Identities/MBR-017556

Gold, golden identity

Jean A Kelly

5 source records from 3 feeds.

MBR-017556Verified5 records

Golden record

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

First namePRV: Jean
Middle namePRV: A
Last namePRV: Kelly
Date of birthPRV: 2007-01-26
GenderCLM: F
Member IDCLM: UHC-07294-32
SSNCLM: •••-••-3022
PhoneCLM: 7837892756
Email—: —
AddressPRV: 1655 Cedar Ln
CityPRV: Chandler
StatePRV: AZ
ZIPPRV: 85271
GroupCLM: GRP-1447
PlanTPA: NAVIGATE-HMO

Min confidence

0.97

Sources

CLM ×3TPA ×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

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
CLM-406174	CLM	2026-03-05	Jean Kellyflagged	2007-01-26	—	—	1655 Cedar Ln, Chandler, AZ	Rule	0.97	D2 ssn4 + dob + last name
TPA-52740	TPA	2026-07-21	Jean Kellyflagged	2007-01-26	UHC-07294-32	—	1655 Cedar Ln, Chandler, AZ	Scored	1.00	—
CLM-406173	CLM	2026-07-23	Jean Kelllyflagged	2007-01-26	UHC-07294-32	—	1655 Cedar Ln, Chandler, AZ	Scored	0.99	—
CLM-406175	CLM	2026-08-05	Jean Kellyflagged	2007-01-26	UHC-07294-32	7837892756	1655 Cedar Ln, Chandler, AZ	Scored	1.00	—
PRV-21805	PRV	2026-10-16	Jean Kellyflagged	2007-01-26	—	—	1655 Cedar Ln, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52740TPAPRV-21805 PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406175CLMPRV-21805 PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406173CLMPRV-21805 PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52740TPACLM-406173CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52740TPACLM-406175CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406173CLMCLM-406175CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406174CLMCLM-406175CLM0.97RuleD2 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406174CLMPRV-21805 PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406174CLMTPA-52740TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406174CLMCLM-406173CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406174 → UHC-07294-32 (Jean Kelly)
ACT-003129, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallybf3a5c0df8
scoring_agent, PRV-21805, identity id MBR-017556, confidence 1, method probabilistic, matched record TPA-52740, policy version 1
2026-10-22 12:43:54Record linked automaticallyb38f30ed8f
scoring_agent, CLM-406175, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-22 12:43:54Record linked automatically7c27aef03e
scoring_agent, CLM-406173, identity id MBR-017556, confidence 0.99, method probabilistic, matched record PRV-21805, policy version 1
2026-10-22 12:43:54Record linked automaticallyec14ec7d01
scoring_agent, TPA-52740, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-22 12:43:54Record linked automaticallyfb6946b0ae
matching_agent, CLM-406174, identity id MBR-017556, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406175
2026-10-19 19:54:38Record linked automatically3a524f9d43
scoring_agent, PRV-21805, identity id MBR-017556, confidence 1, method probabilistic, matched record TPA-52740, policy version 1
2026-10-19 19:54:38Record linked automaticallyc62cc5f005
scoring_agent, CLM-406175, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:54:38Record linked automatically77ff3d2d5a
scoring_agent, CLM-406173, identity id MBR-017556, confidence 0.99, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:54:38Record linked automatically67f3ec3862
scoring_agent, TPA-52740, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:54:38Record linked automaticallyadc80a8331
matching_agent, CLM-406174, identity id MBR-017556, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406175
2026-10-19 19:52:09Record linked automatically439780d6b4
scoring_agent, PRV-21805, identity id MBR-017556, confidence 1, method probabilistic, matched record TPA-52740, policy version 1
2026-10-19 19:52:09Record linked automaticallyf728bc6e5f
scoring_agent, CLM-406175, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:52:09Record linked automaticallycadadc3c11
scoring_agent, CLM-406173, identity id MBR-017556, confidence 0.99, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:52:09Record linked automatically22d9c669a4
scoring_agent, TPA-52740, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:52:09Record linked automaticallyc2c1650ea8
matching_agent, CLM-406174, identity id MBR-017556, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406175
2026-10-19 19:45:42Record linked automaticallyf6c47e7b48
scoring_agent, PRV-21805, identity id MBR-017556, confidence 1, method probabilistic, matched record TPA-52740, policy version 1
2026-10-19 19:45:42Record linked automatically671ee5a2cc
scoring_agent, CLM-406175, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:45:42Record linked automatically1789fa2d89
scoring_agent, CLM-406173, identity id MBR-017556, confidence 0.99, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:45:42Record linked automatically6fc59c6dee
scoring_agent, TPA-52740, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:45:42Record linked automatically97942992a5
matching_agent, CLM-406174, identity id MBR-017556, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406175
2026-10-19 19:32:31Record linked automaticallye5b395fe10
scoring_agent, PRV-21805, identity id MBR-017556, confidence 1, method probabilistic, matched record TPA-52740, policy version 1
2026-10-19 19:32:31Record linked automatically0380783012
scoring_agent, CLM-406175, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:32:31Record linked automatically5a20c92c23
scoring_agent, CLM-406173, identity id MBR-017556, confidence 0.99, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:32:31Record linked automaticallyd150f3373e
scoring_agent, TPA-52740, identity id MBR-017556, confidence 1, method probabilistic, matched record PRV-21805, policy version 1
2026-10-19 19:32:31Record linked automaticallyea56d08843
matching_agent, CLM-406174, identity id MBR-017556, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-406175
2026-10-19 19:31:28Record linked automatically93247d813f
scoring_agent, CLM-406175, identity id MBR-019282, confidence 1, method probabilistic, matched record ENR-108073, policy version 1
2026-10-19 19:31:28Record linked automatically62d5965b16
scoring_agent, TPA-52740, identity id MBR-017464, confidence 1, method probabilistic, matched record CLM-406152, policy version 1
2026-10-19 19:31:28Record linked automatically8a4586e9b9
matching_agent, PRV-21805, identity id MBR-014472, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107946
2026-10-19 19:31:28Record linked automaticallye9b471e08e
scoring_agent, CLM-406173, identity id MBR-009231, confidence 1.00, method probabilistic, matched record TPA-52747, policy version 1
2026-10-19 19:31:28Record linked automatically097dc40205
matching_agent, CLM-406174, identity id MBR-003354, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108068

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-2026-011358	2026-07-20	Unity Primary Care Associates out of network	99214, 90471	$292.00	$111.40	Approved	Approved
CLM-2026-025357	2026-07-20	Desert Family Practice in network	99214, 36415	$321.00	$179.02	Approved	Approved
CLM-2026-006794	2026-02-21	Valley Imaging Center in network	74177, 71046	$2,355.00	—	Needs review	Needs review