Identities/MBR-016176

Gold, golden identity

Kimberly A Miller

5 source records from 3 feeds.

MBR-016176Verified5 records

Golden record

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

First nameENR: Kimberly
Middle nameENR: A
Last nameENR: Miller
Date of birthENR: 2002-12-17
GenderENR: M
Member IDENR: UHC-03074-28
SSNENR: •••-••-3038
PhoneENR: 5977327599
EmailENR: kimberly.miller35@yahoo.com
AddressENR: 3861 Ridge Rd
CityENR: Sacramento
StateENR: CA
ZIPENR: 95833
GroupENR: GRP-7300
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

TPA ×1CLM ×3ENR ×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
TPA-50652	TPA	2026-02-27	Kimberly Millerflagged	2002-12-17	—	5977327599	3861 Ridge Rd, Sacramento, CA	Scored	1.00	—
CLM-401502	CLM	2026-03-21	Kimberly Millerflagged	2002-12-17	—	5977327599	3861 Ridge Rd, Sacramento, CA	Scored	1.00	—
CLM-401503	CLM	2026-04-20	Kimberly Millerflagged	2002-12-17	UHC-03074-28	5977327599	3861 Ridge Rd, Sacramento, CA	Scored	1.00	—
ENR-101955	ENR	2026-07-07	Kimberly Millerflagged	2002-12-17	UHC-03074-28	5977327599	3861 Ridge Rd, Sacramento, CA	Scored	1.00	—
CLM-401504	CLM	2026-08-27	Kimberly Millerflagged	2002-12-17	UHC-03074-28	5977327599	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-50652TPA CLM-401502CLM1.00Scoredweighted 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-401502CLMCLM-401503CLM1.00Scoredweighted 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-401502CLMCLM-401504CLM1.00Scoredweighted 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-401502CLMENR-101955ENR1.00Scoredweighted 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-401503CLMCLM-401504CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-101955ENRCLM-401504CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-401503CLMENR-101955ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶TPA-50652TPA CLM-401503CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50652TPA CLM-401504CLM0.97RuleD2 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

▶TPA-50652TPA ENR-101955ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401502 → UHC-03074-28 (Kimberly Miller)
ACT-007968, Claims processor
Care coordination outreachProposed
Kimberly Miller: 3 claims, no attributed provider
ACT-018899, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically8ca48d2333
scoring_agent, CLM-401504, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-22 12:43:54Record linked automaticallyda0b9623dc
scoring_agent, ENR-101955, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-22 12:43:54Record linked automatically37d770a167
scoring_agent, CLM-401503, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-22 12:43:54Record linked automaticallyd85b89776f
scoring_agent, CLM-401502, identity id MBR-016176, confidence 1, method probabilistic, matched record TPA-50652, policy version 1
2026-10-22 12:43:54Record linked automatically50371686ee
scoring_agent, TPA-50652, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:54:38Record linked automatically7654073f06
scoring_agent, CLM-401504, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:54:38Record linked automaticallyb601af964f
scoring_agent, ENR-101955, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:54:38Record linked automaticallye7486cd6f5
scoring_agent, CLM-401503, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:54:38Record linked automatically86c09e377b
scoring_agent, CLM-401502, identity id MBR-016176, confidence 1, method probabilistic, matched record TPA-50652, policy version 1
2026-10-19 19:54:38Record linked automaticallyb669149941
scoring_agent, TPA-50652, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:52:09Record linked automaticallyc51f9b9c37
scoring_agent, CLM-401504, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:52:09Record linked automaticallyacffb7899a
scoring_agent, ENR-101955, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:52:09Record linked automatically30b8bc7692
scoring_agent, CLM-401503, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:52:09Record linked automaticallybe18c95459
scoring_agent, CLM-401502, identity id MBR-016176, confidence 1, method probabilistic, matched record TPA-50652, policy version 1
2026-10-19 19:52:09Record linked automatically087d001a5a
scoring_agent, TPA-50652, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:45:42Record linked automaticallye6bd2d69d6
scoring_agent, CLM-401504, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:45:42Record linked automaticallyb9cd897f53
scoring_agent, ENR-101955, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:45:42Record linked automatically91dcc1b1e5
scoring_agent, CLM-401503, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:45:42Record linked automatically187b38d74d
scoring_agent, CLM-401502, identity id MBR-016176, confidence 1, method probabilistic, matched record TPA-50652, policy version 1
2026-10-19 19:45:42Record linked automaticallybf6e8bdd38
scoring_agent, TPA-50652, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:32:31Record linked automatically93be4f8f0f
scoring_agent, CLM-401504, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:32:31Record linked automaticallyf7867fa1b0
scoring_agent, ENR-101955, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:32:31Record linked automatically51bd26ca4c
scoring_agent, CLM-401503, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:32:31Record linked automatically1e450d7f4b
scoring_agent, CLM-401502, identity id MBR-016176, confidence 1, method probabilistic, matched record TPA-50652, policy version 1
2026-10-19 19:32:31Record linked automatically8fbc560a3f
scoring_agent, TPA-50652, identity id MBR-016176, confidence 1, method probabilistic, matched record CLM-401502, policy version 1
2026-10-19 19:31:28Record linked automatically5b234ed983
matching_agent, CLM-401504, identity id MBR-026327, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102012
2026-10-19 19:31:28Record linked automatically774ff05dc0
matching_agent, ENR-101955, identity id MBR-020632, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50650
2026-10-19 19:31:28Record linked automatically2e9ecd4a65
scoring_agent, CLM-401503, identity id MBR-016716, confidence 1, method probabilistic, matched record TPA-50667, policy version 1
2026-10-19 19:31:28Record linked automatically82274f45c9
matching_agent, CLM-401502, identity id MBR-005687, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102007

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-2026-025211	2026-08-10	Riverside Regional Medical Center out of network	99285	$2,750.00	$887.50	Approved	Approved
CLM-2026-009426	2026-04-11	Sunrise Cardiovascular Associates in network	93224	$346.00	$174.52	Approved	Approved
CLM-2026-025120	2026-03-13	Lakeside Internal Medicine Associates in network	99215, 93000	$466.00	$263.92	Approved	Approved