Identities/MBR-008165
Gold, golden identity

Kathleen Lane

4 source records from 2 feeds.

MBR-008165Verified4 records

Golden record

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

First namePRV
Kathleen
Middle name—
—
Last namePRV
Lane
Date of birthPRV
2001-01-26
GenderPRV
F
Member IDCLM
UHC-31114-80
SSNCLM
•••-••-9444
PhonePRV
4949725027
EmailPRV
kathleen.lane@yahoo.com
AddressCLM
7643 Highland Ave
CityPRV
Miami
StatePRV
FL
ZIPPRV
33193
GroupCLM
GRP-3939
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.96
Sources
CLM ×3PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.960.961.001.00CLMCLM-412566CLMCLM-412567PRVPRV-23633CLMCLM-412565IDMBR-008165
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-412566CLM2026-01-27Kathleen Laneflagged—UHC-31114-80—7643 Highland Ave, Miami, FLRule0.96D3 member id + name
CLM-412567CLM2026-02-07Kathleen Laneflagged2001-01-26UHC-31114-8049497250277643 Highland Ave, Miami, FLRule0.96D3 member id + name
PRV-23633PRV2026-05-09Kathleen Laneflagged2001-01-26—49497250277643 Highland Ave Apt 13, Miami, FLScored1.00—
CLM-412565CLM2026-05-24Kathleen Laneflagged2001-01-26—49497250277643 Highland Ave, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-23633PRVCLM-412565CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412566CLMCLM-412567CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412567CLMCLM-412565CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412567CLMPRV-23633PRV0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-412566CLMCLM-412565CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-412566CLMPRV-23633PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-412565 → UHC-31114-80 (Kathleen Lane)
    ACT-009561, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6d593b632c
    scoring_agent, CLM-412565, identity id MBR-008165, confidence 1, method probabilistic, matched record PRV-23633, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya9d33eacba
    scoring_agent, PRV-23633, identity id MBR-008165, confidence 1, method probabilistic, matched record CLM-412565, policy version 1
  • 2026-10-19 19:54:38Record linked automatically81e018b2f1
    matching_agent, CLM-412567, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412566
  • 2026-10-19 19:54:38Record linked automatically47efcc4623
    matching_agent, CLM-412566, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412567
  • 2026-10-19 19:52:09Record linked automaticallyeb0c572a26
    scoring_agent, CLM-412565, identity id MBR-008165, confidence 1, method probabilistic, matched record PRV-23633, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyed2941ff54
    scoring_agent, PRV-23633, identity id MBR-008165, confidence 1, method probabilistic, matched record CLM-412565, policy version 1
  • 2026-10-19 19:52:09Record linked automatically79fa885946
    matching_agent, CLM-412567, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412566
  • 2026-10-19 19:52:09Record linked automaticallyfc26c4437b
    matching_agent, CLM-412566, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412567
  • 2026-10-19 19:45:42Record linked automaticallye7e8ae891a
    scoring_agent, CLM-412565, identity id MBR-008165, confidence 1, method probabilistic, matched record PRV-23633, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya24c98fc8b
    scoring_agent, PRV-23633, identity id MBR-008165, confidence 1, method probabilistic, matched record CLM-412565, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd845315062
    matching_agent, CLM-412567, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412566
  • 2026-10-19 19:45:42Record linked automaticallybc33081b83
    matching_agent, CLM-412566, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412567
  • 2026-10-19 19:32:31Record linked automatically939f952b32
    scoring_agent, CLM-412565, identity id MBR-008165, confidence 1, method probabilistic, matched record PRV-23633, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8e084881f2
    scoring_agent, PRV-23633, identity id MBR-008165, confidence 1, method probabilistic, matched record CLM-412565, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7aecf25799
    matching_agent, CLM-412567, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412566
  • 2026-10-19 19:32:31Record linked automatically12f8b4b1f0
    matching_agent, CLM-412566, identity id MBR-008165, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412567
  • 2026-10-19 19:31:28Record linked automatically5d162658ec
    matching_agent, PRV-23633, identity id MBR-028241, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116317
  • 2026-10-19 19:31:28Record linked automaticallyfff772c1a3
    matching_agent, CLM-412565, identity id MBR-025397, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-412563
  • 2026-10-19 19:31:28Record linked automaticallyb006c8d60a
    matching_agent, CLM-412566, identity id MBR-009464, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412567
  • 2026-10-19 19:31:28Record linked automatically246894ce30
    matching_agent, CLM-412567, identity id MBR-009464, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116645

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0313302026-05-02Pinecrest Medical Group
in network
99232$252.00$0.00ApprovedApproved
CLM-2026-0274572026-01-17Canyon Diagnostic Imaging
in network
70553$3,238.00$781.30ApprovedApproved
CLM-2026-0033842026-01-08Pinecrest Bone and Joint Center
in network
99213$203.00$75.86ApprovedApproved