Identities/MBR-022582
Gold, golden identity

Gary N Kelly

5 source records from 3 feeds.

MBR-022582Verified5 recordsOpen steward case

Golden record

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

First nameENR
Gary
Middle nameCLM
N
Last nameENR
Kelly
Date of birthENR
1969-12-25
GenderENR
F
Member IDENR
UHC-44852-79
SSNENR
•••-••-4634
PhoneENR
9005910574
EmailENR
gary.kelly@hotmail.com
AddressENR
9565 Valley View Dr
CityENR
San Antonio
StateENR
TX
ZIPENR
78237
GroupENR
GRP-7586
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×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

1.001.001.001.000.99CLMCLM-425809ENRENR-133750TPATPA-61398CLMCLM-425808CLMCLM-425810IDMBR-022582
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-425809CLM2026-03-28Gary Kellyflagged1969-12-25—90059105749565 Valley View Dr, San Antonio, TXScored1.00—
ENR-133750ENR2026-07-24Gary Kellyflagged1969-12-25UHC-44852-7990059105749565 Valley View Dr, San Antonio, TXScored1.00—
TPA-61398TPA2026-08-16Gary Kellyflagged1969-12-25—90059105749565 Valley View Dr, San Antonio, TXScored1.00—
CLM-425808CLM2026-08-26Gary Kellyflagged1969-12-25UHC-44852-79—9565 Valley View Dr, San Antonio, TXScored1.00—
CLM-425810CLM2026-09-23Gary Kellyflagged1969-12-25UHC-44852-79——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425809CLMCLM-425808CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61398TPACLM-425808CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425809CLMENR-133750ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425809CLMTPA-61398TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133750ENRTPA-61398TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133750ENRCLM-425808CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-133750ENRCLM-425810CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425808CLMCLM-425810CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425809CLMCLM-425810CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-61398TPACLM-425810CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425809 → UHC-44852-79 (Gary Kelly)
    ACT-005707, Claims processor
  • Care coordination outreachProposed
    Gary Kelly: 3 claims, no attributed provider
    ACT-019198, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically48595e5852
    matching_agent, CLM-425810, identity id MBR-022582, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133750
  • 2026-10-19 19:54:38Record linked automaticallya146099a30
    scoring_agent, CLM-425808, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:54:38Record linked automatically217a4f6588
    scoring_agent, TPA-61398, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:54:38Record linked automatically730cd64436
    scoring_agent, ENR-133750, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:54:38Record linked automatically80aab99b94
    scoring_agent, CLM-425809, identity id MBR-022582, confidence 1, method probabilistic, matched record ENR-133750, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyec55c10cf5
    matching_agent, CLM-425810, identity id MBR-022582, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133750
  • 2026-10-19 19:52:09Record linked automatically140f77cf2f
    scoring_agent, CLM-425808, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybfa2c2494f
    scoring_agent, TPA-61398, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9504e69222
    scoring_agent, ENR-133750, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:52:09Record linked automatically17e97eaa9d
    scoring_agent, CLM-425809, identity id MBR-022582, confidence 1, method probabilistic, matched record ENR-133750, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb11a9a195f
    matching_agent, CLM-425810, identity id MBR-022582, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133750
  • 2026-10-19 19:45:42Record linked automaticallydb3bf4024a
    scoring_agent, CLM-425808, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:45:42Record linked automatically35e0edc7d9
    scoring_agent, TPA-61398, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6d2502b075
    scoring_agent, ENR-133750, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb0d1616a8e
    scoring_agent, CLM-425809, identity id MBR-022582, confidence 1, method probabilistic, matched record ENR-133750, policy version 1
  • 2026-10-19 19:32:31Record linked automatically336e40cce9
    matching_agent, CLM-425810, identity id MBR-022582, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133750
  • 2026-10-19 19:32:31Record linked automaticallyb731dc95fe
    scoring_agent, CLM-425808, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya2dedc4d8d
    scoring_agent, TPA-61398, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1c4e8b4c57
    scoring_agent, ENR-133750, identity id MBR-022582, confidence 1, method probabilistic, matched record CLM-425809, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd4be3721df
    scoring_agent, CLM-425809, identity id MBR-022582, confidence 1, method probabilistic, matched record ENR-133750, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye99a1009c6
    matching_agent, ENR-133750, identity id MBR-029549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27546
  • 2026-10-19 19:31:28Record linked automatically02c25611bc
    matching_agent, CLM-425809, identity id MBR-014448, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134060
  • 2026-10-19 19:31:28Record linked automaticallyae6d0ab54a
    scoring_agent, TPA-61398, identity id MBR-008846, confidence 1, method probabilistic, matched record ENR-134152, policy version 1
  • 2026-10-19 19:31:28Record linked automatically180f066b3c
    scoring_agent, CLM-425810, identity id MBR-001186, confidence 1, method probabilistic, matched record PRV-27609, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0108362026-08-30Sunrise Digestive Health Center
in network
43239$2,296.00—Needs reviewNeeds review
CLM-2026-0291062026-07-22Canyon Diagnostic Imaging
in network
71046, 70553$3,529.00$390.88ApprovedApproved
CLM-2026-0165022026-02-14Evergreen Medical Group
out of network
70553$2,341.00—Needs reviewNeeds review