Identities/MBR-031787
Gold, golden identity

Kimberly Delgado

3 source records from 2 feeds.

MBR-031787Verified3 records

Golden record

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

First nameENR
Kimberly
Middle name—
—
Last nameENR
Delgado
Date of birthENR
1961-12-14
GenderENR
F
Member IDENR
UHC-27985-96
SSNENR
•••-••-5573
PhoneENR
5075514343
Email—
—
AddressENR
5493 River Rd
CityENR
Dallas
StateENR
TX
ZIPCLM
75247
GroupENR
GRP-5722
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×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

0.970.990.99CLMCLM-431361ENRENR-141181CLMCLM-431360IDMBR-031787
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-431361CLM2026-05-22Kimberly Delgadoflagged1961-12-14——5493 River Rd, Dallas, TXRule0.97D2 ssn4 + dob + last name
ENR-141181ENR2026-09-24Kimberly Delgadoflagged1961-12-14UHC-27985-9650755143435493 River Rd, Dallas, TXRule0.99D1 member id + dob exact
CLM-431360CLM2026-10-15Kimberly Delgadoflagged1961-12-14UHC-27985-96—5493 River Rd, Dallas, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-141181ENRCLM-431360 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431361CLMCLM-431360 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431361CLMENR-141181ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431361 → UHC-27985-96 (Kimberly Delgado)
    ACT-005550, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyeaad907dc3
    matching_agent, CLM-431360, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141181
  • 2026-10-22 12:43:54Record linked automatically3a7098f931
    matching_agent, ENR-141181, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431360
  • 2026-10-22 12:43:54Record linked automaticallyba9487adfe
    matching_agent, CLM-431361, identity id MBR-031787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
  • 2026-10-19 19:54:38Record linked automatically6f8a2825f2
    matching_agent, CLM-431360, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141181
  • 2026-10-19 19:54:38Record linked automatically5b9852dbd3
    matching_agent, ENR-141181, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431360
  • 2026-10-19 19:54:38Record linked automaticallyb8f2d1347e
    matching_agent, CLM-431361, identity id MBR-031787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
  • 2026-10-19 19:52:09Record linked automatically05537f7494
    matching_agent, CLM-431360, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141181
  • 2026-10-19 19:52:09Record linked automaticallyf4514d189f
    matching_agent, ENR-141181, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431360
  • 2026-10-19 19:52:09Record linked automatically69199323ac
    matching_agent, CLM-431361, identity id MBR-031787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
  • 2026-10-19 19:45:42Record linked automaticallydb3abc29df
    matching_agent, CLM-431360, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141181
  • 2026-10-19 19:45:42Record linked automaticallyd29f2b9387
    matching_agent, ENR-141181, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431360
  • 2026-10-19 19:45:42Record linked automaticallyaf8d62ba68
    matching_agent, CLM-431361, identity id MBR-031787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
  • 2026-10-19 19:32:31Record linked automaticallya8d2ef6b8b
    matching_agent, CLM-431360, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141181
  • 2026-10-19 19:32:31Record linked automaticallyc44739b83c
    matching_agent, ENR-141181, identity id MBR-031787, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431360
  • 2026-10-19 19:32:31Record linked automaticallyc3db0abfe7
    matching_agent, CLM-431361, identity id MBR-031787, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141181
  • 2026-10-19 19:31:28Record linked automatically256586eb8e
    matching_agent, CLM-431361, identity id MBR-036834, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431362
  • 2026-10-19 19:31:28Record linked automatically9a614d5134
    matching_agent, ENR-141181, identity id MBR-018300, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431220
  • 2026-10-19 19:31:28Record linked automaticallydab6e3f51b
    matching_agent, CLM-431360, identity id MBR-012575, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141386

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0037122026-09-21Sunrise GI Associates
in network
45378, 43239$4,787.00$1,175.59ApprovedApproved
CLM-2026-0159532026-05-19Riverside Family Practice
in network
99214, 99213$396.00$215.52ApprovedApproved