Identities/MBR-019716
Gold, golden identity

Kelly L Contreras

5 source records from 3 feeds.

MBR-019716Verified5 records

Golden record

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

First nameENR
Kelly
Middle nameENR
L
Last nameENR
Contreras
Date of birthENR
1992-03-23
GenderENR
F
Member IDENR
UHC-65136-03
SSNENR
•••-••-8683
PhoneENR
6797463100
Email—
—
AddressENR
9844 Valley View Dr
CityENR
Las Vegas
StateENR
NV
ZIP—
—
GroupENR
GRP-8407
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×2TPA ×1ENR ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.990.990.99CLMCLM-415963TPATPA-56992CLMCLM-415962ENRENR-121028ENRENR-121027IDMBR-019716
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-415963CLM2026-03-14Kelly Contrerasflagged1992-03-23——9844 Valley View Dr, Las Vegas, NVScored1.00—
TPA-56992TPA2026-03-23Kelly Contrerasflagged1992-03-23UHC-65136-03—9844 Valley View Dr, Las Vegas, NVScored1.00—
CLM-415962CLM2026-05-10Kelly Contrerasflagged1992-03-23UHC-65136-0367974631009844 Valley View Dr, Las Vegas, NVRule0.99D1 member id + dob exact
ENR-121028ENR2026-07-23Kelly Contrerasflagged1992-03-23UHC-65136-0367974631009844 Valley View Dr, Las Vegas, NVRule0.99D1 member id + dob exact
ENR-121027ENR2026-07-23Kelly Contrerasflagged1992-03-23UHC-65136-0367974631009844 Valley View Dr, Las Vegas, NVRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415963CLMTPA-56992TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56992TPACLM-415962CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56992TPAENR-121027ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415962CLMENR-121027ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-121028ENRENR-121027ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-56992TPAENR-121028ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415962CLMENR-121028ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-415963CLMCLM-415962CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415963CLMENR-121027ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415963CLMENR-121028ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-415963 → UHC-65136-03 (Kelly Contreras)
    ACT-005032, Claims processor
  • Duplicate member record retiredExecuted
    Kelly Contreras: 2 enrollment records collapsed into UHC-65136-03
    ACT-024600, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically8a9dbf7113
    matching_agent, ENR-121027, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-22 12:43:54Record linked automatically649af5f3b2
    matching_agent, ENR-121028, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-22 12:43:54Record linked automaticallyc97605a8be
    matching_agent, CLM-415962, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-22 12:43:54Record linked automatically69a51de3cd
    scoring_agent, TPA-56992, identity id MBR-019716, confidence 1, method probabilistic, matched record CLM-415963, policy version 1
  • 2026-10-22 12:43:54Record linked automatically6dfea94956
    scoring_agent, CLM-415963, identity id MBR-019716, confidence 1, method probabilistic, matched record TPA-56992, policy version 1
  • 2026-10-19 19:54:38Record linked automatically73455aac4d
    matching_agent, ENR-121027, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:54:38Record linked automatically815a048b85
    matching_agent, ENR-121028, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:54:38Record linked automatically8457f36cd7
    matching_agent, CLM-415962, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:54:38Record linked automatically78369431c6
    scoring_agent, TPA-56992, identity id MBR-019716, confidence 1, method probabilistic, matched record CLM-415963, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1f041f5e42
    scoring_agent, CLM-415963, identity id MBR-019716, confidence 1, method probabilistic, matched record TPA-56992, policy version 1
  • 2026-10-19 19:52:09Record linked automatically509f8e0d4c
    matching_agent, ENR-121027, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:52:09Record linked automaticallyf9e60cbc8c
    matching_agent, ENR-121028, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:52:09Record linked automaticallyca41086381
    matching_agent, CLM-415962, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:52:09Record linked automatically49f4a84340
    scoring_agent, TPA-56992, identity id MBR-019716, confidence 1, method probabilistic, matched record CLM-415963, policy version 1
  • 2026-10-19 19:52:09Record linked automatically326838d49b
    scoring_agent, CLM-415963, identity id MBR-019716, confidence 1, method probabilistic, matched record TPA-56992, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7cc354699a
    matching_agent, ENR-121027, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:45:42Record linked automaticallyc0fccfef38
    matching_agent, ENR-121028, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:45:42Record linked automaticallya77cdcb151
    matching_agent, CLM-415962, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:45:42Record linked automatically6ac2287b33
    scoring_agent, TPA-56992, identity id MBR-019716, confidence 1, method probabilistic, matched record CLM-415963, policy version 1
  • 2026-10-19 19:45:42Record linked automatically67f4714ec8
    scoring_agent, CLM-415963, identity id MBR-019716, confidence 1, method probabilistic, matched record TPA-56992, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye699179b7f
    matching_agent, ENR-121027, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:32:31Record linked automatically6a69df6deb
    matching_agent, ENR-121028, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:32:31Record linked automaticallya66ef10ae8
    matching_agent, CLM-415962, identity id MBR-019716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-56992
  • 2026-10-19 19:32:31Record linked automaticallya0332099b2
    scoring_agent, TPA-56992, identity id MBR-019716, confidence 1, method probabilistic, matched record CLM-415963, policy version 1
  • 2026-10-19 19:32:31Record linked automatically707720feac
    scoring_agent, CLM-415963, identity id MBR-019716, confidence 1, method probabilistic, matched record TPA-56992, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb00ac691ea
    scoring_agent, TPA-56992, identity id MBR-021021, confidence 1, method probabilistic, matched record CLM-416096, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd2e420b29d
    scoring_agent, ENR-121028, identity id MBR-011528, confidence 1, method probabilistic, matched record TPA-56977, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2284a1eeea
    matching_agent, ENR-121027, identity id MBR-008080, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121026
  • 2026-10-19 19:31:28Record linked automatically319e5b9580
    matching_agent, CLM-415963, identity id MBR-001125, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120872

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0237362026-04-03Northgate Orthopedic Specialists
in network
29881$8,153.00$2,933.95ApprovedApproved
CLM-2026-0139732026-02-26Lakeside Endocrine Associates
out of network
99215$379.00$130.55ApprovedApproved