Identities/MBR-014268

Gold, golden identity

James K Kim

4 source records from 2 feeds.

MBR-014268Verified4 records

Golden record

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

First nameCLM: James
Middle nameCLM: K
Last nameCLM: Kim
Date of birthCLM: 1968-09-24
GenderCLM: M
Member IDCLM: UHC-64142-84
SSNCLM: •••-••-2300
PhoneCLM: 3252420571
Email—: —
AddressCLM: 9095 Elm St
CityCLM: Nashville
StateCLM: TN
ZIPCLM: 37272
GroupCLM: GRP-6213
PlanCLM: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-432348	CLM	2026-02-19	Jammes Kimflagged	1968-09-24	UHC-64142-84	3252420571	—	Rule	0.99	D1 member id + dob exact
TPA-64275	TPA	2026-03-23	James Kimflagged	1968-09-24	UHC-64142-84	—	—	Rule	0.99	D1 member id + dob exact
CLM-432350	CLM	2026-04-09	James Kimflagged	1968-09-24	UHC-64142-84	—	9095 Elm St, Nashville, TN	Scored	1.00	—
CLM-432349	CLM	2026-05-29	James Kimflagged	1968-09-24	—	—	9095 Elm St, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-432350CLMCLM-432349CLM1.00Scoredweighted 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-432348CLMCLM-432350CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64275TPACLM-432350CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-432348CLMTPA-64275TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432348CLMCLM-432349CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-64275TPACLM-432349CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-432349 → UHC-64142-84 (James Kim)
ACT-008243, Claims processor
Care coordination outreachProposed
James Kim: 3 claims, no attributed provider
ACT-018794, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallya11d557d57
scoring_agent, CLM-432349, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432350, policy version 1
2026-10-22 12:43:54Record linked automatically7fa858096e
scoring_agent, CLM-432350, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432349, policy version 1
2026-10-22 12:43:54Record linked automaticallyd015b2c01f
matching_agent, TPA-64275, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432348
2026-10-22 12:43:54Record linked automaticallyf17f3734b4
matching_agent, CLM-432348, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64275
2026-10-19 19:54:38Record linked automatically7e6f392387
scoring_agent, CLM-432349, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432350, policy version 1
2026-10-19 19:54:38Record linked automaticallyec4309dde9
scoring_agent, CLM-432350, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432349, policy version 1
2026-10-19 19:54:38Record linked automatically4d67acc530
matching_agent, TPA-64275, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432348
2026-10-19 19:54:38Record linked automaticallyc74d405776
matching_agent, CLM-432348, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64275
2026-10-19 19:52:09Record linked automaticallyc33fadaf14
scoring_agent, CLM-432349, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432350, policy version 1
2026-10-19 19:52:09Record linked automaticallyf2c2edc005
scoring_agent, CLM-432350, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432349, policy version 1
2026-10-19 19:52:09Record linked automaticallyc61ffe1cff
matching_agent, TPA-64275, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432348
2026-10-19 19:52:09Record linked automatically43a1959742
matching_agent, CLM-432348, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64275
2026-10-19 19:45:42Record linked automaticallyfccbea6103
scoring_agent, CLM-432349, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432350, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd1dc8c2ea
scoring_agent, CLM-432350, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432349, policy version 1
2026-10-19 19:45:42Record linked automatically7944346bcc
matching_agent, TPA-64275, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432348
2026-10-19 19:45:42Record linked automaticallyea9d01d743
matching_agent, CLM-432348, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64275
2026-10-19 19:32:31Record linked automatically46b4409eb5
scoring_agent, CLM-432349, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432350, policy version 1
2026-10-19 19:32:31Record linked automaticallydb0a3cdffb
scoring_agent, CLM-432350, identity id MBR-014268, confidence 1, method probabilistic, matched record CLM-432349, policy version 1
2026-10-19 19:32:31Record linked automatically530b2cc4fe
matching_agent, TPA-64275, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432348
2026-10-19 19:32:31Record linked automatically74f34f9457
matching_agent, CLM-432348, identity id MBR-014268, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-64275
2026-10-19 19:31:28Record linked automatically4b82e3fcab
matching_agent, CLM-432348, identity id MBR-036769, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142633
2026-10-19 19:31:28Record linked automaticallyd2846dab2c
scoring_agent, CLM-432350, identity id MBR-006896, confidence 1, method probabilistic, matched record ENR-142636, policy version 1
2026-10-19 19:31:28Record linked automaticallya7b906760b
scoring_agent, CLM-432349, identity id MBR-002220, confidence 1, method probabilistic, matched record ENR-142634, 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-2026-026154	2026-04-26	Mesa Primary Care Associates in network	90471	$44.00	$2.28	Approved	Approved
CLM-2026-008512	2026-04-01	Mesa Diabetes Center in network	99214, 95251, 83036	$501.00	$260.62	Approved	Approved
CLM-2026-014641	2026-01-25	Valley Imaging Center in network	70553, 76700	$2,480.00	$1,025.73	Approved	Approved