Juan Kelly

4 source records from 3 feeds.

MBR-019800Verified4 records

Golden record

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

First nameENR: Juan
Middle name—: —
Last nameENR: Kelly
Date of birthENR: 1945-10-24
GenderENR: F
Member IDENR: UHC-12228-04
SSNCLM: •••-••-2604
PhoneENR: 8963762803
Email—: —
AddressCLM: 2386 Central Ave Apt 30
CityENR: Phoenix
StateENR: AZ
ZIPENR: 85057
GroupENR: GRP-7143
PlanENR: MEDICARE-ADV-A

Min confidence

0.85

Sources

CLM ×2ENR ×1TPA ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-421462	CLM	2026-03-15	Juan Kellyflagged	1954-10-24	—	—	2386 Central Ave, Phoenix, AZ	Scored	0.85	—
ENR-128109	ENR	2026-05-27	Juan Kellyflagged	1945-10-24	UHC-12228-04	8963762803	2386 Central Ave, Phoenix, AZ	Scored	1.00	—
TPA-59442	TPA	2026-08-29	Jun Kellyflagged	1946-10-24	—	—	2386 Central Ave Apt 34, Phoenix, AZ	Scored	0.85	—
CLM-421461	CLM	2026-09-01	Juan Kellyflagged	1945-10-24	—	8963762803	2386 Central Ave Apt 30, Phoenix, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-128109ENRCLM-421461CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421462 CLMCLM-421461CLM0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-59442TPACLM-421461CLM0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421462 CLMENR-128109ENR0.85Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.60	3	transposition
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128109ENRTPA-59442TPA0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421462 CLMTPA-59442TPA0.71Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421461 → UHC-12228-04 (Juan Kelly)
ACT-002428, Claims processor
Orphan claim re-pointedExecuted
CLM-421462 → UHC-12228-04 (Juan Kelly)
ACT-005984, Claims processor
Outreach address correctedProposed
Juan Kelly: 2386 Central Ave, Phoenix → 2386 Central Ave Apt 30, Phoenix
ACT-012241, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4f550b52f3
scoring_agent, CLM-421461, identity id MBR-019800, confidence 1, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:54:38Record linked automaticallyb17ccd7942
scoring_agent, TPA-59442, identity id MBR-019800, confidence 0.85, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:54:38Record linked automaticallybaabdbde03
scoring_agent, ENR-128109, identity id MBR-019800, confidence 1, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:54:38Record linked automaticallyd9ca66b428
scoring_agent, CLM-421462, identity id MBR-019800, confidence 0.85, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:52:09Record linked automatically34843159a4
scoring_agent, CLM-421461, identity id MBR-019800, confidence 1, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:52:09Record linked automatically41d7fed99c
scoring_agent, TPA-59442, identity id MBR-019800, confidence 0.85, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:52:09Record linked automatically6ec6a93252
scoring_agent, ENR-128109, identity id MBR-019800, confidence 1, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:52:09Record linked automatically3b08981cca
scoring_agent, CLM-421462, identity id MBR-019800, confidence 0.85, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:45:42Record linked automatically90c3a97a59
scoring_agent, CLM-421461, identity id MBR-019800, confidence 1, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:45:42Record linked automaticallyba2e6ea350
scoring_agent, TPA-59442, identity id MBR-019800, confidence 0.85, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:45:42Record linked automatically6a6c25698b
scoring_agent, ENR-128109, identity id MBR-019800, confidence 1, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:45:42Record linked automatically2cef8379fb
scoring_agent, CLM-421462, identity id MBR-019800, confidence 0.85, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:32:31Record linked automaticallyfd050b4f8c
scoring_agent, CLM-421461, identity id MBR-019800, confidence 1, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:32:31Record linked automatically772bdd23fc
scoring_agent, TPA-59442, identity id MBR-019800, confidence 0.85, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:32:31Record linked automaticallya6211558a5
scoring_agent, ENR-128109, identity id MBR-019800, confidence 1, method probabilistic, matched record CLM-421461, policy version 1
2026-10-19 19:32:31Record linked automatically81aae6b736
scoring_agent, CLM-421462, identity id MBR-019800, confidence 0.85, method probabilistic, matched record ENR-128109, policy version 1
2026-10-19 19:31:28Record linked automatically265d292239
matching_agent, CLM-421462, identity id MBR-028234, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128203
2026-10-19 19:31:28Record linked automaticallyd16b5e6ab1
scoring_agent, TPA-59442, identity id MBR-007292, confidence 1, method probabilistic, matched record TPA-59441, policy version 1
2026-10-19 19:31:28Record linked automatically2f49d50f92
scoring_agent, CLM-421461, identity id MBR-001361, confidence 1, method probabilistic, matched record PRV-26305, policy version 1

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-2026-004107	2026-08-03	Northgate Reference Lab in network	87086, 83036	$108.00	—	Denied	Denied
CLM-2026-004106	2026-08-03	Northgate Reference Lab in network	87086, 83036	$108.00	$0.00	Approved	Approved
CLM-2026-017459	2026-02-24	Harbor Bone and Joint Center in network	29881	$10,181.00	—	Denied	Denied