Identities/MBR-023694

Gold, golden identity

Kevin Andrews

5 source records from 3 feeds.

MBR-023694Verified5 records

Golden record

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

First nameENR: Kevin
Middle name—: —
Last nameENR: Andrews
Date of birthENR: 1982-03-06
GenderENR: F
Member IDENR: UHC-78632-10
SSNENR: •••-••-0615
PhoneENR: 9164171251
EmailENR: kevin.andrews@yahoo.com
AddressTPA: 7867 Ocean Ave # 777
CityENR: San Diego
StateENR: CA
ZIPENR: 92114
GroupENR: GRP-7885
PlanENR: OPTIONS-PPO

Min confidence

1.00

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

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-430507	CLM	2026-04-03	Kevin Andrewsflagged	1982-03-06	UHC-78632-10	—	7867 Ocean Ave Apt 32, San Diego, CA	Scored	1.00	—
CLM-430505	CLM	2026-04-06	Kevin Andrewsflagged	1982-03-06	—	9164171251	7867 Ocean Ave, San Diego, CA	Scored	1.00	—
ENR-140039	ENR	2026-04-14	Kevin Andrewsflagged	1982-03-06	UHC-78632-10	9164171251	7867 Ocean Ave, San Diego, CA	Scored	1.00	—
CLM-430506	CLM	2026-06-08	Kevin Andrewsflagged	1982-03-06	—	—	7867 Ocean Ave, San Diego, CA	Scored	1.00	—
TPA-63473	TPA	2026-08-31	Kevin Andrewsflagged	1982-03-06	—	—	7867 Ocean Ave # 777, San Diego, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-430507CLMCLM-430505CLM1.00Scoredweighted 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-430505CLMCLM-430506 CLM1.00Scoredweighted 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-430505CLMENR-140039ENR1.00Scoredweighted 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-430507CLMTPA-63473TPA1.00Scoredweighted 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-430505CLMTPA-63473TPA1.00Scoredweighted 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

▶ENR-140039ENRTPA-63473TPA1.00Scoredweighted 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-430506 CLMTPA-63473TPA1.00Scoredweighted 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-430507CLMENR-140039ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-430507CLMCLM-430506 CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-140039ENRCLM-430506 CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-430505 → UHC-78632-10 (Kevin Andrews)
ACT-002660, Claims processor
Orphan claim re-pointedExecuted
CLM-430506 → UHC-78632-10 (Kevin Andrews)
ACT-006845, Claims processor
Outreach address correctedProposed
Kevin Andrews: 7867 Ocean Ave, San Diego → 7867 Ocean Ave # 777, San Diego
ACT-012518, Outreach
Care coordination outreachProposed
Kevin Andrews: 3 claims, no attributed provider
ACT-019247, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyfd160ff966
scoring_agent, TPA-63473, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:54:38Record linked automatically430b2bcbdd
scoring_agent, CLM-430506, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:54:38Record linked automaticallyb140802075
scoring_agent, ENR-140039, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:54:38Record linked automaticallycc848444fa
scoring_agent, CLM-430505, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:54:38Record linked automatically4dcda4d744
scoring_agent, CLM-430507, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:52:09Record linked automaticallyc34fd64427
scoring_agent, TPA-63473, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:52:09Record linked automaticallyc4881cc961
scoring_agent, CLM-430506, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:52:09Record linked automatically70ccf6e33e
scoring_agent, ENR-140039, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:52:09Record linked automatically3d21c2b2ae
scoring_agent, CLM-430505, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:52:09Record linked automatically5dee339102
scoring_agent, CLM-430507, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:45:42Record linked automaticallyeb1af86bd7
scoring_agent, TPA-63473, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:45:42Record linked automatically4945fa080e
scoring_agent, CLM-430506, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:45:42Record linked automatically5b6d2b3dbc
scoring_agent, ENR-140039, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:45:42Record linked automaticallyb40bf68fd4
scoring_agent, CLM-430505, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:45:42Record linked automaticallya7e98b4c06
scoring_agent, CLM-430507, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:32:31Record linked automaticallyf595ff8a19
scoring_agent, TPA-63473, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:32:31Record linked automatically57c8ece7b8
scoring_agent, CLM-430506, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:32:31Record linked automatically1fa15af922
scoring_agent, ENR-140039, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:32:31Record linked automatically65a17de54f
scoring_agent, CLM-430505, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430507, policy version 1
2026-10-19 19:32:31Record linked automaticallyf988b7f4ff
scoring_agent, CLM-430507, identity id MBR-023694, confidence 1, method probabilistic, matched record CLM-430505, policy version 1
2026-10-19 19:31:28Record linked automatically94e2c713e5
matching_agent, CLM-430507, identity id MBR-024162, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140252
2026-10-19 19:31:28Record linked automaticallydafb521106
scoring_agent, CLM-430506, identity id MBR-024162, confidence 1, method probabilistic, matched record ENR-140252, policy version 1
2026-10-19 19:31:28Record linked automatically41cba112e3
matching_agent, CLM-430505, identity id MBR-010184, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430504
2026-10-19 19:31:28Record linked automaticallyff92cd786f
matching_agent, ENR-140039, identity id MBR-000364, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430364

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-020724	2026-05-11	Northgate Internal Medicine Associates in network	99214	$202.00	$95.24	Approved	Approved
CLM-2026-004996	2026-02-21	Sunrise Diabetes Center in network	95251, 99214	$492.00	—	Needs review	Needs review
CLM-2026-004995	2026-02-21	Mesa Diabetes Center in network	95251, 99214	$492.00	$255.04	Approved	Approved
CLM-2026-015323	2026-02-21	Lakeside Medical Group in network	36415, 99214, 99203	$490.00	$293.88	Approved	Approved