Identities/MBR-007940

Gold, golden identity

Kathy Morgan

5 source records from 3 feeds.

MBR-007940Verified5 recordsOpen steward case

Golden record

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

First nameENR: Kathy
Middle name—: —
Last nameENR: Morgan
Date of birthENR: 1994-04-23
GenderENR: F
Member IDENR: UHC-44662-69
SSNENR: •••-••-5785
PhoneENR: 5535307790
EmailENR: kathleen.morgan72@outlook.com
AddressENR: 5250 Spring St
CityENR: Fresno
StateENR: CA
ZIPENR: 93754
GroupENR: GRP-2637
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-417449	CLM	2026-01-26	Kathy Morganflagged	1994-04-23	—	5535307790	5250 Spring St, Fresno, CA	Scored	1.00	—
ENR-122986	ENR	2026-04-06	Kathy Morganflagged	1994-04-23	UHC-44662-69	5535307790	5250 Spring St, Fresno, CA	Scored	1.00	—
CLM-417447	CLM	2026-04-21	Kathhleen Morganflagged	1994-04-23	—	—	5250 Spring St, Fresno, CA	Scored	1.00	—
TPA-57716	TPA	2026-07-03	Kathleen Morganflagged	1994-04-23	UHC-44662-69	—	5250 Spring St, Fresno, CA	Scored	1.00	—
CLM-417448	CLM	2026-07-26	Kathleen Morganflagged	1994-04-23	UHC-44662-69	5535307790	5250 Spring St, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-417449CLMCLM-417448CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417449CLMENR-122986ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417449CLMTPA-57716TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417449CLMCLM-417447CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-122986ENRCLM-417448CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶TPA-57716TPACLM-417448CLM0.99RuleD1 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

▶ENR-122986ENRTPA-57716TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
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

▶ENR-122986ENRCLM-417447CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417447CLMCLM-417448CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417447CLMTPA-57716TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417449 → UHC-44662-69 (Kathy Morgan)
ACT-002234, Claims processor
Orphan claim re-pointedExecuted
CLM-417447 → UHC-44662-69 (Kathy Morgan)
ACT-009953, Claims processor
Care coordination outreachProposed
Kathy Morgan: 3 claims, no attributed provider
ACT-018402, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically28c9a62410
scoring_agent, CLM-417448, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:54:38Record linked automatically081d0e9d66
scoring_agent, TPA-57716, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:54:38Record linked automatically58bea6131d
scoring_agent, CLM-417447, identity id MBR-007940, confidence 1.00, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:54:38Record linked automatically5cdeaf3f54
scoring_agent, ENR-122986, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:54:38Record linked automatically33b58e12f0
scoring_agent, CLM-417449, identity id MBR-007940, confidence 1, method probabilistic, matched record ENR-122986, policy version 1
2026-10-19 19:52:09Record linked automatically3ce8942bdd
scoring_agent, CLM-417448, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:52:09Record linked automaticallyced2fe3580
scoring_agent, TPA-57716, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:52:09Record linked automaticallydf23ded4ec
scoring_agent, CLM-417447, identity id MBR-007940, confidence 1.00, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:52:09Record linked automatically4b231f7b5c
scoring_agent, ENR-122986, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:52:09Record linked automatically6499777b8d
scoring_agent, CLM-417449, identity id MBR-007940, confidence 1, method probabilistic, matched record ENR-122986, policy version 1
2026-10-19 19:45:42Record linked automaticallycef2f7be16
scoring_agent, CLM-417448, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:45:42Record linked automaticallyd9bc29764f
scoring_agent, TPA-57716, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:45:42Record linked automaticallyfde9bf876f
scoring_agent, CLM-417447, identity id MBR-007940, confidence 1.00, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:45:42Record linked automatically3475163072
scoring_agent, ENR-122986, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:45:42Record linked automatically9e6b8b3da4
scoring_agent, CLM-417449, identity id MBR-007940, confidence 1, method probabilistic, matched record ENR-122986, policy version 1
2026-10-19 19:32:31Record linked automatically6ce3861f2b
scoring_agent, CLM-417448, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:32:31Record linked automatically0e0fc79dc0
scoring_agent, TPA-57716, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:32:31Record linked automaticallyb9a80f418f
scoring_agent, CLM-417447, identity id MBR-007940, confidence 1.00, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:32:31Record linked automatically9f1a66069c
scoring_agent, ENR-122986, identity id MBR-007940, confidence 1, method probabilistic, matched record CLM-417449, policy version 1
2026-10-19 19:32:31Record linked automaticallyd5044e4780
scoring_agent, CLM-417449, identity id MBR-007940, confidence 1, method probabilistic, matched record ENR-122986, policy version 1
2026-10-19 19:31:28Record linked automatically2080680d39
scoring_agent, CLM-417448, identity id MBR-032380, confidence 1, method probabilistic, matched record ENR-122855, policy version 1
2026-10-19 19:31:28Record linked automatically1a77e40b42
scoring_agent, TPA-57716, identity id MBR-024294, confidence 1, method probabilistic, matched record CLM-417653, policy version 1
2026-10-19 19:31:28Record linked automaticallyead7523a4b
matching_agent, CLM-417449, identity id MBR-020137, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122857
2026-10-19 19:31:28Record linked automaticallycb856dda12
matching_agent, CLM-417447, identity id MBR-013467, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122854

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-2026-017449	2026-07-24	Lakeside Physical Therapy in network	97110	$296.00	$143.52	Approved	Approved
CLM-2026-032803	2026-04-11	Northgate Dermatology Clinic in network	99213	$175.00	—	Denied	Denied
CLM-2026-032802	2026-04-11	Northgate Dermatology Clinic in network	99213	$175.00	$58.50	Approved	Approved
CLM-2026-003430	2026-01-09	Pinecrest Regional Medical Center in network	71046	$165.00	$0.00	Approved	Approved