Identities/MBR-038343
Gold, golden identity

Kimberly Hernandez

3 source records from 2 feeds.

MBR-038343Verified3 records

Golden record

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

First nameCLM
Kimberly
Middle name—
—
Last nameCLM
Hernandez
Date of birthCLM
1945-12-13
GenderCLM
F
Member IDCLM
UHC-62431-46
SSNTPA
•••-••-4454
PhoneTPA
3693890543
EmailTPA
kimberly.hernandez@hotmail.com
AddressCLM
4884 Pine Dr
CityCLM
Phoenix
StateCLM
AZ
ZIPCLM
85023
GroupTPA
GRP-4722
PlanCLM
MEDICARE-ADV-A
Min confidence
0.99
Sources
TPA ×2CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.00TPATPA-61960TPATPA-61959CLMCLM-427085IDMBR-038343
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-61960TPA2026-07-14Kimberly Hernandezflagged1945-12-13—36938905434884 Pine Dr, Phoenix, AZScored1.00—
TPA-61959TPA2026-07-18Kim Hernandezflagged1945-12-13UHC-62431-46—4884 Pine Dr # 316, Phoenix, AZRule0.99D1 member id + dob exact
CLM-427085CLM2026-10-14Kimberly Hernandezflagged1945-12-13UHC-62431-46—4884 Pine Dr, Phoenix, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-61960TPACLM-427085CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61959TPACLM-427085CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61960TPATPA-61959TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Kimberly Hernandez: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-001287, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically947ee8796c
    scoring_agent, CLM-427085, identity id MBR-038343, confidence 1, method probabilistic, matched record TPA-61960, policy version 1
  • 2026-10-19 19:54:39Record linked automatically80b82b4982
    matching_agent, TPA-61959, identity id MBR-038343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427085
  • 2026-10-19 19:54:39Record linked automaticallyd34f592d25
    scoring_agent, TPA-61960, identity id MBR-038343, confidence 1, method probabilistic, matched record CLM-427085, policy version 1
  • 2026-10-19 19:52:09Record linked automatically67cbaa650b
    scoring_agent, CLM-427085, identity id MBR-038343, confidence 1, method probabilistic, matched record TPA-61960, policy version 1
  • 2026-10-19 19:52:09Record linked automatically08b623e630
    matching_agent, TPA-61959, identity id MBR-038343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427085
  • 2026-10-19 19:52:09Record linked automaticallydbc1f8bf0a
    scoring_agent, TPA-61960, identity id MBR-038343, confidence 1, method probabilistic, matched record CLM-427085, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9e392ade55
    scoring_agent, CLM-427085, identity id MBR-038343, confidence 1, method probabilistic, matched record TPA-61960, policy version 1
  • 2026-10-19 19:45:42Record linked automatically35133708b2
    matching_agent, TPA-61959, identity id MBR-038343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427085
  • 2026-10-19 19:45:42Record linked automatically8613a31849
    scoring_agent, TPA-61960, identity id MBR-038343, confidence 1, method probabilistic, matched record CLM-427085, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye205c6d733
    scoring_agent, CLM-427085, identity id MBR-038343, confidence 1, method probabilistic, matched record TPA-61960, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1d44af665d
    matching_agent, TPA-61959, identity id MBR-038343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427085
  • 2026-10-19 19:32:31Record linked automatically7f316bd3e1
    scoring_agent, TPA-61960, identity id MBR-038343, confidence 1, method probabilistic, matched record CLM-427085, policy version 1
  • 2026-10-19 19:31:28Record linked automatically830142792d
    matching_agent, CLM-427085, identity id MBR-026136, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427084
  • 2026-10-19 19:31:28Record linked automaticallyaf74092787
    matching_agent, TPA-61959, identity id MBR-005242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135981
  • 2026-10-19 19:31:28Record linked automatically0053d80002
    scoring_agent, TPA-61960, identity id MBR-001263, confidence 1, method probabilistic, matched record CLM-427193, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0096532026-09-08Mesa GI Associates
in network
43239$2,413.00$495.87ApprovedApproved