Identities/MBR-028240
Gold, golden identity

Kathy N Watkins

3 source records from 2 feeds.

MBR-028240Verified3 recordsOpen steward case

Golden record

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

First nameCLM
Kathy
Middle nameCLM
N
Last nameCLM
Watkins
Date of birthCLM
1972-05-26
GenderCLM
F
Member IDCLM
UHC-19886-37
SSN—
—
PhoneCLM
8113903013
EmailTPA
kathleen.watkins51@yahoo.com
AddressCLM
630 Desert Sky Blvd
CityCLM
Charlotte
StateCLM
NC
ZIPCLM
28297
GroupCLM
GRP-5006
PlanCLM
OPTIONS-PPO
Min confidence
1.00
Sources
TPA ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00TPATPA-56761CLMCLM-415396CLMCLM-415395IDMBR-028240
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
TPA-56761TPA2026-04-29Kathy Watkinsflagged1972-05-26—8113903013630 Desert Sky Blvd, Charlotte, NCScored1.00—
CLM-415396CLM2026-06-04Kathy Watkinsflagged1972-05-26UHC-19886-378113903013630 Desert Sky Blvd, Charlotte, NCScored1.00—
CLM-415395CLM2026-09-27Kathy Watkinsflagged1972-05-26UHC-19886-378113903013630 Desert Sky Blvd, Charlotte, NCScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56761TPACLM-415395CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56761TPACLM-415396CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415396CLMCLM-415395CLM0.99RuleD1 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

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Kathy Watkins: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-001097, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically62a0326cea
    scoring_agent, CLM-415395, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9708e8ae0b
    scoring_agent, CLM-415396, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya5117c0ec2
    scoring_agent, TPA-56761, identity id MBR-028240, confidence 1, method probabilistic, matched record CLM-415396, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0d6fe3674b
    scoring_agent, CLM-415395, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb4bb0c0ed5
    scoring_agent, CLM-415396, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:52:09Record linked automatically24e8c73b78
    scoring_agent, TPA-56761, identity id MBR-028240, confidence 1, method probabilistic, matched record CLM-415396, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf0549bea64
    scoring_agent, CLM-415395, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc89527ce53
    scoring_agent, CLM-415396, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf8fac8642
    scoring_agent, TPA-56761, identity id MBR-028240, confidence 1, method probabilistic, matched record CLM-415396, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8d43ba1a40
    scoring_agent, CLM-415395, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf4d4ccecf0
    scoring_agent, CLM-415396, identity id MBR-028240, confidence 1, method probabilistic, matched record TPA-56761, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6d3c24938d
    scoring_agent, TPA-56761, identity id MBR-028240, confidence 1, method probabilistic, matched record CLM-415396, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb9bc70a5d9
    matching_agent, CLM-415395, identity id MBR-025935, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415394
  • 2026-10-19 19:31:28Record linked automaticallyab82ce8d7f
    matching_agent, CLM-415396, identity id MBR-025935, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415394

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0100352026-08-13Valley Imaging Center
in network
70553, 71046, 74177$4,440.00—Needs reviewNeeds review
CLM-2026-0100342026-08-13Valley Imaging Center
in network
70553, 71046, 74177$4,440.00$573.96ApprovedApproved
CLM-2026-0008242026-05-01Heritage Primary Care Associates
in network
99395, 99214$611.00$348.82ApprovedApproved