Identities/MBR-008181

Gold, golden identity

Megan L Kim

5 source records from 2 feeds.

MBR-008181Verified5 recordsOpen steward case

Golden record

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

First nameCLM: Megan
Middle nameTPA: L
Last nameCLM: Kim
Date of birthCLM: 2008-03-28
GenderCLM: M
Member IDCLM: UHC-45400-47
SSNCLM: •••-••-7303
PhoneCLM: 8206878393
EmailCLM: megan.kim@yahoo.com
AddressCLM: 7004 Cedar Ln
CityCLM: Tampa
StateCLM: FL
ZIPCLM: 33672
GroupCLM: GRP-2497
PlanCLM: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×3TPA ×2

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-424031	CLM	2026-01-27	Megan Kimflagged	2008-03-28	UHC-45400-47	8206878393	—	Scored	1.00	—
TPA-60585	TPA	2026-03-21	Megan Kimflagged	2008-03-28	—	8206878393	—	Scored	1.00	—
CLM-424033	CLM	2026-06-24	Megan Kimflagged	2008-03-28	—	8206878393	7004 Cedar Ln, Tampa, FL	Scored	1.00	—
CLM-424032	CLM	2026-08-08	Megan Kimflagged	2008-03-28	—	8206878393	—	Scored	1.00	—
TPA-60586	TPA	2026-09-11	Megan Kimflagged	2008-03-28	—	—	—	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-424031CLMCLM-424032CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60585TPACLM-424032CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424031CLMCLM-424033CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60585TPACLM-424033CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424031CLMTPA-60585TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60585TPATPA-60586TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424032CLMTPA-60586TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424033CLMCLM-424032CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424031CLMTPA-60586TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-424033CLMTPA-60586TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Megan Kim: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000379, Eligibility engine
Orphan claim re-pointedExecuted
CLM-424033 → UHC-45400-47 (Megan Kim)
ACT-005229, Claims processor
Orphan claim re-pointedExecuted
CLM-424032 → UHC-45400-47 (Megan Kim)
ACT-007274, Claims processor
Care coordination outreachProposed
Megan Kim: 3 claims, no attributed provider
ACT-018421, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya39c40ecd0
scoring_agent, TPA-60586, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:54:38Record linked automatically37d8596b09
scoring_agent, CLM-424032, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:54:38Record linked automatically2c48c1efb6
scoring_agent, CLM-424033, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:54:38Record linked automatically69aec2eaf4
scoring_agent, TPA-60585, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:54:38Record linked automaticallye11145f764
scoring_agent, CLM-424031, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:52:09Record linked automatically4013163390
scoring_agent, TPA-60586, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:52:09Record linked automatically2d62365a47
scoring_agent, CLM-424032, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:52:09Record linked automatically27fb4017e3
scoring_agent, CLM-424033, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:52:09Record linked automaticallya0b805f6ba
scoring_agent, TPA-60585, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:52:09Record linked automaticallyf736d3fc59
scoring_agent, CLM-424031, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:45:42Record linked automatically19cd6f9236
scoring_agent, TPA-60586, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:45:42Record linked automatically0202c8d17c
scoring_agent, CLM-424032, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:45:42Record linked automatically459d7c30d3
scoring_agent, CLM-424033, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:45:42Record linked automatically20eac91164
scoring_agent, TPA-60585, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:45:42Record linked automatically642ae3c351
scoring_agent, CLM-424031, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:32:31Record linked automatically251c337700
scoring_agent, TPA-60586, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:32:31Record linked automaticallyee2eb3ccef
scoring_agent, CLM-424032, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:32:31Record linked automatically5205989358
scoring_agent, CLM-424033, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:32:31Record linked automaticallya02d1e6650
scoring_agent, TPA-60585, identity id MBR-008181, confidence 1, method probabilistic, matched record CLM-424031, policy version 1
2026-10-19 19:32:31Record linked automatically1c9d4c947f
scoring_agent, CLM-424031, identity id MBR-008181, confidence 1, method probabilistic, matched record TPA-60585, policy version 1
2026-10-19 19:31:28Record linked automaticallyd2ede438dd
scoring_agent, CLM-424032, identity id MBR-026230, confidence 0.99, method probabilistic, matched record TPA-60575, policy version 1
2026-10-19 19:31:28Record linked automaticallyac38ddc3f0
scoring_agent, CLM-424031, identity id MBR-026230, confidence 1, method probabilistic, matched record TPA-60575, policy version 1
2026-10-19 19:31:28Record linked automatically03c2e21174
scoring_agent, TPA-60585, identity id MBR-025758, confidence 1, method probabilistic, matched record CLM-424064, policy version 1
2026-10-19 19:31:28Record linked automatically05fbae4812
matching_agent, CLM-424033, identity id MBR-024720, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131638
2026-10-19 19:31:28Record linked automaticallyc7d3fe5dcc
matching_agent, TPA-60586, identity id MBR-022058, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424066

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-022457	2026-06-29	Harbor Clinical Laboratories in network	80061	$48.00	$0.00	Approved	Approved
CLM-2026-014744	2026-06-04	Harbor Physical Therapy in network	97110, 97140	$243.00	$130.66	Approved	Approved
CLM-2026-009039	2025-12-16	Mesa Family Practice in network	90471, 99214	$316.00	$175.92	Approved	Approved