Identities/MBR-015444

Gold, golden identity

Kyle H Smith

5 source records from 1 feed.

MBR-015444Verified5 records

Golden record

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

First nameCLM: Kyle
Middle nameCLM: H
Last nameCLM: Smith
Date of birthCLM: 1984-10-21
GenderCLM: M
Member IDCLM: UHC-47052-61
SSN—: —
PhoneCLM: 6009582377
Email—: —
AddressCLM: 2161 Jefferson Ave
CityCLM: Orlando
StateCLM: FL
ZIPCLM: 32827
GroupCLM: GRP-4203
PlanCLM: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×5

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-420331	CLM	2026-02-23	Kyle Smithflagged	1984-10-21	UHC-47052-61	—	2161 Jefferson Ave, Orlando, FL	Scored	1.00	—
CLM-420328	CLM	2026-03-11	Kyle Smithflagged	1984-10-21	—	6009582377	2161 Jefferson Ave, Orlando, FL	Scored	1.00	—
CLM-420329	CLM	2026-07-25	Kyle Smithflagged	1984-10-21	UHC-47052-61	6009582377	2161 Jefferson Ave, Orlando, FL	Scored	1.00	—
CLM-420330	CLM	2026-08-13	Kyle Smithflagged	1984-10-21	UHC-47052-61	6009582377	2161 Jefferson Ave, Orlando, FL	Scored	1.00	—
CLM-420327	CLM	2026-08-31	Kyle Smithflagged	1984-10-21	—	6009582377	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420328CLMCLM-420327CLM1.00Scoredweighted 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-420329CLMCLM-420327CLM1.00Scoredweighted 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-420330CLMCLM-420327CLM1.00Scoredweighted 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-420331CLMCLM-420328CLM1.00Scoredweighted 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-420328CLMCLM-420329CLM1.00Scoredweighted 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-420328CLMCLM-420330CLM1.00Scoredweighted 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-420331CLMCLM-420329CLM0.99RuleD1 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-420331CLMCLM-420330CLM0.99RuleD1 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-420329CLMCLM-420330CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420331CLMCLM-420327CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420328 → UHC-47052-61 (Kyle Smith)
ACT-006275, Claims processor
Orphan claim re-pointedExecuted
CLM-420327 → UHC-47052-61 (Kyle Smith)
ACT-009634, Claims processor
Care coordination outreachProposed
Kyle Smith: 5 claims, no attributed provider
ACT-018852, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyeaa8c02fae
scoring_agent, CLM-420327, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-22 12:43:54Record linked automatically6c294cef44
scoring_agent, CLM-420330, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-22 12:43:54Record linked automaticallyf5c86f5277
scoring_agent, CLM-420329, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-22 12:43:54Record linked automatically37392c1c89
scoring_agent, CLM-420328, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420331, policy version 1
2026-10-22 12:43:54Record linked automatically7317fb9b60
scoring_agent, CLM-420331, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:54:38Record linked automaticallye141ae967f
scoring_agent, CLM-420327, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:54:38Record linked automatically9e119a7a3e
scoring_agent, CLM-420330, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:54:38Record linked automaticallybb99155d24
scoring_agent, CLM-420329, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:54:38Record linked automatically1f32731be8
scoring_agent, CLM-420328, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420331, policy version 1
2026-10-19 19:54:38Record linked automatically07c0c11968
scoring_agent, CLM-420331, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:52:09Record linked automaticallyc05cf74fb3
scoring_agent, CLM-420327, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:52:09Record linked automaticallyda145dff3e
scoring_agent, CLM-420330, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:52:09Record linked automatically5265c1fe04
scoring_agent, CLM-420329, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:52:09Record linked automaticallyd83bb1a29c
scoring_agent, CLM-420328, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420331, policy version 1
2026-10-19 19:52:09Record linked automaticallyae4425efde
scoring_agent, CLM-420331, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:45:42Record linked automatically96c1043134
scoring_agent, CLM-420327, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:45:42Record linked automatically28ad1e0578
scoring_agent, CLM-420330, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:45:42Record linked automaticallyfc93628593
scoring_agent, CLM-420329, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:45:42Record linked automatically20c22cee45
scoring_agent, CLM-420328, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420331, policy version 1
2026-10-19 19:45:42Record linked automaticallyaf95ca34a1
scoring_agent, CLM-420331, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:32:31Record linked automatically2d4f07ad40
scoring_agent, CLM-420327, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:32:31Record linked automatically7362122cb1
scoring_agent, CLM-420330, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:32:31Record linked automatically121b44b1d4
scoring_agent, CLM-420329, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:32:31Record linked automatically12e4fc24a9
scoring_agent, CLM-420328, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420331, policy version 1
2026-10-19 19:32:31Record linked automaticallydcf54b93db
scoring_agent, CLM-420331, identity id MBR-015444, confidence 1, method probabilistic, matched record CLM-420328, policy version 1
2026-10-19 19:31:28Record linked automatically2d2fe6764a
scoring_agent, CLM-420329, identity id MBR-032372, confidence 0.99, method probabilistic, matched record PRV-25949, policy version 1
2026-10-19 19:31:28Record linked automatically86fa970e59
matching_agent, CLM-420328, identity id MBR-028547, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126676
2026-10-19 19:31:28Record linked automatically97a0b94c36
matching_agent, CLM-420327, identity id MBR-028547, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-126676
2026-10-19 19:31:28Record linked automatically00414050e5
scoring_agent, CLM-420330, identity id MBR-001714, confidence 1, method probabilistic, matched record TPA-58861, policy version 1
2026-10-19 19:31:28Record linked automatically0634767099
matching_agent, CLM-420331, identity id MBR-001202, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126681

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-2026-031580	2026-07-19	Riverside Clinical Laboratories in network	80053, 85025	$123.00	$0.00	Approved	Approved
CLM-2026-008728	2026-07-06	Harbor Medical Group in network	90471, 99213, 99214	$510.00	$296.20	Approved	Approved
CLM-2026-001401	2026-07-15	Harbor Diagnostic Imaging in network	71046	$130.00	$0.00	Approved	Approved
CLM-2026-018605	2026-02-05	Lakeside Digestive Health Center in network	45378	$2,380.00	$434.18	Approved	Approved
CLM-2026-004096	2026-01-13	Unity Counseling Center in network	99214	$209.00	$54.58	Approved	Approved