Kelly N Gonzales

4 source records from 3 feeds.

MBR-033939Verified4 records

Golden record

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

First namePRV: Kelly
Middle nameCLM: N
Last namePRV: Gonzales
Date of birthPRV: 1965-12-21
GenderPRV: M
Member IDCLM: UHC-01397-49
SSN—: —
PhonePRV: 8705262186
EmailPRV: kelly.gonzales36@yahoo.com
AddressPRV: 4772 Forest Ave
CityPRV: Plano
StatePRV: TX
ZIPPRV: 75014
Group—: —
PlanPRV: OPTIONS-PPO

Min confidence

1.00

Sources

PRV ×1TPA ×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

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
PRV-25657	PRV	2026-06-07	Kelly Gonzalesflagged	1965-12-21	—	8705262186	4772 Forest Ave, Plano, TX	Scored	1.00	—
TPA-58421	TPA	2026-07-01	Kelly Gonzalesflagged	1965-12-21	—	8705262186	4772 Forest Ave, Plano, TX	Scored	1.00	—
CLM-418991	CLM	2026-07-09	Kelly Gonzalesflagged	1965-12-21	UHC-01397-49	—	4772 Forest Ave, Plano, TX	Scored	1.00	—
CLM-418990	CLM	2026-07-09	Kelly Gonzalesflagged	1965-12-21	UHC-01397-49	—	4772 Forest Ave, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-25657 PRVCLM-418990CLM1.00Scoredweighted 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-58421TPACLM-418990CLM1.00Scoredweighted 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

▶PRV-25657 PRVCLM-418991CLM1.00Scoredweighted 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-58421TPACLM-418991CLM1.00Scoredweighted 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

▶PRV-25657 PRVTPA-58421TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418991CLMCLM-418990CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically178ee6969e
scoring_agent, CLM-418990, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:54:39Record linked automaticallyc616214b7a
scoring_agent, CLM-418991, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:54:39Record linked automatically3ac6623851
scoring_agent, TPA-58421, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:54:39Record linked automaticallyb4c90ec967
scoring_agent, PRV-25657, identity id MBR-033939, confidence 1, method probabilistic, matched record TPA-58421, policy version 1
2026-10-19 19:52:09Record linked automaticallyc84935cedf
scoring_agent, CLM-418990, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:52:09Record linked automatically92b263a41e
scoring_agent, CLM-418991, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:52:09Record linked automaticallyafdfec4ef7
scoring_agent, TPA-58421, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:52:09Record linked automatically5951a9750a
scoring_agent, PRV-25657, identity id MBR-033939, confidence 1, method probabilistic, matched record TPA-58421, policy version 1
2026-10-19 19:45:42Record linked automaticallybfb8581246
scoring_agent, CLM-418990, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:45:42Record linked automaticallyd70f97e65c
scoring_agent, CLM-418991, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:45:42Record linked automatically9cdf497d9f
scoring_agent, TPA-58421, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:45:42Record linked automaticallyb96250dc1c
scoring_agent, PRV-25657, identity id MBR-033939, confidence 1, method probabilistic, matched record TPA-58421, policy version 1
2026-10-19 19:32:31Record linked automatically37c85a30c9
scoring_agent, CLM-418990, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:32:31Record linked automaticallyfe9285a340
scoring_agent, CLM-418991, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:32:31Record linked automaticallybf9b0516b9
scoring_agent, TPA-58421, identity id MBR-033939, confidence 1, method probabilistic, matched record PRV-25657, policy version 1
2026-10-19 19:32:31Record linked automatically1e35eeec05
scoring_agent, PRV-25657, identity id MBR-033939, confidence 1, method probabilistic, matched record TPA-58421, policy version 1
2026-10-19 19:31:28Record linked automaticallya88e9891f6
scoring_agent, TPA-58421, identity id MBR-020898, confidence 1, method probabilistic, matched record CLM-419339, policy version 1
2026-10-19 19:31:28Record linked automatically0f02b571b3
matching_agent, PRV-25657, identity id MBR-020898, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-419339
2026-10-19 19:31:28Record linked automatically6acea1d6cd
scoring_agent, CLM-418991, identity id MBR-011013, confidence 1, method probabilistic, matched record CLM-418990, policy version 1
2026-10-19 19:31:28Record linked automatically04a82acb4d
scoring_agent, CLM-418990, identity id MBR-011013, confidence 1, method probabilistic, matched record TPA-58272, policy version 1

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-2026-026421	2026-07-01	Evergreen Diagnostic Imaging in network	70553, 71046	$2,424.00	—	Needs review	Needs review
CLM-2026-026099	2026-05-25	Mesa Dermatology Clinic in network	99213	$222.00	$77.64	Approved	Approved