Identities/MBR-006054
Gold, golden identity

Douglas M Kim

5 source records from 3 feeds.

MBR-006054Verified5 records

Golden record

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

First nameENR
Douglas
Middle nameENR
M
Last nameENR
Kim
Date of birthENR
1940-07-09
GenderCLM
F
Member IDENR
UHC-49616-13
SSNCLM
•••-••-1344
PhoneENR
6217564649
EmailENR
douglas.kim78@gmail.com
AddressENR
5295 Market St
CityENR
Fresno
StateENR
CA
ZIPENR
93711
GroupENR
GRP-9908
PlanENR
NAVIGATE-HMO
Min confidence
1.00
Sources
TPA ×2CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.001.00TPATPA-60075TPATPA-60076CLMCLM-422933CLMCLM-422932ENRENR-130004IDMBR-006054
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
TPA-60075TPA2026-01-20Douglas Kimflagged1940-07-09——5295 Market St, Fresno, CAScored1.00—
TPA-60076TPA2026-08-12Douglas Kimflagged1940-07-09—62175646495295 Market St, Fresno, CAScored1.00—
CLM-422933CLM2026-08-15Dougglas Kimflagged1940-07-09UHC-49616-13—5295 Market St, Fresno, CAScored1.00—
CLM-422932CLM2026-10-11Douglas Kimflagged1940-07-09UHC-49616-13—5295 Market St, Fresno, CAScored1.00—
ENR-130004ENR2026-10-16Douglas Kimflagged1940-07-09UHC-49616-1362175646495295 Market St, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60075TPACLM-422932CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60076TPA CLM-422932CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60075TPAENR-130004 ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60076TPA ENR-130004 ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60075TPATPA-60076TPA 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60075TPACLM-422933CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422933CLMCLM-422932CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422933CLMENR-130004 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422932CLMENR-130004 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60076TPA CLM-422933CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Douglas Kim: 3 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000294, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically4b15688895
    scoring_agent, ENR-130004, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:54:38Record linked automatically66ca606351
    scoring_agent, CLM-422932, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e7442b45f
    scoring_agent, CLM-422933, identity id MBR-006054, confidence 1.00, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2761a4d34e
    scoring_agent, TPA-60076, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:54:38Record linked automatically858858e95b
    scoring_agent, TPA-60075, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60076, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc11674e733
    scoring_agent, ENR-130004, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:52:08Record linked automatically286248915d
    scoring_agent, CLM-422932, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7a80d7dd8c
    scoring_agent, CLM-422933, identity id MBR-006054, confidence 1.00, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyda1bb8764b
    scoring_agent, TPA-60076, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8e06541087
    scoring_agent, TPA-60075, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60076, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycd555aba7f
    scoring_agent, ENR-130004, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8fab56e287
    scoring_agent, CLM-422932, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:45:42Record linked automatically34dfe54885
    scoring_agent, CLM-422933, identity id MBR-006054, confidence 1.00, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfde8bc972e
    scoring_agent, TPA-60076, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:45:42Record linked automatically882135cddf
    scoring_agent, TPA-60075, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60076, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5162de1f97
    scoring_agent, ENR-130004, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyae7d98d11c
    scoring_agent, CLM-422932, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6844648b6c
    scoring_agent, CLM-422933, identity id MBR-006054, confidence 1.00, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyee6344e5a2
    scoring_agent, TPA-60076, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60075, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3c7e48fd5e
    scoring_agent, TPA-60075, identity id MBR-006054, confidence 1, method probabilistic, matched record TPA-60076, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye687c0edcd
    scoring_agent, TPA-60075, identity id MBR-038486, confidence 1, method probabilistic, matched record ENR-130206, policy version 1
  • 2026-10-19 19:31:28Record linked automatically776126706f
    scoring_agent, CLM-422932, identity id MBR-026940, confidence 1, method probabilistic, matched record CLM-422929, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc72e626a79
    scoring_agent, CLM-422933, identity id MBR-019403, confidence 1, method probabilistic, matched record PRV-26758, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf0412f12e5
    scoring_agent, TPA-60076, identity id MBR-008059, confidence 1, method probabilistic, matched record ENR-130207, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0285622026-09-29Heritage Community Hospital
in network
99285$1,664.00—DeniedDenied
CLM-2026-0333612026-07-23Mesa Clinical Laboratories
in network
80053, 83036$147.00—DeniedDenied