Identities/MBR-017361
Gold, golden identity

Kimberly Z Jones

3 source records from 3 feeds.

MBR-017361Verified3 records

Golden record

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

First nameENR
Kimberly
Middle namePRV
Z
Last namePRV
Jones
Date of birthENR
1968-08-16
GenderENR
F
Member IDENR
UHC-53015-02
SSNENR
•••-••-0388
PhoneENR
4862165031
EmailPRV
kimberly.jones@hotmail.com
AddressPRV
6153 Central Ave
CityPRV
Columbus
StatePRV
OH
ZIPPRV
43271
GroupENR
GRP-7916
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×1ENR ×1PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.970.97CLMCLM-413986ENRENR-118313PRVPRV-24054IDMBR-017361
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-413986CLM2026-03-04Kimberly Jonesflagged1968-08-16——6153 Central Ave, Columbus, OHRule0.97D2 ssn4 + dob + last name
ENR-118313ENR2026-04-08Kimberly Jonsflagged1968-08-16UHC-53015-0248621650311800 Broadway, Plano, TXRule0.97D2 ssn4 + dob + last name
PRV-24054PRV2026-08-09Kim Jonesflagged1968-08-16——6153 Central Ave, Columbus, OHRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413986CLMENR-118313ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413986CLMPRV-24054PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118313ENR PRV-24054PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413986 → UHC-53015-02 (Kimberly Jones)
    ACT-005085, Claims processor
  • Outreach address correctedProposed
    Kimberly Jones: 1800 Broadway, Plano → 6153 Central Ave, Columbus
    ACT-012056, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically49a3411c3a
    matching_agent, PRV-24054, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-22 12:43:54Record linked automatically5400c86edf
    matching_agent, ENR-118313, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-22 12:43:54Record linked automatically259e98b424
    matching_agent, CLM-413986, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118313
  • 2026-10-19 19:54:38Record linked automatically4c31085d3c
    matching_agent, PRV-24054, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:54:38Record linked automatically02b35a3c8c
    matching_agent, ENR-118313, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:54:38Record linked automatically22e2bf15d1
    matching_agent, CLM-413986, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118313
  • 2026-10-19 19:52:09Record linked automaticallyd0d4ca999a
    matching_agent, PRV-24054, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:52:09Record linked automatically45800e7fdd
    matching_agent, ENR-118313, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:52:09Record linked automatically09b6eb84ab
    matching_agent, CLM-413986, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118313
  • 2026-10-19 19:45:42Record linked automatically671bb74ffa
    matching_agent, PRV-24054, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:45:42Record linked automatically3e723bae18
    matching_agent, ENR-118313, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:45:42Record linked automatically59d44a6e63
    matching_agent, CLM-413986, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118313
  • 2026-10-19 19:32:31Record linked automaticallyea1cdfe1ad
    matching_agent, PRV-24054, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:32:31Record linked automaticallyd9d0d0fb9f
    matching_agent, ENR-118313, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413986
  • 2026-10-19 19:32:31Record linked automatically5451932b12
    matching_agent, CLM-413986, identity id MBR-017361, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118313
  • 2026-10-19 19:31:28Record linked automaticallya8f8a719d6
    scoring_agent, CLM-413986, identity id MBR-031952, confidence 1, method probabilistic, matched record ENR-118375, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8a609b8ced
    matching_agent, PRV-24054, identity id MBR-006915, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413758

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0141812026-02-20Canyon Cardiovascular Associates
in network
93306$1,023.00$0.00ApprovedApproved