Identities/MBR-028117

Gold, golden identity

Margaret Kelley

4 source records from 2 feeds.

MBR-028117Verified4 recordsOpen steward case

Golden record

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

First nameCLM: Margaret
Middle name—: —
Last nameCLM: Kelley
Date of birthCLM: 1961-12-02
GenderCLM: M
Member IDCLM: UHC-54895-40
SSN—: —
PhoneCLM: 8794440866
EmailTPA: margaret.kelley68@aol.com
AddressCLM: 6289 Jefferson Ave
CityCLM: Las Vegas
StateCLM: NV
ZIPCLM: 89138
GroupCLM: GRP-1301
PlanCLM: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×2TPA ×2

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-403923	CLM	2026-04-28	Margaret Kelleyflagged	1961-12-02	UHC-54895-40	—	6289 Jefferson Ave, Las Vegas, NV	Scored	1.00	—
TPA-51700	TPA	2026-07-08	Margaret Kelleyflagged	1961-12-02	—	—	6289 Jefferson Ave # 671, Las Vegas, NV	Scored	1.00	—
TPA-51699	TPA	2026-07-12	Margaret Kelleyflagged	1961-12-02	—	—	6289 Jefferson Ave, Las Vegas, NV	Scored	1.00	—
CLM-403924	CLM	2026-08-07	Maggie Kelleyflagged	1961-12-02	UHC-54895-40	8794440866	6289 Jefferson Ave, Las Vegas, NV	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-51700TPACLM-403924CLM1.00Scoredweighted 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

▶TPA-51699TPACLM-403924CLM1.00Scoredweighted 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-403923CLMTPA-51699TPA1.00Scoredweighted 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

▶TPA-51700TPATPA-51699TPA1.00Scoredweighted 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-403923CLMTPA-51700TPA1.00Scoredweighted 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-403923CLMCLM-403924CLM0.99RuleD1 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Margaret Kelley: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-001092, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically96c5a59b29
scoring_agent, CLM-403924, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:54:38Record linked automatically1fddd21552
scoring_agent, TPA-51699, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:54:38Record linked automatically5bbb33378b
scoring_agent, TPA-51700, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:54:38Record linked automaticallydda368eb39
scoring_agent, CLM-403923, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:52:09Record linked automaticallya485d046f3
scoring_agent, CLM-403924, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:52:09Record linked automaticallycdfd15d910
scoring_agent, TPA-51699, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:52:09Record linked automatically41f9531935
scoring_agent, TPA-51700, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:52:09Record linked automaticallya06662f0d0
scoring_agent, CLM-403923, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:45:42Record linked automatically459848dbb2
scoring_agent, CLM-403924, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:45:42Record linked automaticallyd98c48d9c8
scoring_agent, TPA-51699, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:45:42Record linked automatically69190344db
scoring_agent, TPA-51700, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:45:42Record linked automatically2408b8249b
scoring_agent, CLM-403923, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:32:31Record linked automatically3d1ecb1862
scoring_agent, CLM-403924, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:32:31Record linked automatically9ebcdc2493
scoring_agent, TPA-51699, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:32:31Record linked automatically68cc000a5e
scoring_agent, TPA-51700, identity id MBR-028117, confidence 1, method probabilistic, matched record CLM-403923, policy version 1
2026-10-19 19:32:31Record linked automatically6aea47e3ab
scoring_agent, CLM-403923, identity id MBR-028117, confidence 1, method probabilistic, matched record TPA-51700, policy version 1
2026-10-19 19:31:28Record linked automaticallyd9bad38bd8
matching_agent, CLM-403923, identity id MBR-046538, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403924
2026-10-19 19:31:28Record linked automatically0fb80212f9
matching_agent, CLM-403924, identity id MBR-046538, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403923
2026-10-19 19:31:28Record linked automatically8f597e221e
scoring_agent, TPA-51699, identity id MBR-039410, confidence 1, method probabilistic, matched record CLM-403770, policy version 1
2026-10-19 19:31:28Record linked automatically113de60f38
matching_agent, TPA-51700, identity id MBR-000645, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104924

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-2026-011582	2026-07-15	Riverside Primary Care Associates in network	70553	$2,992.00	—	Needs review	Needs review
CLM-2026-009082	2026-03-19	Desert Medical Group in network	99214	$281.00	$154.22	Approved	Approved