Identities/MBR-025064
Gold, golden identity

Kelly F Herrera

4 source records from 2 feeds.

MBR-025064Verified4 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
F
Last nameENR
Herrera
Date of birthENR
1953-01-10
GenderENR
F
Member IDENR
UHC-57765-55
SSNENR
•••-••-1193
PhoneENR
4074771215
EmailENR
kelly.herrera56@icloud.com
AddressCLM
2612 Canyon Rd
CityCLM
Austin
StateCLM
TX
ZIPCLM
78750
GroupENR
GRP-9327
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.991.00CLMCLM-425407CLMCLM-425408ENRENR-133230CLMCLM-425409IDMBR-025064
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-425407CLM2026-04-10Kelly Herreraflagged1953-01-10——2612 Canyon Rd Apt 30, Austin, TXScored1.00—
CLM-425408CLM2026-04-16Kelly Herreraflagged1953-01-10UHC-57765-5540747712152612 Canyon Rd, Austin, TXScored1.00—
ENR-133230ENR2026-08-07Kelly Herreraflagged1953-01-10UHC-57765-5540747712157200 Market St, Scottsdale, AZRule0.99D1 member id + dob exact
CLM-425409CLM2026-09-13Kelly Herreraflagged1953-01-10——2612 Canyon Rd, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425407CLMCLM-425408CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425407CLMCLM-425409CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425408CLMCLM-425409CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425408CLMENR-133230ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133230ENRCLM-425409CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425407CLMENR-133230ENR0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425407 → UHC-57765-55 (Kelly Herrera)
    ACT-006772, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-425409 → UHC-57765-55 (Kelly Herrera)
    ACT-009878, Claims processor
  • Outreach address correctedProposed
    Kelly Herrera: 7200 Market St, Scottsdale → 2612 Canyon Rd, Austin
    ACT-012621, Outreach
  • Care coordination outreachProposed
    Kelly Herrera: 3 claims, no attributed provider
    ACT-019285, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically79fb911d66
    scoring_agent, CLM-425409, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyec1ea5a55d
    matching_agent, ENR-133230, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425408
  • 2026-10-19 19:54:38Record linked automaticallyfe70472e31
    scoring_agent, CLM-425408, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:54:38Record linked automatically406f756cf4
    scoring_agent, CLM-425407, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425408, policy version 1
  • 2026-10-19 19:52:09Record linked automatically891fd05936
    scoring_agent, CLM-425409, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye41145f7a2
    matching_agent, ENR-133230, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425408
  • 2026-10-19 19:52:09Record linked automatically52ef8cb526
    scoring_agent, CLM-425408, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyad3fc1af5d
    scoring_agent, CLM-425407, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425408, policy version 1
  • 2026-10-19 19:45:42Record linked automatically22a64df542
    scoring_agent, CLM-425409, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9014f962d2
    matching_agent, ENR-133230, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425408
  • 2026-10-19 19:45:42Record linked automatically82239f9ab6
    scoring_agent, CLM-425408, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:45:42Record linked automatically173af3b24d
    scoring_agent, CLM-425407, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425408, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8f39623345
    scoring_agent, CLM-425409, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:32:31Record linked automatically32e52b5151
    matching_agent, ENR-133230, identity id MBR-025064, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425408
  • 2026-10-19 19:32:31Record linked automaticallya7e6f56117
    scoring_agent, CLM-425408, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425407, policy version 1
  • 2026-10-19 19:32:31Record linked automatically53cd2967e2
    scoring_agent, CLM-425407, identity id MBR-025064, confidence 1, method probabilistic, matched record CLM-425408, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyeeba668fb6
    scoring_agent, CLM-425409, identity id MBR-028856, confidence 1, method probabilistic, matched record TPA-61177, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0920cfa5ad
    scoring_agent, ENR-133230, identity id MBR-020256, confidence 1, method probabilistic, matched record CLM-425234, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2b756f756d
    matching_agent, CLM-425407, identity id MBR-011376, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425408
  • 2026-10-19 19:31:28Record linked automatically4c42909986
    matching_agent, CLM-425408, identity id MBR-011376, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425406

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0325532026-06-06Heritage Community Hospital
in network
71046$136.00—DeniedDenied
CLM-2026-0125312026-03-25Harbor Medical Group
in network
99213, 36415, 99214$493.00$265.66ApprovedApproved
CLM-2026-0204722026-03-11Sunrise Medical Group
in network
36415$14.00$0.00ApprovedApproved