Identities/MBR-016747
Gold, golden identity

Paul P Kelley

3 source records from 2 feeds.

MBR-016747Verified3 records

Golden record

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

First nameENR
Paul
Middle nameENR
P
Last nameENR
Kelley
Date of birthENR
1997-01-22
GenderCLM
F
Member IDENR
UHC-55115-85
SSNENR
•••-••-3475
PhoneENR
7932398252
EmailENR
paul.kelley95@hotmail.com
AddressENR
8971 Ocean Ave
CityENR
Tucson
StateENR
AZ
ZIPENR
85763
GroupENR
GRP-7195
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.00ENRENR-127660CLMCLM-421070CLMCLM-421071IDMBR-016747
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
ENR-127660ENR2026-03-01Paul Kelleyflagged1997-01-22UHC-55115-8579323982528971 Ocean Ave, Tucson, AZRule0.99D1 member id + dob exact
CLM-421070CLM2026-05-15Paul Kelleyflagged1997-01-22—79323982528971 Ocean Ave, Tucson, AZScored1.00—
CLM-421071CLM2026-10-18Paul Kelleyflagged1997-01-22UHC-55115-85—8971 Ocean Ave, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421070CLMCLM-421071CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-127660ENRCLM-421071CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-127660ENRCLM-421070CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421070 → UHC-55115-85 (Paul Kelley)
    ACT-010302, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically50e859c510
    scoring_agent, CLM-421071, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421070, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4eefb42c1f
    scoring_agent, CLM-421070, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421071, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6dc2aed640
    matching_agent, ENR-127660, identity id MBR-016747, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421071
  • 2026-10-19 19:52:09Record linked automaticallyec2a3a97f7
    scoring_agent, CLM-421071, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421070, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye706e0a968
    scoring_agent, CLM-421070, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421071, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc5f8643d0a
    matching_agent, ENR-127660, identity id MBR-016747, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421071
  • 2026-10-19 19:45:42Record linked automatically81960574fb
    scoring_agent, CLM-421071, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421070, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc5922b687d
    scoring_agent, CLM-421070, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421071, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7889a0e588
    matching_agent, ENR-127660, identity id MBR-016747, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421071
  • 2026-10-19 19:32:31Record linked automaticallyc11f23abe0
    scoring_agent, CLM-421071, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421070, policy version 1
  • 2026-10-19 19:32:31Record linked automatically35ca8c3b11
    scoring_agent, CLM-421070, identity id MBR-016747, confidence 1, method probabilistic, matched record CLM-421071, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye1a4c2d267
    matching_agent, ENR-127660, identity id MBR-016747, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421071
  • 2026-10-19 19:31:28Record linked automaticallyd7eb4a0c16
    matching_agent, ENR-127660, identity id MBR-000285, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59207
  • 2026-10-19 19:31:28Record linked automatically0e2b18eb27
    matching_agent, CLM-421070, identity id MBR-000055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127628

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0266962026-10-04Harbor Physical Therapy
in network
97110, 97161$449.00$248.38ApprovedApproved
CLM-2026-0341022026-04-15Harbor Cardiovascular Associates
in network
93015$690.00—DeniedDenied
CLM-2026-0341012026-04-15Harbor Cardiovascular Associates
in network
93015$690.00$0.00ApprovedApproved