Identities/MBR-025861

Gold, golden identity

Kenneth James

5 source records from 3 feeds.

MBR-025861Verified5 records

Golden record

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

First nameENR: Kenneth
Middle name—: —
Last nameENR: James
Date of birthENR: 1941-08-01
GenderENR: F
Member IDENR: UHC-79845-73
SSNENR: •••-••-5922
PhoneENR: 9755603423
EmailENR: kenneth.james@icloud.com
AddressCLM: 2485 Baseline Rd Apt 31
CityENR: Gilbert
StateENR: AZ
ZIPENR: 85229
GroupENR: GRP-3048
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×2PRV ×2ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-423173	CLM	2026-04-14	Kenneth Jamesflagged	1941-08-01	UHC-79845-73	9755603423	2485 Baseline Rd, Gilbert, AZ	Scored	1.00	—
PRV-26842	PRV	2026-06-19	Ken Jamesflagged	1941-08-01	—	—	2485 Baseline Rd, Gilbert, AZ	Scored	1.00	—
ENR-130322	ENR	2026-07-25	Kenneth Jamesflagged	1941-08-01	UHC-79845-73	9755603423	2485 Baseline Rd, Gilbert, AZ	Scored	1.00	—
PRV-26841	PRV	2026-09-09	Ken Jamesflagged	1941-08-01	UHC-79845-73	—	2485 Baseline Rd, Gilbert, AZ	Scored	1.00	—
CLM-423172	CLM	2026-09-23	Kenneth Jamesflagged	1941-08-01	—	9755603423	2485 Baseline Rd Apt 31, Gilbert, AZ	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-423173CLMCLM-423172CLM1.00Scoredweighted 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

▶PRV-26842PRVCLM-423172CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-26841PRVCLM-423172CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-26842PRVENR-130322ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-26842PRVPRV-26841PRV1.00Scoredweighted 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-423173CLMPRV-26842PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-423173CLMENR-130322ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-423173CLMPRV-26841PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-130322ENRPRV-26841PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-130322ENRCLM-423172CLM0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-423172 → UHC-79845-73 (Kenneth James)
ACT-005569, Claims processor
Outreach address correctedProposed
Kenneth James: 2485 Baseline Rd, Gilbert → 2485 Baseline Rd Apt 31, Gilbert
ACT-012662, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically65d62196cb
scoring_agent, CLM-423172, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-22 12:43:54Record linked automatically84c6e1e72f
scoring_agent, PRV-26841, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-22 12:43:54Record linked automaticallya0533d21cf
scoring_agent, ENR-130322, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-22 12:43:54Record linked automatically1edeae4ea0
scoring_agent, PRV-26842, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-22 12:43:54Record linked automatically92c59cccb4
scoring_agent, CLM-423173, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:54:38Record linked automaticallydf778d9fe2
scoring_agent, CLM-423172, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:54:38Record linked automatically478622f26c
scoring_agent, PRV-26841, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:54:38Record linked automatically1e58efcb91
scoring_agent, ENR-130322, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:54:38Record linked automatically7b2fec4dc9
scoring_agent, PRV-26842, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:54:38Record linked automatically25f9dacc65
scoring_agent, CLM-423173, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:52:09Record linked automaticallya2f81f7310
scoring_agent, CLM-423172, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:52:09Record linked automatically517b9df8c1
scoring_agent, PRV-26841, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:52:09Record linked automatically26ab2b3716
scoring_agent, ENR-130322, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:52:09Record linked automaticallyce59a7cd7d
scoring_agent, PRV-26842, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:52:09Record linked automatically5e3d6928ad
scoring_agent, CLM-423173, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:45:42Record linked automaticallyc0afbf6160
scoring_agent, CLM-423172, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:45:42Record linked automatically790341dd7a
scoring_agent, PRV-26841, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:45:42Record linked automatically45a0968d1a
scoring_agent, ENR-130322, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:45:42Record linked automatically28c70e626f
scoring_agent, PRV-26842, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:45:42Record linked automaticallyf80ee5ffb8
scoring_agent, CLM-423173, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:32:31Record linked automatically3368b83b0b
scoring_agent, CLM-423172, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:32:31Record linked automaticallya8feed990a
scoring_agent, PRV-26841, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:32:31Record linked automaticallyf9d519893e
scoring_agent, ENR-130322, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:32:31Record linked automaticallyec92d32f79
scoring_agent, PRV-26842, identity id MBR-025861, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:32:31Record linked automatically257449db14
scoring_agent, CLM-423173, identity id MBR-025861, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:31:28Record linked automatically1b6bda6e40
scoring_agent, PRV-26841, identity id MBR-029913, confidence 1, method probabilistic, matched record PRV-26842, policy version 1
2026-10-19 19:31:28Record linked automatically9f40db4a7e
scoring_agent, PRV-26842, identity id MBR-029913, confidence 1, method probabilistic, matched record PRV-26841, policy version 1
2026-10-19 19:31:28Record linked automaticallyee6151f88c
matching_agent, ENR-130322, identity id MBR-025114, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423014
2026-10-19 19:31:28Record linked automatically8996d0fe03
scoring_agent, CLM-423172, identity id MBR-018722, confidence 1, method probabilistic, matched record CLM-423173, policy version 1
2026-10-19 19:31:28Record linked automaticallyb75caf8e4f
scoring_agent, CLM-423173, identity id MBR-018722, confidence 1, method probabilistic, matched record CLM-423172, policy version 1

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-2026-016020	2026-08-15	Desert Medical Group in network	93000, 99214	$274.00	$139.88	Approved	Approved
CLM-2026-022707	2026-04-06	Heritage Imaging Center in network	74177, 76700	$2,030.00	$676.65	Approved	Approved