Identities/MBR-005413
Gold, golden identity

Kevin R Scott

4 source records from 1 feed.

MBR-005413Verified4 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
R
Last nameCLM
Scott
Date of birthCLM
1977-09-05
GenderCLM
F
Member IDCLM
UHC-95333-52
SSNCLM
•••-••-2664
PhoneCLM
9182819105
EmailCLM
kevin.scott42@yahoo.com
AddressCLM
6262 Apache Blvd
CityCLM
Columbus
StateCLM
OH
ZIPCLM
43216
GroupCLM
GRP-2002
PlanCLM
CORE-HMO
Min confidence
0.99
Sources
CLM ×4
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.000.99CLMCLM-407666CLMCLM-407667CLMCLM-407668CLMCLM-407669IDMBR-005413
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-407666CLM2026-01-18Kevin Scottflagged1977-09-05UHC-95333-52—4444 Willow Ct, Nashville, TNScored1.00—
CLM-407667CLM2026-02-15Kevin Sottflagged1977-09-05——4444 Willow Ct Apt 33, Nashville, TNScored0.99—
CLM-407668CLM2026-06-29Kevin Scottflagged1977-09-05—91828191054444 Willow Ct, Nashville, TNScored1.00—
CLM-407669CLM2026-10-15Kevin Scottflagged1977-09-05UHC-95333-52—6262 Apache Blvd, Columbus, OHRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407666CLMCLM-407668CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407666CLMCLM-407669CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407666CLMCLM-407667CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407667CLMCLM-407668CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407668CLMCLM-407669CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-407667CLMCLM-407669CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407667 → UHC-95333-52 (Kevin Scott)
    ACT-002370, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-407668 → UHC-95333-52 (Kevin Scott)
    ACT-009481, Claims processor
  • Care coordination outreachProposed
    Kevin Scott: 4 claims, no attributed provider
    ACT-018201, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically611e0c3cda
    matching_agent, CLM-407669, identity id MBR-005413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-22 12:43:53Record linked automaticallydadb61570d
    scoring_agent, CLM-407668, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyb8e3b656e5
    scoring_agent, CLM-407667, identity id MBR-005413, confidence 0.99, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-22 12:43:53Record linked automatically54d2ab4258
    scoring_agent, CLM-407666, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407668, policy version 1
  • 2026-10-19 19:54:38Record linked automatically65cef056e2
    matching_agent, CLM-407669, identity id MBR-005413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-19 19:54:38Record linked automatically8e1f5ed2eb
    scoring_agent, CLM-407668, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9b2fc14ece
    scoring_agent, CLM-407667, identity id MBR-005413, confidence 0.99, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:54:38Record linked automatically93b3011e13
    scoring_agent, CLM-407666, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407668, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7437207ef2
    matching_agent, CLM-407669, identity id MBR-005413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-19 19:52:08Record linked automaticallyf9156e98d1
    scoring_agent, CLM-407668, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyfd54b83f81
    scoring_agent, CLM-407667, identity id MBR-005413, confidence 0.99, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallye7187b0b0e
    scoring_agent, CLM-407666, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407668, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a6012c3b4
    matching_agent, CLM-407669, identity id MBR-005413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-19 19:45:42Record linked automatically48496188e0
    scoring_agent, CLM-407668, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya3b1380c24
    scoring_agent, CLM-407667, identity id MBR-005413, confidence 0.99, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybff86222da
    scoring_agent, CLM-407666, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407668, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya154f2c8f4
    matching_agent, CLM-407669, identity id MBR-005413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-19 19:32:31Record linked automatically1072b50e17
    scoring_agent, CLM-407668, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyec3236444f
    scoring_agent, CLM-407667, identity id MBR-005413, confidence 0.99, method probabilistic, matched record CLM-407666, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7857b0e36e
    scoring_agent, CLM-407666, identity id MBR-005413, confidence 1, method probabilistic, matched record CLM-407668, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybc77c1123f
    matching_agent, CLM-407668, identity id MBR-027838, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110030
  • 2026-10-19 19:31:28Record linked automaticallyd25a995fc4
    matching_agent, CLM-407669, identity id MBR-015545, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22258
  • 2026-10-19 19:31:28Record linked automatically019a7c9ad3
    matching_agent, CLM-407667, identity id MBR-011023, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407666
  • 2026-10-19 19:31:28Record linked automaticallyf856ba71e8
    scoring_agent, CLM-407666, identity id MBR-011023, confidence 1, method probabilistic, matched record TPA-53372, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0021462026-10-02Pinecrest Diagnostic Imaging
in network
70553$3,296.00$0.00ApprovedApproved
CLM-2026-0310752026-06-10Heritage Rehabilitation Center
in network
97110$183.00$93.46ApprovedApproved
CLM-2026-0038662026-01-08Mesa Behavioral Health
in network
90834, 90791$605.00$335.10ApprovedApproved
CLM-2026-0262862026-01-07Riverside Orthopedic Specialists
in network
73721, 29881$11,060.00$2,555.44ApprovedApproved