Identities/MBR-009752
Gold, golden identity

Kathleen W Johnston

4 source records from 3 feeds.

MBR-009752Verified4 recordsOpen steward case

Golden record

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

First nameENR
Kathleen
Middle nameCLM
W
Last nameENR
Johnston
Date of birthENR
1964-01-05
GenderCLM
F
Member IDENR
UHC-78882-41
SSNENR
•••-••-6516
PhoneENR
6596069361
Email—
—
AddressCLM
5071 Elm St
CityCLM
Miami
StateCLM
FL
ZIPCLM
33109
GroupENR
GRP-4008
PlanENR
MEDICARE-ADV-B
Min confidence
0.93
Sources
CLM ×2TPA ×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

0.970.930.970.97CLMCLM-416312TPATPA-57164ENRENR-121468CLMCLM-416313IDMBR-009752
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-416312CLM2026-02-02Kathleen Johnstonflagged1964-01-05—65960693611204 Highland Ave, Los Angeles, CARule0.97D2 ssn4 + dob + last name
TPA-57164TPA2026-02-27Kathleen Johnstonflagged1964-01-05——1204 Highland Ave, Los Angeles, CAScored0.93—
ENR-121468ENR2026-03-15Kathleen Johnstonflagged1964-01-05UHC-78882-4165960693611204 Highland Ave, Los Angeles, CARule0.97D2 ssn4 + dob + last name
CLM-416313CLM2026-09-29Kathy Johnstonflagged1964-01-05—65960693615071 Elm St, Miami, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416312CLMCLM-416313CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121468ENRCLM-416313CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416312CLMENR-121468ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-57164 TPAENR-121468ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-416312CLMTPA-57164 TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57164 TPACLM-416313CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416312 → UHC-78882-41 (Kathleen Johnston)
    ACT-001560, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416313 → UHC-78882-41 (Kathleen Johnston)
    ACT-006068, Claims processor
  • Outreach address correctedProposed
    Kathleen Johnston: 1204 Highland Ave, Los Angeles → 5071 Elm St, Miami
    ACT-011376, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically35d1bd0869
    matching_agent, CLM-416313, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:54:38Record linked automaticallyac924fd07f
    matching_agent, ENR-121468, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:54:38Record linked automaticallyfa62b2ca91
    scoring_agent, TPA-57164, identity id MBR-009752, confidence 0.93, method probabilistic, matched record CLM-416312, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8e7d5e3569
    matching_agent, CLM-416312, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121468
  • 2026-10-19 19:52:09Record linked automaticallye6d71468ef
    matching_agent, CLM-416313, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:52:09Record linked automatically8ec985438f
    matching_agent, ENR-121468, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:52:09Record linked automatically29996f0a6d
    scoring_agent, TPA-57164, identity id MBR-009752, confidence 0.93, method probabilistic, matched record CLM-416312, policy version 1
  • 2026-10-19 19:52:09Record linked automatically46eb62f820
    matching_agent, CLM-416312, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121468
  • 2026-10-19 19:45:42Record linked automatically50b6ff256b
    matching_agent, CLM-416313, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:45:42Record linked automaticallye35b1a84f7
    matching_agent, ENR-121468, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:45:42Record linked automatically06acadb9fa
    scoring_agent, TPA-57164, identity id MBR-009752, confidence 0.93, method probabilistic, matched record CLM-416312, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd972e0cd11
    matching_agent, CLM-416312, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121468
  • 2026-10-19 19:32:31Record linked automatically7d41b5546e
    matching_agent, CLM-416313, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:32:31Record linked automatically24d744c5e9
    matching_agent, ENR-121468, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-416312
  • 2026-10-19 19:32:31Record linked automatically6d12b34644
    scoring_agent, TPA-57164, identity id MBR-009752, confidence 0.93, method probabilistic, matched record CLM-416312, policy version 1
  • 2026-10-19 19:32:31Record linked automatically096c377d4f
    matching_agent, CLM-416312, identity id MBR-009752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121468
  • 2026-10-19 19:31:28Record linked automatically58d3c0cae6
    scoring_agent, TPA-57164, identity id MBR-026285, confidence 1, method probabilistic, matched record TPA-57165, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd5e820fc81
    scoring_agent, CLM-416313, identity id MBR-022805, confidence 1.00, method probabilistic, matched record TPA-57098, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya4a7e7d89f
    matching_agent, CLM-416312, identity id MBR-009308, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24771

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0177922026-08-19Lakeside Imaging Center
in network
71046, 77067$471.00$0.00ApprovedApproved
CLM-2026-0009572026-01-15Evergreen Medical Group
in network
99203, 99395$486.00$276.32ApprovedApproved