Identities/MBR-016078

Gold, golden identity

Kenneth Martinez

6 source records from 2 feeds.

MBR-016078Verified6 records

Golden record

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

First nameENR: Kenneth
Middle name—: —
Last nameENR: Martinez
Date of birthENR: 1966-11-26
GenderENR: M
Member IDENR: UHC-66774-91
SSNENR: •••-••-0307
PhoneENR: 4136454750
EmailENR: kenneth.martinez24@outlook.com
AddressENR: 6621 Sage Ct
CityENR: Fresno
StateENR: CA
ZIPENR: 93735
GroupENR: GRP-5749
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

ENR ×1CLM ×5

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
ENR-104210	ENR	2026-02-26	Kenneth Martinezflagged	1966-11-26	UHC-66774-91	4136454750	6621 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-403246	CLM	2026-05-08	Kenneth Martinezflagged	1966-11-26	—	4136454750	6621 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-403245	CLM	2026-05-17	Kenneth Martinezflagged	1966-11-26	UHC-66774-91	—	6621 Sage Ct, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-403244	CLM	2026-06-07	Ken Martinezflagged	1966-11-26	UHC-66774-91	4136454750	6621 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-403247	CLM	2026-08-31	Kenneth Martinezflagged	1966-11-26	UHC-66774-91	—	6621 Sage Ct, Fresno, CA	Scored	1.00	—
CLM-403248	CLM	2026-09-03	Kenneth Martinezflagged	1966-11-26	—	4136454750	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-403246CLMCLM-403244CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104210ENR CLM-403246CLM1.00Scoredweighted 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-403246CLMCLM-403247CLM1.00Scoredweighted 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-403246CLMCLM-403248CLM1.00Scoredweighted 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

▶ENR-104210ENR CLM-403244CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-403245CLMCLM-403244CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104210ENR CLM-403245CLM0.99RuleD1 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

▶ENR-104210ENR CLM-403247CLM0.99RuleD1 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-403245CLMCLM-403247CLM0.99RuleD1 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-403244CLMCLM-403247CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104210ENR CLM-403248CLM0.97RuleD2 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403244CLMCLM-403248CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403246CLMCLM-403245CLM0.93Scoredweighted 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

▶CLM-403245CLMCLM-403248CLM0.83Scoredweighted 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

▶CLM-403247CLMCLM-403248CLM0.83Scoredweighted 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-403246 → UHC-66774-91 (Kenneth Martinez)
ACT-002610, Claims processor
Orphan claim re-pointedExecuted
CLM-403248 → UHC-66774-91 (Kenneth Martinez)
ACT-007128, Claims processor
Care coordination outreachProposed
Kenneth Martinez: 5 claims, no attributed provider
ACT-018891, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb4135a4dc0
scoring_agent, CLM-403248, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:54:38Record linked automatically064d0d9c74
scoring_agent, CLM-403247, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:54:38Record linked automatically3377fa1c2a
scoring_agent, CLM-403244, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:54:38Record linked automatically2dd4c93b45
matching_agent, CLM-403245, identity id MBR-016078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104210
2026-10-19 19:54:38Record linked automatically71513a6c71
scoring_agent, CLM-403246, identity id MBR-016078, confidence 1, method probabilistic, matched record ENR-104210, policy version 1
2026-10-19 19:54:38Record linked automaticallyd8f2b75ba2
scoring_agent, ENR-104210, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:52:09Record linked automaticallya7902c569b
scoring_agent, CLM-403248, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:52:09Record linked automatically77ec7c301a
scoring_agent, CLM-403247, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:52:09Record linked automatically739b9410ff
scoring_agent, CLM-403244, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:52:09Record linked automatically14be14fe5f
matching_agent, CLM-403245, identity id MBR-016078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104210
2026-10-19 19:52:09Record linked automaticallyfa45b00b87
scoring_agent, CLM-403246, identity id MBR-016078, confidence 1, method probabilistic, matched record ENR-104210, policy version 1
2026-10-19 19:52:09Record linked automatically9e06e58c0c
scoring_agent, ENR-104210, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:45:42Record linked automatically28aab1b8c8
scoring_agent, CLM-403248, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:45:42Record linked automatically2341e0b66e
scoring_agent, CLM-403247, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:45:42Record linked automaticallya14279c435
scoring_agent, CLM-403244, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:45:42Record linked automatically75d8e53ca9
matching_agent, CLM-403245, identity id MBR-016078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104210
2026-10-19 19:45:42Record linked automatically7c6f06c605
scoring_agent, CLM-403246, identity id MBR-016078, confidence 1, method probabilistic, matched record ENR-104210, policy version 1
2026-10-19 19:45:42Record linked automatically99f3776ba4
scoring_agent, ENR-104210, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:32:31Record linked automatically2ff8f3ce72
scoring_agent, CLM-403248, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:32:31Record linked automaticallybc3c3a1975
scoring_agent, CLM-403247, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:32:31Record linked automatically12c8ad1f4c
scoring_agent, CLM-403244, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:32:31Record linked automaticallyfcc28e2083
matching_agent, CLM-403245, identity id MBR-016078, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104210
2026-10-19 19:32:31Record linked automatically21f8eb4c4a
scoring_agent, CLM-403246, identity id MBR-016078, confidence 1, method probabilistic, matched record ENR-104210, policy version 1
2026-10-19 19:32:31Record linked automatically4d1f13521c
scoring_agent, ENR-104210, identity id MBR-016078, confidence 1, method probabilistic, matched record CLM-403246, policy version 1
2026-10-19 19:31:28Record linked automaticallybb8ff192b0
matching_agent, CLM-403248, identity id MBR-026229, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104256
2026-10-19 19:31:28Record linked automatically49d3c4bb44
scoring_agent, CLM-403246, identity id MBR-013737, confidence 1, method probabilistic, matched record ENR-104254, policy version 1
2026-10-19 19:31:28Record linked automaticallyb49aff3318
scoring_agent, CLM-403245, identity id MBR-011427, confidence 1, method probabilistic, matched record CLM-403244, policy version 1
2026-10-19 19:31:28Record linked automaticallybe9ac6850c
scoring_agent, CLM-403244, identity id MBR-011427, confidence 1, method probabilistic, matched record TPA-51468, policy version 1
2026-10-19 19:31:28Record linked automatically073302047f
scoring_agent, CLM-403247, identity id MBR-003948, confidence 1, method probabilistic, matched record PRV-20990, policy version 1

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-2026-021856	2026-08-06	Valley Reference Lab in network	87086, 83036, 85025	$160.00	$0.00	Approved	Approved
CLM-2026-015598	2026-08-26	Northgate Cardiovascular Associates in network	99214	$310.00	$132.20	Approved	Approved
CLM-2026-028284	2026-06-04	Meadow Medical Group in network	70553	$2,532.00	—	Needs review	Needs review
CLM-2026-015700	2026-04-07	Summit Medical Group in network	99215	$393.00	$218.66	Approved	Approved
CLM-2026-004820	2026-05-01	Valley Family Practice in network	99395	$268.00	$141.16	Approved	Approved