Gold, golden identity
Kevin W Andrews
3 source records from 2 feeds.
MBR-004930Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Kevin
- Middle nameCLM
- W
- Last nameCLM
- Andrews
- Date of birthCLM
- 1969-12-10
- GenderCLM
- M
- Member IDCLM
- UHC-24248-55
- SSN—
- —
- Phone—
- —
- EmailCLM
- kevin.andrews45@proton.me
- AddressCLM
- 3176 Washington St
- CityCLM
- San Diego
- StateCLM
- CA
- ZIPCLM
- 92141
- GroupCLM
- GRP-7717
- PlanCLM
- MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-411733 | CLM | 2026-01-16 | Kevin Andrewsflagged | 1969-12-10 | UHC-24248-55 | — | 3176 Washington St, San Diego, CA | Rule | 0.99 | D1 member id + dob exact |
| TPA-55176 | TPA | 2026-06-30 | Kevin Andrewsflagged | 1969-12-10 | — | — | 3176 Washington St, San Diego, CA | Scored | 1.00 | — |
| CLM-411734 | CLM | 2026-10-05 | Kevin Andrewsflagged | 1969-12-10 | UHC-24248-55 | — | 3176 Washington St, San Diego, CA | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-55176 TPACLM-411734CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-411733CLMCLM-411734CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-411733CLMTPA-55176 TPA0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automaticallybe495f0a61scoring_agent, CLM-411734, identity id MBR-004930, confidence 1, method probabilistic, matched record TPA-55176, policy version 1
- 2026-10-22 12:43:53Record linked automaticallyf066402a73scoring_agent, TPA-55176, identity id MBR-004930, confidence 1, method probabilistic, matched record CLM-411734, policy version 1
- 2026-10-22 12:43:53Record linked automatically40547e30d4matching_agent, CLM-411733, identity id MBR-004930, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411734
- 2026-10-19 19:54:38Record linked automaticallya3719afaccscoring_agent, CLM-411734, identity id MBR-004930, confidence 1, method probabilistic, matched record TPA-55176, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyfd08aab94ascoring_agent, TPA-55176, identity id MBR-004930, confidence 1, method probabilistic, matched record CLM-411734, policy version 1
- 2026-10-19 19:54:38Record linked automatically61cb933dd8matching_agent, CLM-411733, identity id MBR-004930, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411734
- 2026-10-19 19:52:08Record linked automatically50ac98db86scoring_agent, CLM-411734, identity id MBR-004930, confidence 1, method probabilistic, matched record TPA-55176, policy version 1
- 2026-10-19 19:52:08Record linked automaticallye8de9f58c6scoring_agent, TPA-55176, identity id MBR-004930, confidence 1, method probabilistic, matched record CLM-411734, policy version 1
- 2026-10-19 19:52:08Record linked automatically92bb866a7cmatching_agent, CLM-411733, identity id MBR-004930, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411734
- 2026-10-19 19:45:42Record linked automatically788b6b9d95scoring_agent, CLM-411734, identity id MBR-004930, confidence 1, method probabilistic, matched record TPA-55176, policy version 1
- 2026-10-19 19:45:42Record linked automaticallya9dcbb2a31scoring_agent, TPA-55176, identity id MBR-004930, confidence 1, method probabilistic, matched record CLM-411734, policy version 1
- 2026-10-19 19:45:42Record linked automatically8edb600fcematching_agent, CLM-411733, identity id MBR-004930, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411734
- 2026-10-19 19:32:31Record linked automaticallyab1415fdb9scoring_agent, CLM-411734, identity id MBR-004930, confidence 1, method probabilistic, matched record TPA-55176, policy version 1
- 2026-10-19 19:32:31Record linked automatically9b3e7625ccscoring_agent, TPA-55176, identity id MBR-004930, confidence 1, method probabilistic, matched record CLM-411734, policy version 1
- 2026-10-19 19:32:31Record linked automatically8019d37715matching_agent, CLM-411733, identity id MBR-004930, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411734
- 2026-10-19 19:31:28Record linked automatically1af776c621matching_agent, CLM-411733, identity id MBR-010174, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115562
- 2026-10-19 19:31:28Record linked automatically2a01aebe94matching_agent, TPA-55176, identity id MBR-005594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115435
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-2026-024374 | 2026-09-16 | Northgate Medical Group in network | 99214, 99213, 99395 | $807.00 | $475.34 | Approved | Approved |
| CLM-2026-029500 | 2025-12-18 | Heritage Clinical Laboratories in network | 80061, 85025, 83036 | $205.00 | — | Denied | Denied |
| CLM-2026-029499 | 2025-12-18 | Heritage Clinical Laboratories in network | 80061, 85025, 83036 | $205.00 | $0.00 | Approved | Approved |