA-53246, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53247, policy version 1
2026-10-19 19:45:41Record linked automatically739909542c
scoring_agent, ENR-109669, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:45:41Record linked automatically22f9ad640b
scoring_agent, ENR-109668, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:45:41Record linked automatically552b16259f
scoring_agent, CLM-407386, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:45:41Record linked automaticallyd9e18efa40
matching_agent, CLM-407387, identity id MBR-001609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407386
2026-10-19 19:45:41Record linked automatically4c2d39b80b
scoring_agent, TPA-53247, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:45:41Record linked automatically5ef19c178d
scoring_agent, TPA-53246, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53247, policy version 1
2026-10-19 19:32:31Record linked automatically580b3eea46
scoring_agent, ENR-109669, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:32:31Record linked automatically3da3598b1b
scoring_agent, ENR-109668, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:32:31Record linked automatically207db2aa57
scoring_agent, CLM-407386, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:32:31Record linked automatically36b4042cb5
matching_agent, CLM-407387, identity id MBR-001609, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407386
2026-10-19 19:32:31Record linked automatically4d7ea8933f
scoring_agent, TPA-53247, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53246, policy version 1
2026-10-19 19:32:31Record linked automatically4400debe59
scoring_agent, TPA-53246, identity id MBR-001609, confidence 1, method probabilistic, matched record TPA-53247, policy version 1
2026-10-19 19:31:28Record linked automaticallya63da6d90d
scoring_agent, CLM-407386, identity id MBR-025280, confidence 1, method probabilistic, matched record ENR-109667, policy version 1
2026-10-19 19:31:28Record linked automatically02a8931d70
scoring_agent, TPA-53247, identity id MBR-013278, confidence 1, method probabilistic, matched record CLM-407375, policy version 1
2026-10-19 19:31:28Record linked automaticallye8c7d63c72
scoring_agent, CLM-407387, identity id MBR-011770, confidence 1, method probabilistic, matched record PRV-22167, policy version 1
2026-10-19 19:31:28Record linked automatically6ceb3628bb
scoring_agent, ENR-109668, identity id MBR-011770, confidence 1, method probabilistic, matched record PRV-22167, policy version 1
2026-10-19 19:31:28Record linked automatically3c8635928e
scoring_agent, TPA-53246, identity id MBR-008852, confidence 1, method probabilistic, matched record CLM-407355, policy version 1
2026-10-19 19:31:28Record linked automatically11578cb7ea
scoring_agent, ENR-109669, identity id MBR-003473, confidence 1, method probabilistic, matched record TPA-53250, policy version 1

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-2026-002225	2026-03-05	Riverside Primary Care Associates in network	99395	$248.00	$113.76	Approved	Approved
CLM-2026-018066	2025-12-16	Harbor Primary Care Associates out of network	99395, 99214	$462.00	—	Denied	Denied