Identities/MBR-006256
Gold, golden identity

Kelly K James

3 source records from 3 feeds.

MBR-006256Verified3 records

Golden record

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

First nameENR
Kelly
Middle nameENR
K
Last nameENR
James
Date of birthENR
1949-07-15
GenderENR
F
Member IDENR
UHC-76653-03
SSNCLM
•••-••-7552
PhoneENR
4899169112
EmailENR
kelly.james32@yahoo.com
AddressCLM
1768 Maple Ave
CityENR
Eden Prairie
StateENR
MN
ZIPCLM
55316
GroupENR
GRP-0931
PlanENR
MEDICARE-ADV-A
Min confidence
0.93
Sources
TPA ×1ENR ×1CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.931.00TPATPA-50563ENRENR-101689CLMCLM-401306IDMBR-006256
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-50563TPA2026-01-21Kelly Jamesflagged1949-07-15——1768 Maple Ave, Eden Prairie, MNScored1.00—
ENR-101689ENR2026-04-22Kelly Jamesflagged1949-07-15UHC-76653-0348991691121768 Maple Ave # 797, Eden Prairie, MNScored0.93—
CLM-401306CLM2026-08-26Kelly Jamesflagged1949-07-15——1768 Maple Ave, Eden Prairie, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50563TPACLM-401306CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-101689ENRCLM-401306CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50563TPAENR-101689ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401306 → UHC-76653-03 (Kelly James)
    ACT-007840, Claims processor
  • Outreach address correctedProposed
    Kelly James: 1768 Maple Ave # 797, Eden Prairie → 1768 Maple Ave, Eden Prairie
    ACT-011026, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically64387fca61
    scoring_agent, CLM-401306, identity id MBR-006256, confidence 1, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya7b1b13e91
    scoring_agent, ENR-101689, identity id MBR-006256, confidence 0.93, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyff753efa5a
    scoring_agent, TPA-50563, identity id MBR-006256, confidence 1, method probabilistic, matched record CLM-401306, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9ba5663074
    scoring_agent, CLM-401306, identity id MBR-006256, confidence 1, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:52:09Record linked automatically10338682ff
    scoring_agent, ENR-101689, identity id MBR-006256, confidence 0.93, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye82ecd567a
    scoring_agent, TPA-50563, identity id MBR-006256, confidence 1, method probabilistic, matched record CLM-401306, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7e6e3790be
    scoring_agent, CLM-401306, identity id MBR-006256, confidence 1, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybd977e7c5d
    scoring_agent, ENR-101689, identity id MBR-006256, confidence 0.93, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:45:42Record linked automatically597390c8a4
    scoring_agent, TPA-50563, identity id MBR-006256, confidence 1, method probabilistic, matched record CLM-401306, policy version 1
  • 2026-10-19 19:32:31Record linked automatically82cec85802
    scoring_agent, CLM-401306, identity id MBR-006256, confidence 1, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:32:31Record linked automatically45558c5876
    scoring_agent, ENR-101689, identity id MBR-006256, confidence 0.93, method probabilistic, matched record TPA-50563, policy version 1
  • 2026-10-19 19:32:31Record linked automatically66facf0fc6
    scoring_agent, TPA-50563, identity id MBR-006256, confidence 1, method probabilistic, matched record CLM-401306, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c22e7e072
    matching_agent, CLM-401306, identity id MBR-040449, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101785
  • 2026-10-19 19:31:28Record linked automatically237fad2ddd
    scoring_agent, TPA-50563, identity id MBR-018736, confidence 1, method probabilistic, matched record ENR-101753, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0246192026-07-16Harbor Regional Medical Center
in network
71046, 99285$2,228.00$1,148.95ApprovedApproved