Identities/MBR-009104

Gold, golden identity

Kayla M Richards

5 source records from 3 feeds.

MBR-009104Verified5 records

Golden record

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

First namePRV: Kayla
Middle nameCLM: M
Last namePRV: Richards
Date of birthPRV: 1976-01-10
GenderPRV: M
Member IDPRV: UHC-42568-66
SSNCLM: •••-••-5895
PhonePRV: 2535320764
EmailCLM: kayla.richards@outlook.com
AddressPRV: 2779 Pine Dr
CityPRV: Dallas
StatePRV: TX
ZIP—: —
GroupCLM: GRP-3851
PlanCLM: OPTIONS-PPO

Min confidence

0.93

Sources

CLM ×3PRV ×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-420025	CLM	2026-01-31	Kayla Richardsflagged	1976-01-10	—	—	2779 Pine Dr, Dallas, TX	Scored	1.00	—
CLM-420024	CLM	2026-03-23	Kayla Richardsflagged	1976-01-10	UHC-42568-66	—	2779 Pine Dr, Dallas, TX	Rule	0.99	D1 member id + dob exact
PRV-25939	PRV	2026-06-22	Kayla Richardsflagged	1976-01-10	UHC-42568-66	2535320764	2779 Pine Dr, Dallas, TX	Scored	1.00	—
TPA-58833	TPA	2026-07-28	Kayla Richardsflagged	1976-01-10	—	2535320764	2779 Pine Dr, Dallas, TX	Scored	1.00	—
CLM-420026	CLM	2026-08-27	Kayla Richardsflagged	1976-01-10	—	—	2779 Pine Dr, Dallas, TX	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420025CLMPRV-25939PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-25939PRVTPA-58833TPA1.00Scoredweighted 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-420024CLMPRV-25939PRV0.99RuleD1 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-420025CLMCLM-420024CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420025CLMTPA-58833TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420024CLMTPA-58833TPA0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420025CLMCLM-420026CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-420024CLMCLM-420026CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-25939PRVCLM-420026CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58833TPACLM-420026CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420025 → UHC-42568-66 (Kayla Richards)
ACT-002680, Claims processor
Orphan claim re-pointedExecuted
CLM-420026 → UHC-42568-66 (Kayla Richards)
ACT-009414, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically067bd62573
scoring_agent, CLM-420026, identity id MBR-009104, confidence 0.93, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:54:38Record linked automaticallyd6bfa1c726
scoring_agent, TPA-58833, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:54:38Record linked automaticallyccf477ac7a
scoring_agent, PRV-25939, identity id MBR-009104, confidence 1, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:54:38Record linked automatically51e103e3cf
matching_agent, CLM-420024, identity id MBR-009104, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25939
2026-10-19 19:54:38Record linked automaticallyfc4534af1e
scoring_agent, CLM-420025, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:52:09Record linked automaticallyc9af288c8a
scoring_agent, CLM-420026, identity id MBR-009104, confidence 0.93, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:52:09Record linked automatically422b535ad1
scoring_agent, TPA-58833, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:52:09Record linked automaticallyd66efb4234
scoring_agent, PRV-25939, identity id MBR-009104, confidence 1, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:52:09Record linked automatically74383e335c
matching_agent, CLM-420024, identity id MBR-009104, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25939
2026-10-19 19:52:09Record linked automaticallyfffc42ee16
scoring_agent, CLM-420025, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:45:42Record linked automatically9672ed491f
scoring_agent, CLM-420026, identity id MBR-009104, confidence 0.93, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:45:42Record linked automatically5febfaff0f
scoring_agent, TPA-58833, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:45:42Record linked automatically16c1c540d7
scoring_agent, PRV-25939, identity id MBR-009104, confidence 1, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:45:42Record linked automatically9b6d6aaccc
matching_agent, CLM-420024, identity id MBR-009104, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25939
2026-10-19 19:45:42Record linked automaticallyc44db4c5f3
scoring_agent, CLM-420025, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:32:31Record linked automaticallyf87158f340
scoring_agent, CLM-420026, identity id MBR-009104, confidence 0.93, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:32:31Record linked automatically15dc3a7542
scoring_agent, TPA-58833, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:32:31Record linked automaticallyd3058725d0
scoring_agent, PRV-25939, identity id MBR-009104, confidence 1, method probabilistic, matched record CLM-420025, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4a07712eb
matching_agent, CLM-420024, identity id MBR-009104, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25939
2026-10-19 19:32:31Record linked automaticallyfb32de6374
scoring_agent, CLM-420025, identity id MBR-009104, confidence 1, method probabilistic, matched record PRV-25939, policy version 1
2026-10-19 19:31:28Record linked automaticallycbd664276e
scoring_agent, TPA-58833, identity id MBR-021885, confidence 1, method probabilistic, matched record ENR-126604, policy version 1
2026-10-19 19:31:28Record linked automaticallyeeda8fe27d
scoring_agent, PRV-25939, identity id MBR-014537, confidence 1, method probabilistic, matched record TPA-58840, policy version 1
2026-10-19 19:31:28Record linked automatically3fceed248d
matching_agent, CLM-420025, identity id MBR-007660, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126279

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-2026-030805	2026-07-19	Northgate Medical Group in network	99213	$150.00	—	Needs review	Needs review
CLM-2026-030804	2026-07-19	Evergreen Family Practice in network	99213	$150.00	$53.00	Approved	Approved
CLM-2026-030309	2026-03-19	Riverside Digestive Health Center in network	43239	$1,403.00	—	Needs review	Needs review
CLM-2026-030308	2026-03-19	Sunrise Digestive Health Center in network	43239	$1,403.00	$104.32	Approved	Approved
CLM-2026-005072	2025-12-21	Lakeside Medical Group in network	99214	$310.00	$152.20	Approved	Approved