Identities/MBR-007244

Gold, golden identity

Kelly P Aguilar

5 source records from 3 feeds.

MBR-007244Verified5 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: P
Last nameENR: Aguilar
Date of birthENR: 1938-11-04
GenderENR: F
Member IDENR: UHC-52255-77
SSNENR: •••-••-9146
PhoneENR: 2432705425
EmailENR: kelly.aguilar@yahoo.com
AddressENR: 5312 Ridge Rd Apt 6
CityENR: San Antonio
StateENR: TX
ZIPENR: 78246
GroupENR: GRP-6300
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3PRV ×1ENR ×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-405854	CLM	2026-01-24	Kally Aguilarflagged	1938-11-04	UHC-52255-77	—	5312 Ridge Rd, San Antonio, TX	Rule	0.99	D1 member id + dob exact
PRV-21712	PRV	2026-05-13	Kelly Aguilarflagged	1938-11-04	UHC-52255-77	2432705425	5312 Ridge Rd, San Antonio, TX	Scored	1.00	—
CLM-405852	CLM	2026-07-22	Kelly Aguilarflagged	1938-11-04	UHC-52255-77	—	5312 Ridge Rd # 126, San Antonio, TX	Scored	1.00	—
CLM-405853	CLM	2026-08-16	Kelly Aguilarflagged	—	—	2432705425	5312 Ridge Rd, San Antonio, TX	Scored	1.00	—
ENR-107693	ENR	2026-08-23	Kelly Aguilarflagged	1938-11-04	UHC-52255-77	2432705425	5312 Ridge Rd Apt 6, San Antonio, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-21712PRVCLM-405853CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405852CLMCLM-405853CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405853CLMENR-107693ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405854CLM CLM-405852CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21712PRVCLM-405852CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405854CLM ENR-107693ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21712PRVENR-107693ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-405852CLMENR-107693ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-405854CLM PRV-21712PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-405854CLM CLM-405853CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.95	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-405853 → UHC-52255-77 (Kelly Aguilar)
ACT-004410, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically2496ff99c6
scoring_agent, ENR-107693, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-22 12:43:53Record linked automaticallyd9ee6df100
scoring_agent, CLM-405853, identity id MBR-007244, confidence 1, method probabilistic, matched record PRV-21712, policy version 1
2026-10-22 12:43:53Record linked automaticallyb784e4d433
scoring_agent, CLM-405852, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-22 12:43:53Record linked automatically7ed01f556b
scoring_agent, PRV-21712, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-22 12:43:53Record linked automatically6e1256621f
matching_agent, CLM-405854, identity id MBR-007244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21712
2026-10-19 19:54:38Record linked automatically4dd879353d
scoring_agent, ENR-107693, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:54:38Record linked automaticallyd8c2b34eb7
scoring_agent, CLM-405853, identity id MBR-007244, confidence 1, method probabilistic, matched record PRV-21712, policy version 1
2026-10-19 19:54:38Record linked automatically19932d27ab
scoring_agent, CLM-405852, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:54:38Record linked automatically7110db0282
scoring_agent, PRV-21712, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:54:38Record linked automatically74b10c39a9
matching_agent, CLM-405854, identity id MBR-007244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21712
2026-10-19 19:52:09Record linked automatically50b2646c05
scoring_agent, ENR-107693, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:52:09Record linked automaticallyb5f60cbc8b
scoring_agent, CLM-405853, identity id MBR-007244, confidence 1, method probabilistic, matched record PRV-21712, policy version 1
2026-10-19 19:52:09Record linked automatically77b3e1a33c
scoring_agent, CLM-405852, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:52:09Record linked automatically4795326056
scoring_agent, PRV-21712, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:52:09Record linked automaticallyc089b033b5
matching_agent, CLM-405854, identity id MBR-007244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21712
2026-10-19 19:45:42Record linked automatically68c9e3d67f
scoring_agent, ENR-107693, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:45:42Record linked automatically8d902eecb9
scoring_agent, CLM-405853, identity id MBR-007244, confidence 1, method probabilistic, matched record PRV-21712, policy version 1
2026-10-19 19:45:42Record linked automatically0d421c05c6
scoring_agent, CLM-405852, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:45:42Record linked automatically6b3a5cb257
scoring_agent, PRV-21712, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:45:42Record linked automatically6625b01a25
matching_agent, CLM-405854, identity id MBR-007244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21712
2026-10-19 19:32:31Record linked automatically6c97f11c14
scoring_agent, ENR-107693, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:32:31Record linked automatically7af83c739b
scoring_agent, CLM-405853, identity id MBR-007244, confidence 1, method probabilistic, matched record PRV-21712, policy version 1
2026-10-19 19:32:31Record linked automaticallyba498f1141
scoring_agent, CLM-405852, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:32:31Record linked automatically5cd3082e3d
scoring_agent, PRV-21712, identity id MBR-007244, confidence 1, method probabilistic, matched record CLM-405853, policy version 1
2026-10-19 19:32:31Record linked automatically31b3e8f9a0
matching_agent, CLM-405854, identity id MBR-007244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21712
2026-10-19 19:31:28Record linked automatically278f3343f7
scoring_agent, CLM-405853, identity id MBR-042142, confidence 1, method probabilistic, matched record TPA-52609, policy version 1
2026-10-19 19:31:28Record linked automatically4e91eda794
scoring_agent, CLM-405852, identity id MBR-042142, confidence 1, method probabilistic, matched record TPA-52609, policy version 1
2026-10-19 19:31:28Record linked automatically1f8ac71792
scoring_agent, PRV-21712, identity id MBR-023189, confidence 1, method probabilistic, matched record CLM-405662, policy version 1
2026-10-19 19:31:28Record linked automatically5130e3483c
scoring_agent, CLM-405854, identity id MBR-003649, confidence 1, method probabilistic, matched record TPA-52610, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-011730	2026-07-12	Meadow GI Associates in network	45378	$2,335.00	$214.47	Approved	Approved
CLM-2026-023811	2026-06-20	Desert Rehabilitation Center in network	97110, 97140	$210.00	$110.20	Approved	Approved
CLM-2026-003767	2026-01-21	Northgate Primary Care Associates out of network	99203	$252.00	$93.40	Approved	Approved