Identities/MBR-009663
Gold, golden identity

Ralph Q Kelley

5 source records from 3 feeds.

MBR-009663Verified5 records

Golden record

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

First nameENR
Ralph
Middle nameENR
Q
Last nameENR
Kelley
Date of birthENR
1975-09-22
GenderENR
F
Member IDENR
UHC-28952-82
SSNENR
•••-••-3584
PhoneENR
8395879904
EmailPRV
ralph.kelley@aol.com
AddressENR
1320 Pine Dr
CityENR
Tempe
StateENR
AZ
ZIPENR
85273
GroupENR
GRP-7597
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×3PRV ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.970.990.991.00CLMCLM-426579CLMCLM-426577PRVPRV-27837CLMCLM-426578ENRENR-134856IDMBR-009663
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-426579CLM2026-02-02Ralph Kelleyflagged——8395879904—Scored1.00—
CLM-426577CLM2026-02-16Ralph Kelleyflagged1975-09-22———Rule0.97D2 ssn4 + dob + last name
PRV-27837PRV2026-04-22Ralph Kelleyflagged1975-09-22UHC-28952-8283958799041320 Pine Dr, Tempe, AZRule0.99D1 member id + dob exact
CLM-426578CLM2026-05-25Ralph Kelleyflagged1975-09-22UHC-28952-828395879904—Rule0.99D1 member id + dob exact
ENR-134856ENR2026-08-18Ralph Kelleyflagged1975-09-22UHC-28952-8283958799041320 Pine Dr, Tempe, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426579CLMENR-134856ENR 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27837PRVCLM-426578CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27837PRVENR-134856ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426578CLMENR-134856ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426577CLMENR-134856ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-426579CLMCLM-426578CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-426577CLMCLM-426578CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-426579CLMPRV-27837PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-426577CLMPRV-27837PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Ralph Kelley: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000441, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-426577 → UHC-28952-82 (Ralph Kelley)
    ACT-002925, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-426579 → UHC-28952-82 (Ralph Kelley)
    ACT-005385, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1894791bde
    scoring_agent, ENR-134856, identity id MBR-009663, confidence 1, method probabilistic, matched record CLM-426579, policy version 1
  • 2026-10-19 19:54:38Record linked automatically434e9f4266
    matching_agent, CLM-426578, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27837
  • 2026-10-19 19:54:38Record linked automatically2b86f277fb
    matching_agent, PRV-27837, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426578
  • 2026-10-19 19:54:38Record linked automatically62959aab68
    matching_agent, CLM-426577, identity id MBR-009663, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134856
  • 2026-10-19 19:54:38Record linked automatically3160081246
    scoring_agent, CLM-426579, identity id MBR-009663, confidence 1, method probabilistic, matched record ENR-134856, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7c94b08254
    scoring_agent, ENR-134856, identity id MBR-009663, confidence 1, method probabilistic, matched record CLM-426579, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye32c1d6455
    matching_agent, CLM-426578, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27837
  • 2026-10-19 19:52:09Record linked automatically9439542ead
    matching_agent, PRV-27837, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426578
  • 2026-10-19 19:52:09Record linked automaticallyaa73926c0b
    matching_agent, CLM-426577, identity id MBR-009663, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134856
  • 2026-10-19 19:52:09Record linked automatically400ee6032b
    scoring_agent, CLM-426579, identity id MBR-009663, confidence 1, method probabilistic, matched record ENR-134856, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9966d2f231
    scoring_agent, ENR-134856, identity id MBR-009663, confidence 1, method probabilistic, matched record CLM-426579, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2f88ac3b09
    matching_agent, CLM-426578, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27837
  • 2026-10-19 19:45:42Record linked automatically448038c625
    matching_agent, PRV-27837, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426578
  • 2026-10-19 19:45:42Record linked automatically981a22a2b3
    matching_agent, CLM-426577, identity id MBR-009663, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134856
  • 2026-10-19 19:45:42Record linked automatically2464e1c773
    scoring_agent, CLM-426579, identity id MBR-009663, confidence 1, method probabilistic, matched record ENR-134856, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf147b224a1
    scoring_agent, ENR-134856, identity id MBR-009663, confidence 1, method probabilistic, matched record CLM-426579, policy version 1
  • 2026-10-19 19:32:31Record linked automatically56d0917a05
    matching_agent, CLM-426578, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27837
  • 2026-10-19 19:32:31Record linked automaticallyd9c6382e48
    matching_agent, PRV-27837, identity id MBR-009663, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426578
  • 2026-10-19 19:32:31Record linked automatically713e611aa8
    matching_agent, CLM-426577, identity id MBR-009663, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134856
  • 2026-10-19 19:32:31Record linked automaticallye4cbbfe390
    scoring_agent, CLM-426579, identity id MBR-009663, confidence 1, method probabilistic, matched record ENR-134856, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2683862f4c
    matching_agent, CLM-426577, identity id MBR-041195, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-135160
  • 2026-10-19 19:31:28Record linked automatically4736576c17
    matching_agent, ENR-134856, identity id MBR-023380, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426364
  • 2026-10-19 19:31:28Record linked automatically25f75d088a
    scoring_agent, CLM-426578, identity id MBR-015380, confidence 1, method probabilistic, matched record ENR-135163, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb975f9c9ce
    scoring_agent, CLM-426579, identity id MBR-004641, confidence 1, method probabilistic, matched record CLM-426580, policy version 1
  • 2026-10-19 19:31:28Record linked automatically82535de6ae
    matching_agent, PRV-27837, identity id MBR-002831, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135230

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0288632026-04-30Mesa Physical Therapy
in network
97110$128.00$39.36ApprovedApproved
CLM-2026-0060212026-01-18Riverside Orthopedic Specialists
in network
99213$191.00—Needs reviewNeeds review
CLM-2026-0060202026-01-18Riverside Orthopedic Specialists
in network
99213$191.00$68.42ApprovedApproved
CLM-2026-0153642026-01-24Evergreen Rehabilitation Center
in network
97110, 97140$297.00$144.14ApprovedApproved