Identities/MBR-010006

Gold, golden identity

Raymond F Kim

5 source records from 2 feeds.

MBR-010006Verified5 records

Golden record

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

First nameENR: Raymond
Middle nameENR: F
Last nameENR: Kim
Date of birthENR: 2002-05-10
GenderENR: F
Member IDENR: UHC-89856-22
SSNENR: •••-••-8659
PhoneCLM: 7678130137
Email—: —
AddressENR: 1535 Main St
CityENR: Tempe
StateENR: AZ
ZIP—: —
GroupENR: GRP-8547
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×4ENR ×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-415058	CLM	2026-02-03	Raymond Kimflagged	2002-05-10	UHC-89856-22	—	1535 Main St, Tempe, AZ	Scored	1.00	—
CLM-415055	CLM	2026-03-01	Raymond Kimflagged	2002-05-10	UHC-89856-22	7678130137	1535 Main St, Tempe, AZ	Scored	1.00	—
CLM-415056	CLM	2026-03-08	Raymond Kimflagged	2002-05-10	—	7678130137	1535 Main St, Tempe, AZ	Scored	1.00	—
CLM-415057	CLM	2026-03-18	Raymmond Kimflagged	2002-05-10	UHC-89856-22	—	1535 Main St, Tempe, AZ	Scored	1.00	—
ENR-119829	ENR	2026-07-10	Raymond Kimflagged	2002-05-10	UHC-89856-22	—	1535 Main St, Tempe, AZ	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-415058CLMCLM-415056CLM1.00Scoredweighted 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

▶CLM-415055CLMCLM-415056CLM1.00Scoredweighted 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-415056CLMCLM-415057CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415058CLMCLM-415055CLM0.99RuleD1 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-415058CLMCLM-415057CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415055CLMCLM-415057CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415058CLMENR-119829ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415055CLMENR-119829ENR0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415057CLMENR-119829ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-415056CLMENR-119829ENR0.93Scoredweighted 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

Eligibility conflict resolvedProposed
Raymond Kim: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-000452, Eligibility engine
Orphan claim re-pointedExecuted
CLM-415056 → UHC-89856-22 (Raymond Kim)
ACT-008555, Claims processor
Care coordination outreachProposed
Raymond Kim: 4 claims, no attributed provider
ACT-018538, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5dc0956351
matching_agent, ENR-119829, identity id MBR-010006, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415058
2026-10-19 19:54:38Record linked automaticallyea032dd248
scoring_agent, CLM-415057, identity id MBR-010006, confidence 1.00, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:54:38Record linked automaticallyc5c59d0442
scoring_agent, CLM-415056, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415058, policy version 1
2026-10-19 19:54:38Record linked automaticallyff5dbc9458
scoring_agent, CLM-415055, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:54:38Record linked automatically27e25457fe
scoring_agent, CLM-415058, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:52:09Record linked automatically1ad52c71f6
matching_agent, ENR-119829, identity id MBR-010006, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415058
2026-10-19 19:52:09Record linked automatically59e743a928
scoring_agent, CLM-415057, identity id MBR-010006, confidence 1.00, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:52:09Record linked automaticallyfec506771a
scoring_agent, CLM-415056, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415058, policy version 1
2026-10-19 19:52:09Record linked automaticallya37ee48475
scoring_agent, CLM-415055, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:52:09Record linked automaticallyb1c9ab107f
scoring_agent, CLM-415058, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:45:42Record linked automatically5d80189b6f
matching_agent, ENR-119829, identity id MBR-010006, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415058
2026-10-19 19:45:42Record linked automaticallyd63de20cd8
scoring_agent, CLM-415057, identity id MBR-010006, confidence 1.00, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:45:42Record linked automaticallya04f157093
scoring_agent, CLM-415056, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415058, policy version 1
2026-10-19 19:45:42Record linked automatically22a2afd48e
scoring_agent, CLM-415055, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:45:42Record linked automaticallyeb035e4873
scoring_agent, CLM-415058, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:32:31Record linked automatically08993648f3
matching_agent, ENR-119829, identity id MBR-010006, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415058
2026-10-19 19:32:31Record linked automatically468b1cedf3
scoring_agent, CLM-415057, identity id MBR-010006, confidence 1.00, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:32:31Record linked automaticallyb66759762b
scoring_agent, CLM-415056, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415058, policy version 1
2026-10-19 19:32:31Record linked automatically65a72bb478
scoring_agent, CLM-415055, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:32:31Record linked automaticallyb0becfc339
scoring_agent, CLM-415058, identity id MBR-010006, confidence 1, method probabilistic, matched record CLM-415056, policy version 1
2026-10-19 19:31:28Record linked automaticallyd18650cb0e
matching_agent, CLM-415055, identity id MBR-028115, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119723
2026-10-19 19:31:28Record linked automaticallya3a8f15400
matching_agent, CLM-415058, identity id MBR-025820, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-119725
2026-10-19 19:31:28Record linked automaticallyc8c0242515
scoring_agent, CLM-415057, identity id MBR-012103, confidence 1, method probabilistic, matched record TPA-56552, policy version 1
2026-10-19 19:31:28Record linked automaticallyc9dc5787fa
scoring_agent, CLM-415056, identity id MBR-012103, confidence 1, method probabilistic, matched record TPA-56552, policy version 1

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-2026-031550	2026-02-20	Northgate Bone and Joint Center out of network	99213	$202.00	—	Denied	Denied
CLM-2026-014488	2026-02-25	Canyon Diagnostic Imaging in network	74177	$2,249.00	—	Needs review	Needs review
CLM-2026-027362	2026-03-04	Meadow Imaging Center in network	76700, 77067	$727.00	$0.00	Approved	Approved
CLM-2026-014487	2026-02-25	Evergreen Diagnostic Imaging in network	74177	$2,249.00	$0.00	Approved	Approved
CLM-2026-013971	2026-01-14	Unity Dermatology Clinic in network	11102	$213.00	$92.06	Approved	Approved