Identities/MBR-016765
Gold, golden identity

Janice P Kelley

6 source records from 3 feeds.

MBR-016765Verified6 records

Golden record

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

First nameENR
Janice
Middle nameENR
P
Last nameENR
Kelley
Date of birthENR
1960-05-25
GenderENR
M
Member IDENR
UHC-15572-90
SSNCLM
•••-••-4854
PhoneENR
4836541592
EmailENR
janice.kelley@yahoo.com
AddressENR
5743 Pine Dr
CityENR
Los Angeles
StateENR
CA
ZIPENR
90036
GroupENR
GRP-9977
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
CLM ×3ENR ×2TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.991.001.000.96CLMCLM-400564CLMCLM-400565ENRENR-100768TPATPA-50257CLMCLM-400566ENRENR-100767IDMBR-016765
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-400564CLM2026-03-01Janice Kelleyflagged1960-05-25UHC-15572-90—5743 Pine Dr, Los Angeles, CARule0.99D1 member id + dob exact
CLM-400565CLM2026-05-20Janice Kelleyflagged1960-05-25——5743 Pine Dr, Los Angeles, CAScored1.00—
ENR-100768ENR2026-05-30Janicce Kelleyflagged1960-05-25UHC-15572-9048365415925743 Pine Dr, Los Angeles, CARule0.99D1 member id + dob exact
TPA-50257TPA2026-08-08Janice Kelleyflagged1960-05-25——5743 Pine Dr, Los Angeles, CAScored1.00—
CLM-400566CLM2026-08-23Janice Kelleyflagged1960-05-25UHC-15572-9048365415925743 Pine Dr, Los Angeles, CAScored1.00—
ENR-100767ENR2026-09-23Janice Kelleyflagged1961-05-25UHC-15572-9048365415925743 Pine Dr, Los Angeles, CARule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400565CLMCLM-400566CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50257TPACLM-400566CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400564CLMCLM-400566CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-100768ENR CLM-400566CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400564CLMENR-100768ENR 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400564CLMCLM-400565CLM0.97RuleD2 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
▶CLM-400564CLMTPA-50257TPA0.97RuleD2 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
▶CLM-400565CLMTPA-50257TPA0.97RuleD2 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
▶CLM-400564CLMENR-100767ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-100768ENR ENR-100767ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-400566CLMENR-100767ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-400565CLMENR-100768ENR 0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-100768ENR TPA-50257TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400565CLMENR-100767ENR0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50257TPAENR-100767ENR0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400565 → UHC-15572-90 (Janice Kelley)
    ACT-002498, Claims processor
  • Care coordination outreachProposed
    Janice Kelley: 3 claims, no attributed provider
    ACT-018924, Next-best-action
  • Duplicate member record retiredExecuted
    Janice Kelley: 2 enrollment records collapsed into UHC-15572-90
    ACT-024191, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1c70ac3b77
    matching_agent, ENR-100767, identity id MBR-016765, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400564
  • 2026-10-19 19:54:38Record linked automatically4b1c3bfcdc
    scoring_agent, CLM-400566, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400565, policy version 1
  • 2026-10-19 19:54:38Record linked automatically70d0b58565
    scoring_agent, TPA-50257, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc36be68351
    matching_agent, ENR-100768, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400564
  • 2026-10-19 19:54:38Record linked automatically790d88380d
    scoring_agent, CLM-400565, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydd77955bc8
    matching_agent, CLM-400564, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100768
  • 2026-10-19 19:52:09Record linked automatically37e3d90ef8
    matching_agent, ENR-100767, identity id MBR-016765, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400564
  • 2026-10-19 19:52:09Record linked automatically304a485e00
    scoring_agent, CLM-400566, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400565, policy version 1
  • 2026-10-19 19:52:09Record linked automatically711d49826d
    scoring_agent, TPA-50257, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd6f174dad2
    matching_agent, ENR-100768, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400564
  • 2026-10-19 19:52:09Record linked automatically52bea9bf58
    scoring_agent, CLM-400565, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6c1e1d9f0d
    matching_agent, CLM-400564, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100768
  • 2026-10-19 19:45:42Record linked automatically70a35b2a77
    matching_agent, ENR-100767, identity id MBR-016765, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400564
  • 2026-10-19 19:45:42Record linked automatically681de72498
    scoring_agent, CLM-400566, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400565, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye7d03e63aa
    scoring_agent, TPA-50257, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6cb676706d
    matching_agent, ENR-100768, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400564
  • 2026-10-19 19:45:42Record linked automaticallybc01690b4c
    scoring_agent, CLM-400565, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd958c9b516
    matching_agent, CLM-400564, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100768
  • 2026-10-19 19:32:31Record linked automaticallyf2ad7a67dd
    matching_agent, ENR-100767, identity id MBR-016765, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400564
  • 2026-10-19 19:32:31Record linked automatically036a7ba956
    scoring_agent, CLM-400566, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400565, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8f30fa2da3
    scoring_agent, TPA-50257, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf8e4e1e0fb
    matching_agent, ENR-100768, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400564
  • 2026-10-19 19:32:31Record linked automatically27dbe4610b
    scoring_agent, CLM-400565, identity id MBR-016765, confidence 1, method probabilistic, matched record CLM-400566, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb869f8fcff
    matching_agent, CLM-400564, identity id MBR-016765, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100768
  • 2026-10-19 19:31:28Record linked automaticallyf581d6031f
    matching_agent, CLM-400564, identity id MBR-040840, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100842
  • 2026-10-19 19:31:28Record linked automatically22bd6e8acd
    scoring_agent, CLM-400566, identity id MBR-021388, confidence 1, method probabilistic, matched record ENR-100844, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6e98e4f252
    scoring_agent, ENR-100768, identity id MBR-012329, confidence 1, method probabilistic, matched record CLM-400509, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyed659526f5
    matching_agent, CLM-400565, identity id MBR-001555, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100843

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0011492026-08-12Riverside Internal Medicine Associates
out of network
93000$110.00$19.50ApprovedApproved
CLM-2026-0043552026-04-19Desert Primary Care Associates
in network
99214$254.00$127.48ApprovedApproved
CLM-2026-0273612026-01-24Cornerstone Orthopedic Specialists
out of network
29881, 73721$10,097.00$2,913.89ApprovedApproved