Identities/MBR-020512
Gold, golden identity

Kyle Nelson

3 source records from 2 feeds.

MBR-020512Verified3 records

Golden record

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

First nameENR
Kyle
Middle name—
—
Last nameENR
Nelson
Date of birthCLM
1949-09-04
GenderCLM
F
Member IDENR
UHC-49038-08
SSNENR
•••-••-7818
PhoneENR
2295679104
Email—
—
AddressENR
9867 Ridge Rd
CityENR
Columbus
StateENR
OH
ZIPENR
43227
GroupENR
GRP-1258
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.960.99CLMCLM-400706ENRENR-100952CLMCLM-400707IDMBR-020512
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-400706CLM2026-03-18Kyle Nelsonflagged1949-09-04UHC-49038-08—9867 Ridge Rd, Columbus, OHRule0.99D1 member id + dob exact
ENR-100952ENR2026-04-07Kyle Nelsonflagged—UHC-49038-0822956791049867 Ridge Rd, Columbus, OHRule0.96D3 member id + name
CLM-400707CLM2026-07-08Kyle Nelsonflagged1949-09-04UHC-49038-082295679104—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-400706CLMCLM-400707CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-100952ENRCLM-400707CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400706CLMENR-100952ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Kyle Nelson: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000861, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc9365dfdec
    matching_agent, CLM-400707, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400706
  • 2026-10-19 19:54:38Record linked automatically279e5effc5
    matching_agent, ENR-100952, identity id MBR-020512, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400706
  • 2026-10-19 19:54:38Record linked automaticallyb78642ade9
    matching_agent, CLM-400706, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400707
  • 2026-10-19 19:52:09Record linked automaticallybefeb7114d
    matching_agent, CLM-400707, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400706
  • 2026-10-19 19:52:09Record linked automatically4ef2c6ecb8
    matching_agent, ENR-100952, identity id MBR-020512, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400706
  • 2026-10-19 19:52:09Record linked automatically8eb61f8b25
    matching_agent, CLM-400706, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400707
  • 2026-10-19 19:45:42Record linked automatically12376067ae
    matching_agent, CLM-400707, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400706
  • 2026-10-19 19:45:42Record linked automaticallyaca4d601fb
    matching_agent, ENR-100952, identity id MBR-020512, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400706
  • 2026-10-19 19:45:42Record linked automatically588b873510
    matching_agent, CLM-400706, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400707
  • 2026-10-19 19:32:31Record linked automatically1e41f355ae
    matching_agent, CLM-400707, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400706
  • 2026-10-19 19:32:31Record linked automatically0012ca3a90
    matching_agent, ENR-100952, identity id MBR-020512, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400706
  • 2026-10-19 19:32:31Record linked automaticallyf3d7c11168
    matching_agent, CLM-400706, identity id MBR-020512, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400707
  • 2026-10-19 19:31:28Record linked automatically299ebed13a
    matching_agent, CLM-400707, identity id MBR-035668, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100990
  • 2026-10-19 19:31:28Record linked automaticallydb28cea9b6
    matching_agent, ENR-100952, identity id MBR-003863, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400675
  • 2026-10-19 19:31:28Record linked automatically93ab138abb
    matching_agent, CLM-400706, identity id MBR-002408, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400705

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0327942026-05-31Riverside Digestive Health Center
in network
43239, 45378, 88305$4,764.00$1,118.23ApprovedApproved
CLM-2026-0095542026-02-20Heritage Digestive Health Center
in network
88305, 45378$2,113.00$97.60ApprovedApproved