Identities/MBR-011002
Gold, golden identity

Kevin T Nelson

4 source records from 2 feeds.

MBR-011002Verified4 records

Golden record

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

First nameENR
Kevin
Middle nameENR
T
Last nameCLM
Nelson
Date of birthENR
1946-03-21
GenderENR
M
Member IDENR
UHC-81221-67
SSNENR
•••-••-1169
PhoneENR
2538063119
EmailCLM
kevin.nelson@hotmail.com
AddressENR
739 Washington St
CityENR
Denver
StateENR
CO
ZIPENR
80228
GroupENR
GRP-5370
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.960.97CLMCLM-404208ENRENR-105494CLMCLM-404207CLMCLM-404206IDMBR-011002
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-404208CLM2026-02-06Kvein Neelsonflagged1946-03-21UHC-81221-672538063119739 Washington St, Denver, CORule0.99D1 member id + dob exact
ENR-105494ENR2026-06-04Kevin Nelssonflagged1946-03-21UHC-81221-672538063119739 Washington St, Denver, CORule0.99D1 member id + dob exact
CLM-404207CLM2026-07-24Kevin Nelsonflagged1947-03-21UHC-81221-672538063119739 Washington St, Denver, CORule0.96D3 member id + name
CLM-404206CLM2026-09-12Kevin Nelsonflagged1946-03-21—2538063119739 Washington St, Denver, CORule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-404208CLMENR-105494ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-404208CLMCLM-404206CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-105494ENRCLM-404206CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404208CLMCLM-404207CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-105494ENRCLM-404207CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-404207CLMCLM-404206CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-404206 → UHC-81221-67 (Kevin Nelson)
    ACT-009944, Claims processor
  • Care coordination outreachProposed
    Kevin Nelson: 3 claims, no attributed provider
    ACT-018590, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb5f6db4b33
    matching_agent, CLM-404206, identity id MBR-011002, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:54:38Record linked automaticallya8a42618e0
    matching_agent, CLM-404207, identity id MBR-011002, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:54:38Record linked automaticallyd97ad8fbd4
    matching_agent, ENR-105494, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404208
  • 2026-10-19 19:54:38Record linked automatically8641d1f676
    matching_agent, CLM-404208, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105494
  • 2026-10-19 19:52:09Record linked automatically55bc8720a9
    matching_agent, CLM-404206, identity id MBR-011002, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:52:09Record linked automaticallydc01aee820
    matching_agent, CLM-404207, identity id MBR-011002, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:52:09Record linked automatically58375868b0
    matching_agent, ENR-105494, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404208
  • 2026-10-19 19:52:09Record linked automatically04b1a79cc2
    matching_agent, CLM-404208, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105494
  • 2026-10-19 19:45:42Record linked automatically9a4d07a66d
    matching_agent, CLM-404206, identity id MBR-011002, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:45:42Record linked automatically640ca6e79d
    matching_agent, CLM-404207, identity id MBR-011002, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:45:42Record linked automatically240cef14be
    matching_agent, ENR-105494, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404208
  • 2026-10-19 19:45:42Record linked automatically5a9a24cbfe
    matching_agent, CLM-404208, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105494
  • 2026-10-19 19:32:31Record linked automaticallyf3ec75201f
    matching_agent, CLM-404206, identity id MBR-011002, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:32:31Record linked automatically97a23d725b
    matching_agent, CLM-404207, identity id MBR-011002, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-404208
  • 2026-10-19 19:32:31Record linked automatically7a0ebfd67d
    matching_agent, ENR-105494, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404208
  • 2026-10-19 19:32:31Record linked automatically17dfbbac00
    matching_agent, CLM-404208, identity id MBR-011002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105494
  • 2026-10-19 19:31:28Record linked automaticallyc6562a870b
    matching_agent, CLM-404208, identity id MBR-030293, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105485
  • 2026-10-19 19:31:28Record linked automatically33349d715c
    scoring_agent, ENR-105494, identity id MBR-007729, confidence 1, method probabilistic, matched record TPA-51887, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0be094deb7
    matching_agent, CLM-404206, identity id MBR-001193, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404205
  • 2026-10-19 19:31:28Record linked automatically6dbcd4d351
    scoring_agent, CLM-404207, identity id MBR-000943, confidence 1, method probabilistic, matched record ENR-105482, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0327772026-08-15Lakeside Behavioral Health
out of network
90837, 90791$653.00—DeniedDenied
CLM-2026-0184572026-07-13Harbor Physical Therapy
in network
97110$276.00$131.12ApprovedApproved
CLM-2026-0211612026-01-31Desert Regional Medical Center
in network
70553$3,415.00—Needs reviewNeeds review