Identities/MBR-016341
Gold, golden identity

Janice Kelly

5 source records from 3 feeds.

MBR-016341Verified5 records

Golden record

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

First nameENR
Janice
Middle name—
—
Last nameENR
Kelly
Date of birthPRV
1956-11-05
GenderENR
F
Member IDENR
UHC-98691-32
SSNENR
•••-••-8199
PhoneENR
6167580964
EmailENR
janice.kelly@gmail.com
AddressENR
5664 Willow Ct
CityENR
San Diego
StateENR
CA
ZIPENR
92123
GroupENR
GRP-2264
PlanENR
SELECT-EPO
Min confidence
0.96
Sources
CLM ×3PRV ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

1.001.000.970.960.99CLMCLM-423915CLMCLM-423914PRVPRV-27055ENRENR-131289CLMCLM-423916IDMBR-016341
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-423915CLM2026-02-27Janice Kellyflagged1956-11-05UHC-98691-32—5664 Willow Ct, San Diego, CAScored1.00—
CLM-423914CLM2026-03-07Janice Kellyflagged1956-11-05—61675809645664 Willow Ct, San Diego, CAScored1.00—
PRV-27055PRV2026-05-21Jenice Kellyflagged1956-11-05—6167580964—Rule0.97D2 ssn4 + dob + last name
ENR-131289ENR2026-07-16Janice Kellyflagged1957-11-05UHC-98691-3261675809645664 Willow Ct, San Diego, CARule0.96D3 member id + name
CLM-423916CLM2026-09-24Janice Kellyflagged1956-11-05UHC-98691-32—5664 Willow Ct, San Diego, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423915CLMCLM-423914 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423915CLMCLM-423916CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423914 CLMCLM-423916CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27055PRVCLM-423916CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423914 CLMPRV-27055PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-131289ENRCLM-423916CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-423915CLMENR-131289ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423914 CLMENR-131289ENR0.88Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-27055PRVENR-131289ENR0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423915CLMPRV-27055PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-423914 → UHC-98691-32 (Janice Kelly)
    ACT-006612, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically5ce79e3f4e
    matching_agent, CLM-423916, identity id MBR-016341, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423915
  • 2026-10-22 12:43:54Record linked automatically58848df7a3
    matching_agent, ENR-131289, identity id MBR-016341, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423915
  • 2026-10-22 12:43:54Record linked automatically85fa62e15e
    matching_agent, PRV-27055, identity id MBR-016341, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423914
  • 2026-10-22 12:43:54Record linked automaticallyf153519ca7
    scoring_agent, CLM-423914, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-22 12:43:54Record linked automatically9f2ac43361
    scoring_agent, CLM-423915, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423914, policy version 1
  • 2026-10-19 19:54:38Record linked automatically19dd2b2c82
    matching_agent, CLM-423916, identity id MBR-016341, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423915
  • 2026-10-19 19:54:38Record linked automatically8c61fded7b
    matching_agent, ENR-131289, identity id MBR-016341, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423915
  • 2026-10-19 19:54:38Record linked automatically079b814f20
    matching_agent, PRV-27055, identity id MBR-016341, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423914
  • 2026-10-19 19:54:38Record linked automatically89a61d90cc
    scoring_agent, CLM-423914, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-19 19:54:38Record linked automatically45da9fb501
    scoring_agent, CLM-423915, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423914, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2f96f75478
    matching_agent, CLM-423916, identity id MBR-016341, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423915
  • 2026-10-19 19:52:09Record linked automaticallyce517465ef
    matching_agent, ENR-131289, identity id MBR-016341, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423915
  • 2026-10-19 19:52:09Record linked automatically89d57743fa
    matching_agent, PRV-27055, identity id MBR-016341, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423914
  • 2026-10-19 19:52:09Record linked automatically13817e2474
    scoring_agent, CLM-423914, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye21ad12f5e
    scoring_agent, CLM-423915, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423914, policy version 1
  • 2026-10-19 19:45:42Record linked automatically277447894e
    matching_agent, CLM-423916, identity id MBR-016341, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423915
  • 2026-10-19 19:45:42Record linked automaticallyd494fe5d41
    matching_agent, ENR-131289, identity id MBR-016341, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423915
  • 2026-10-19 19:45:42Record linked automaticallyee98a7c560
    matching_agent, PRV-27055, identity id MBR-016341, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423914
  • 2026-10-19 19:45:42Record linked automatically7f3e3c23c3
    scoring_agent, CLM-423914, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye38e8b6a19
    scoring_agent, CLM-423915, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423914, policy version 1
  • 2026-10-19 19:32:31Record linked automatically68000b27d6
    matching_agent, CLM-423916, identity id MBR-016341, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423915
  • 2026-10-19 19:32:31Record linked automaticallyd756e1f176
    matching_agent, ENR-131289, identity id MBR-016341, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423915
  • 2026-10-19 19:32:31Record linked automatically0be916acd3
    matching_agent, PRV-27055, identity id MBR-016341, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-423914
  • 2026-10-19 19:32:31Record linked automaticallycc353c41bd
    scoring_agent, CLM-423914, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf421a91327
    scoring_agent, CLM-423915, identity id MBR-016341, confidence 1, method probabilistic, matched record CLM-423914, policy version 1
  • 2026-10-19 19:31:28Record linked automatically54ddcd3911
    matching_agent, CLM-423914, identity id MBR-021581, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131462
  • 2026-10-19 19:31:28Record linked automaticallyea2e5f1502
    scoring_agent, PRV-27055, identity id MBR-005058, confidence 0.98, method probabilistic, matched record ENR-131464, policy version 1
  • 2026-10-19 19:31:28Record linked automatically19467dab12
    matching_agent, ENR-131289, identity id MBR-003069, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423775
  • 2026-10-19 19:31:28Record linked automaticallydd020afabc
    scoring_agent, CLM-423916, identity id MBR-000826, confidence 1, method probabilistic, matched record CLM-423915, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9a9aaed3b8
    scoring_agent, CLM-423915, identity id MBR-000826, confidence 1, method probabilistic, matched record ENR-131463, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0225892026-08-23Harbor Diabetes Center
in network
95251, 83036$180.00$71.60ApprovedApproved
CLM-2026-0198452026-02-13Mesa Physical Therapy
in network
97110$276.00—Needs reviewNeeds review
CLM-2026-0216422025-09-06Lakeside Internal Medicine Associates
in network
99214, 93000$338.00—DeniedDenied