Identities/MBR-027488
Gold, golden identity

Kathryn Duncan

4 source records from 3 feeds.

MBR-027488Verified4 records

Golden record

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

First nameENR
Kathryn
Middle name—
—
Last nameENR
Duncan
Date of birthENR
1966-07-24
GenderENR
F
Member IDENR
UHC-43519-95
SSNENR
•••-••-8603
PhoneENR
8957558703
EmailENR
kathryn.duncan95@hotmail.com
AddressENR
8671 Forest Ave
CityENR
Atlanta
StateENR
GA
ZIPENR
30336
GroupENR
GRP-8419
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00CLMCLM-418869TPATPA-58366ENRENR-124837CLMCLM-418870IDMBR-027488
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-418869CLM2026-04-24Duncan Kathrynflagged1966-07-24UHC-43519-95—8671 Forest Ave, Atlanta, GARule0.99D1 member id + dob exact
TPA-58366TPA2026-07-09Kathryn Duncanflagged1966-07-24UHC-43519-9589575587038671 Forest Ave, Atlanta, GAScored1.00—
ENR-124837ENR2026-08-20Kathryn Duncanflagged1966-07-24UHC-43519-9589575587038671 Forest Ave, Atlanta, GAScored1.00—
CLM-418870CLM2026-10-08Kathryn Duncanflagged1966-07-24—8957558703—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-58366TPACLM-418870CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-124837ENRCLM-418870CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-418869CLMENR-124837ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-58366TPAENR-124837ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-418869CLMTPA-58366TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-418870 → UHC-43519-95 (Kathryn Duncan)
    ACT-001955, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf2b64eaec8
    scoring_agent, CLM-418870, identity id MBR-027488, confidence 1, method probabilistic, matched record TPA-58366, policy version 1
  • 2026-10-19 19:54:38Record linked automatically167f28db78
    scoring_agent, ENR-124837, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybf5f68c46a
    scoring_agent, TPA-58366, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:54:38Record linked automatically377e245368
    matching_agent, CLM-418869, identity id MBR-027488, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58366
  • 2026-10-19 19:52:09Record linked automaticallyff5a78a67e
    scoring_agent, CLM-418870, identity id MBR-027488, confidence 1, method probabilistic, matched record TPA-58366, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7eab30219c
    scoring_agent, ENR-124837, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9baf140f43
    scoring_agent, TPA-58366, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1e303f83cd
    matching_agent, CLM-418869, identity id MBR-027488, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58366
  • 2026-10-19 19:45:42Record linked automatically6402a523b9
    scoring_agent, CLM-418870, identity id MBR-027488, confidence 1, method probabilistic, matched record TPA-58366, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5f731902d5
    scoring_agent, ENR-124837, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye6eec4edd5
    scoring_agent, TPA-58366, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc071cbdc7e
    matching_agent, CLM-418869, identity id MBR-027488, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58366
  • 2026-10-19 19:32:31Record linked automaticallyfb634a7ca1
    scoring_agent, CLM-418870, identity id MBR-027488, confidence 1, method probabilistic, matched record TPA-58366, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0360178734
    scoring_agent, ENR-124837, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6e64040d19
    scoring_agent, TPA-58366, identity id MBR-027488, confidence 1, method probabilistic, matched record CLM-418870, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybcbe89cb39
    matching_agent, CLM-418869, identity id MBR-027488, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58366
  • 2026-10-19 19:31:28Record linked automaticallydfa6d12c17
    matching_agent, ENR-124837, identity id MBR-035417, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418988
  • 2026-10-19 19:31:28Record linked automatically89d112a76f
    scoring_agent, CLM-418869, identity id MBR-022860, confidence 1, method probabilistic, matched record CLM-418867, policy version 1
  • 2026-10-19 19:31:28Record linked automatically32f71c2693
    matching_agent, CLM-418870, identity id MBR-012692, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-124668
  • 2026-10-19 19:31:28Record linked automatically4318600e8f
    scoring_agent, TPA-58366, identity id MBR-009630, confidence 1, method probabilistic, matched record CLM-419223, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0024342026-09-26Meadow Physical Therapy
in network
97110, 97161, 97014$532.00$304.84ApprovedApproved
CLM-2026-0297592026-03-24Sunrise Cardiovascular Associates
out of network
93224$321.00$104.45ApprovedApproved