Gold, golden identity
Peter Kelly
5 source records from 3 feeds.
MBR-002230Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Peter
- Middle name—
- —
- Last nameENR
- Kelly
- Date of birthENR
- 1981-07-09
- GenderENR
- F
- Member IDENR
- UHC-28833-25
- SSNENR
- •••-••-8455
- PhoneENR
- 5439815708
- EmailENR
- peter.kelly26@icloud.com
- AddressENR
- 8295 Mountain View Dr
- CityENR
- Las Vegas
- StateENR
- NV
- ZIPENR
- 89106
- GroupENR
- GRP-3857
- PlanENR
- OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1TPA ×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-407678 | CLM | 2026-01-08 | Peter Kellyflagged | 1981-07-09 | UHC-28833-25 | 5439815708 | 8295 Mountain View Dr, Las Vegas, NV | Rule | 0.99 | D1 member id + dob exact |
| ENR-110081 | ENR | 2026-01-18 | Peter Kellyflagged | 1981-07-09 | UHC-28833-25 | 5439815708 | 8295 Mountain View Dr, Las Vegas, NV | Rule | 0.99 | D1 member id + dob exact |
| CLM-407679 | CLM | 2026-02-07 | Peter Kellyflagged | 1981-07-09 | UHC-28833-25 | — | 8295 Mountain View Dr, Las Vegas, NV | Rule | 0.99 | D1 member id + dob exact |
| CLM-407677 | CLM | 2026-02-11 | Peter Kellyflagged | — | UHC-28833-25 | 5439815708 | — | Rule | 0.96 | D3 member id + name |
| TPA-53369 | TPA | 2026-05-20 | Peter Kellyflagged | 1981-07-09 | UHC-28833-25 | — | 8295 Mountain View Dr, Las Vegas, NV | Rule | 0.99 | D1 member id + dob exact |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-407678CLMCLM-407679CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-110081ENR CLM-407679CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407678CLMENR-110081ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407678CLMTPA-53369TPA 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-110081ENR TPA-53369TPA 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407679CLM TPA-53369TPA 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407678CLMCLM-407677CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-110081ENR CLM-407677CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407679CLM CLM-407677CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-407677CLMTPA-53369TPA 0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Care coordination outreachProposedPeter Kelly: 3 claims, no attributed providerACT-017942, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyad6752da60matching_agent, TPA-53369, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:54:38Record linked automatically4faeec6204matching_agent, CLM-407677, identity id MBR-002230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407678
- 2026-10-19 19:54:38Record linked automaticallyc2290d7af2matching_agent, CLM-407679, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:54:38Record linked automaticallyd5dcbdc344matching_agent, ENR-110081, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:54:38Record linked automaticallya06f83fdd9matching_agent, CLM-407678, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110081
- 2026-10-19 19:52:08Record linked automatically52a77e5366matching_agent, TPA-53369, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:52:08Record linked automatically4f97458d04matching_agent, CLM-407677, identity id MBR-002230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407678
- 2026-10-19 19:52:08Record linked automatically7fb330c1bdmatching_agent, CLM-407679, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:52:08Record linked automatically3320b994d2matching_agent, ENR-110081, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:52:08Record linked automatically3f65468a27matching_agent, CLM-407678, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110081
- 2026-10-19 19:45:41Record linked automatically361b4ebb4bmatching_agent, TPA-53369, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:45:41Record linked automatically2cd7d95cccmatching_agent, CLM-407677, identity id MBR-002230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407678
- 2026-10-19 19:45:41Record linked automaticallyd75a126442matching_agent, CLM-407679, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:45:41Record linked automaticallya574448920matching_agent, ENR-110081, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:45:41Record linked automaticallyf0043cc51ematching_agent, CLM-407678, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110081
- 2026-10-19 19:32:31Record linked automaticallyd3084c155ematching_agent, TPA-53369, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:32:31Record linked automaticallyd2681e6976matching_agent, CLM-407677, identity id MBR-002230, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-407678
- 2026-10-19 19:32:31Record linked automaticallyf37fdda5admatching_agent, CLM-407679, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:32:31Record linked automatically2fab1fac46matching_agent, ENR-110081, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407678
- 2026-10-19 19:32:31Record linked automatically8844867717matching_agent, CLM-407678, identity id MBR-002230, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110081
- 2026-10-19 19:31:28Record linked automatically91a44c7818scoring_agent, ENR-110081, identity id MBR-027970, confidence 1, method probabilistic, matched record TPA-53390, policy version 1
- 2026-10-19 19:31:28Record linked automatically726f05c447matching_agent, CLM-407677, identity id MBR-027061, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22260
- 2026-10-19 19:31:28Record linked automatically9391e3c377matching_agent, CLM-407678, identity id MBR-027061, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22260
- 2026-10-19 19:31:28Record linked automatically2154f28313matching_agent, CLM-407679, identity id MBR-018549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407680
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-2026-021905 | 2026-02-06 | Harbor Medical Group in network | 36415, 99395 | $249.00 | $145.70 | Approved | Approved |
| CLM-2026-008447 | 2025-12-25 | Northgate Internal Medicine Associates in network | 80053, 99214 | $296.00 | $143.52 | Approved | Approved |
| CLM-2026-015937 | 2025-12-15 | Northgate Imaging Center out of network | 76700, 74177 | $2,069.00 | — | Needs review | Needs review |
| CLM-2026-015936 | 2025-12-15 | Northgate Imaging Center out of network | 76700, 74177 | $2,069.00 | — | Needs review | Needs review |