Identities/MBR-011542

Gold, golden identity

Kathleen O Gibson

5 source records from 3 feeds.

MBR-011542Verified5 records

Golden record

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

First nameENR: Kathleen
Middle nameENR: O
Last nameENR: Gibson
Date of birthPRV: 2007-07-19
GenderENR: M
Member IDENR: UHC-89929-38
SSNENR: •••-••-6058
PhoneENR: 3352473029
EmailPRV: kathleen.gibson@gmail.com
AddressENR: 4256 Washington St Apt 2
CityENR: Seattle
StateENR: WA
ZIPENR: 98147
GroupENR: GRP-6274
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

PRV ×2CLM ×2ENR ×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
PRV-20869	PRV	2026-02-08	Kathleen Gibsonflagged	2007-07-19	—	3352473029	—	Scored	1.00	—
CLM-403075	CLM	2026-03-24	Kathleen Gibsonflagged	2007-07-19	UHC-89929-38	3352473029	—	Scored	1.00	—
PRV-20868	PRV	2026-07-21	Kathleen Gibsonflagged	2007-07-19	UHC-89929-38	3352473029	4256 Washington St, Seattle, WA	Scored	1.00	—
CLM-403076	CLM	2026-08-20	Gibson Kathyflagged	2007-07-19	UHC-89929-38	3352473029	—	Rule	0.99	D1 member id + dob exact
ENR-103977	ENR	2026-10-10	Kathleen Gibsonflagged	—	UHC-89929-38	3352473029	4256 Washington St Apt 2, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-20869PRVCLM-403075CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20869PRVENR-103977ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight
Name	1.00	3
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20869PRVPRV-20868PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403075CLMCLM-403076CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.90	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20868PRVCLM-403076CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.90	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403075CLMPRV-20868PRV0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403075CLMENR-103977ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20868PRVENR-103977ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-20869PRVCLM-403076CLM0.96Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.90	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403076CLMENR-103977ENR0.95Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.87	3	swapped
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9b551bc94d
scoring_agent, ENR-103977, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:54:38Record linked automatically43c687bc2f
matching_agent, CLM-403076, identity id MBR-011542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403075
2026-10-19 19:54:38Record linked automatically4ff08839d7
scoring_agent, PRV-20868, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:54:38Record linked automatically9bcb053046
scoring_agent, CLM-403075, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:54:38Record linked automatically01f37afbb5
scoring_agent, PRV-20869, identity id MBR-011542, confidence 1, method probabilistic, matched record CLM-403075, policy version 1
2026-10-19 19:52:09Record linked automaticallyd0fd3c84fc
scoring_agent, ENR-103977, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:52:09Record linked automaticallye70e6656b2
matching_agent, CLM-403076, identity id MBR-011542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403075
2026-10-19 19:52:09Record linked automatically64efd3f025
scoring_agent, PRV-20868, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:52:09Record linked automatically47d13876eb
scoring_agent, CLM-403075, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:52:09Record linked automatically892696ff2b
scoring_agent, PRV-20869, identity id MBR-011542, confidence 1, method probabilistic, matched record CLM-403075, policy version 1
2026-10-19 19:45:42Record linked automaticallybf45162560
scoring_agent, ENR-103977, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:45:42Record linked automatically473caa910c
matching_agent, CLM-403076, identity id MBR-011542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403075
2026-10-19 19:45:42Record linked automatically7879f4f970
scoring_agent, PRV-20868, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:45:42Record linked automatically0cb0689737
scoring_agent, CLM-403075, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:45:42Record linked automatically43a8c98535
scoring_agent, PRV-20869, identity id MBR-011542, confidence 1, method probabilistic, matched record CLM-403075, policy version 1
2026-10-19 19:32:31Record linked automaticallyd7b773adb7
scoring_agent, ENR-103977, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:32:31Record linked automatically37d40f512e
matching_agent, CLM-403076, identity id MBR-011542, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403075
2026-10-19 19:32:31Record linked automaticallyd1272f82b1
scoring_agent, PRV-20868, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:32:31Record linked automatically15c142b94c
scoring_agent, CLM-403075, identity id MBR-011542, confidence 1, method probabilistic, matched record PRV-20869, policy version 1
2026-10-19 19:32:31Record linked automatically2fce1f7731
scoring_agent, PRV-20869, identity id MBR-011542, confidence 1, method probabilistic, matched record CLM-403075, policy version 1
2026-10-19 19:31:28Record linked automatically27bf5cb143
matching_agent, CLM-403075, identity id MBR-033062, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-104035
2026-10-19 19:31:28Record linked automatically5027611387
scoring_agent, CLM-403076, identity id MBR-022659, confidence 1, method probabilistic, matched record PRV-20932, policy version 1
2026-10-19 19:31:28Record linked automatically473750f8f0
scoring_agent, PRV-20869, identity id MBR-004115, confidence 1, method probabilistic, matched record TPA-51318, policy version 1
2026-10-19 19:31:28Record linked automatically09b2e9f5c9
matching_agent, PRV-20868, identity id MBR-000066, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103755

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-2026-017103	2026-07-26	Unity Bone and Joint Center in network	27447	$34,571.00	—	Needs review	Needs review
CLM-2026-001560	2026-03-03	Cornerstone Reference Lab out of network	80061, 80053, 87086	$177.00	—	Denied	Denied
CLM-2026-001559	2026-03-03	Cornerstone Reference Lab out of network	80061, 80053, 87086	$177.00	$0.00	Approved	Approved