Identities/MBR-026527

Gold, golden identity

William L Kim

5 source records from 3 feeds.

MBR-026527Verified5 records

Golden record

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

First nameCLM: William
Middle nameENR: L
Last nameENR: Kim
Date of birthENR: 2003-05-19
GenderENR: F
Member IDENR: UHC-42424-16
SSNCLM: •••-••-5641
PhoneENR: 4588729795
EmailENR: william.kim92@proton.me
AddressENR: 9073 Cedar Ln
CityENR: Mesa
StateENR: AZ
ZIPENR: 85227
GroupENR: GRP-6692
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×3ENR ×1TPA ×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-421499	CLM	2026-04-18	Bill Kimflagged	2003-05-19	—	4588729795	—	Scored	1.00	—
CLM-421500	CLM	2026-05-11	William Kimflagged	2003-05-19	UHC-42424-16	—	9073 Cedar Ln, Mesa, AZ	Scored	1.00	—
ENR-128153	ENR	2026-06-06	Bill Kimflagged	2003-05-19	UHC-42424-16	4588729795	9073 Cedar Ln, Mesa, AZ	Scored	1.00	—
TPA-59449	TPA	2026-06-12	William Kimflagged	2003-05-19	—	4588729795	9073 Cedar Ln, Mesa, AZ	Scored	1.00	—
CLM-421498	CLM	2026-07-14	William Kimflagged	2003-05-19	—	4588729795	9073 Cedar Ln, Mesa, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-421500CLMCLM-421498CLM1.00Scoredweighted 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-128153ENRCLM-421498CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421499CLMENR-128153ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421500CLMTPA-59449TPA1.00Scoredweighted 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-128153ENRTPA-59449TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-421500CLMENR-128153ENR0.99RuleD1 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

▶CLM-421499CLMCLM-421498CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59449TPACLM-421498CLM0.97RuleD2 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

▶CLM-421499CLMTPA-59449TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421499CLMCLM-421500CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421499 → UHC-42424-16 (William Kim)
ACT-004528, Claims processor
Orphan claim re-pointedExecuted
CLM-421498 → UHC-42424-16 (William Kim)
ACT-005258, Claims processor
Care coordination outreachProposed
William Kim: 3 claims, no attributed provider
ACT-019336, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyad6fe3ef5b
scoring_agent, CLM-421498, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-22 12:43:54Record linked automaticallyc181d27b25
scoring_agent, TPA-59449, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-22 12:43:54Record linked automaticallyadd10b3657
scoring_agent, ENR-128153, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421499, policy version 1
2026-10-22 12:43:54Record linked automaticallyae16296c2d
scoring_agent, CLM-421500, identity id MBR-026527, confidence 1, method probabilistic, matched record TPA-59449, policy version 1
2026-10-22 12:43:54Record linked automaticallyaff45fdaf1
scoring_agent, CLM-421499, identity id MBR-026527, confidence 1, method probabilistic, matched record ENR-128153, policy version 1
2026-10-19 19:54:38Record linked automaticallya8cc45ef76
scoring_agent, CLM-421498, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:54:38Record linked automatically3d072b19a3
scoring_agent, TPA-59449, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:54:38Record linked automatically886b56203e
scoring_agent, ENR-128153, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421499, policy version 1
2026-10-19 19:54:38Record linked automaticallybaa0f263dd
scoring_agent, CLM-421500, identity id MBR-026527, confidence 1, method probabilistic, matched record TPA-59449, policy version 1
2026-10-19 19:54:38Record linked automatically23c1dc7910
scoring_agent, CLM-421499, identity id MBR-026527, confidence 1, method probabilistic, matched record ENR-128153, policy version 1
2026-10-19 19:52:09Record linked automatically49c0e82266
scoring_agent, CLM-421498, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:52:09Record linked automatically3378fc52f1
scoring_agent, TPA-59449, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:52:09Record linked automaticallye31f3e1e27
scoring_agent, ENR-128153, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421499, policy version 1
2026-10-19 19:52:09Record linked automatically1112f4d40d
scoring_agent, CLM-421500, identity id MBR-026527, confidence 1, method probabilistic, matched record TPA-59449, policy version 1
2026-10-19 19:52:09Record linked automaticallybf2b7f2b82
scoring_agent, CLM-421499, identity id MBR-026527, confidence 1, method probabilistic, matched record ENR-128153, policy version 1
2026-10-19 19:45:42Record linked automaticallyc706ec1e1a
scoring_agent, CLM-421498, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:45:42Record linked automatically953b4bfd21
scoring_agent, TPA-59449, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:45:42Record linked automatically6d489cb815
scoring_agent, ENR-128153, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421499, policy version 1
2026-10-19 19:45:42Record linked automatically52668c38ec
scoring_agent, CLM-421500, identity id MBR-026527, confidence 1, method probabilistic, matched record TPA-59449, policy version 1
2026-10-19 19:45:42Record linked automatically2008fd6966
scoring_agent, CLM-421499, identity id MBR-026527, confidence 1, method probabilistic, matched record ENR-128153, policy version 1
2026-10-19 19:32:31Record linked automatically831d83f62a
scoring_agent, CLM-421498, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:32:31Record linked automaticallyc8fcedc351
scoring_agent, TPA-59449, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421500, policy version 1
2026-10-19 19:32:31Record linked automaticallybcfe7ea33a
scoring_agent, ENR-128153, identity id MBR-026527, confidence 1, method probabilistic, matched record CLM-421499, policy version 1
2026-10-19 19:32:31Record linked automatically83ea0b15f2
scoring_agent, CLM-421500, identity id MBR-026527, confidence 1, method probabilistic, matched record TPA-59449, policy version 1
2026-10-19 19:32:31Record linked automatically929e6fdd6e
scoring_agent, CLM-421499, identity id MBR-026527, confidence 1, method probabilistic, matched record ENR-128153, policy version 1
2026-10-19 19:31:28Record linked automatically87745dd5c3
matching_agent, CLM-421498, identity id MBR-026551, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59395
2026-10-19 19:31:28Record linked automaticallyab1be1deb6
matching_agent, TPA-59449, identity id MBR-023518, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59448
2026-10-19 19:31:28Record linked automatically946c68883c
matching_agent, CLM-421499, identity id MBR-023256, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128263
2026-10-19 19:31:28Record linked automatically4028fce804
scoring_agent, CLM-421500, identity id MBR-023256, confidence 1, method probabilistic, matched record ENR-128263, policy version 1
2026-10-19 19:31:28Record linked automatically71429a82c8
matching_agent, ENR-128153, identity id MBR-018322, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421424

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-014880	2026-07-07	Summit Counseling Center in network	70553	$3,065.00	—	Needs review	Needs review
CLM-2026-011136	2026-04-09	Canyon Cardiovascular Associates in network	93015	$630.00	$80.68	Approved	Approved
CLM-2026-012114	2026-03-16	Lakeside Bone and Joint Center in network	29881	$8,486.00	$3,537.32	Approved	Approved