Identities/MBR-038498
Gold, golden identity

Kenneth Medina

3 source records from 2 feeds.

MBR-038498Verified3 records

Golden record

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

First nameCLM
Kenneth
Middle name—
—
Last nameCLM
Medina
Date of birthCLM
1992-03-26
GenderCLM
M
Member IDCLM
UHC-71216-93
SSNCLM
•••-••-1889
PhoneCLM
2579853596
Email—
—
AddressCLM
4894 Ocean Ave
CityCLM
Las Vegas
StateCLM
NV
ZIPCLM
89112
GroupCLM
GRP-5717
PlanCLM
NAVIGATE-HMO
Min confidence
0.99
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

1.001.000.99TPATPA-52515CLMCLM-405695CLMCLM-405694IDMBR-038498
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-52515TPA2026-07-15Kenneth Medinaflagged1992-03-26——4894 Ocean Ave, Las Vegas, NVScored1.00—
CLM-405695CLM2026-08-22Kenneth Medinaflagged1992-03-26UHC-71216-9325798535964894 Ocean Ave, Las Vegas, NVScored1.00—
CLM-405694CLM2026-08-31Kenneth Meedinaflagged1992-03-26——4894 Ocean Ave, Las Vegas, NVScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-52515 TPACLM-405695CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-52515 TPACLM-405694CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405695CLM CLM-405694CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405694 → UHC-71216-93 (Kenneth Medina)
    ACT-001434, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallybc20a6287a
    scoring_agent, CLM-405694, identity id MBR-038498, confidence 0.99, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallye844fd2d79
    scoring_agent, CLM-405695, identity id MBR-038498, confidence 1, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyeaf89789aa
    scoring_agent, TPA-52515, identity id MBR-038498, confidence 1, method probabilistic, matched record CLM-405695, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybc491995c2
    scoring_agent, CLM-405694, identity id MBR-038498, confidence 0.99, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:52:09Record linked automatically00fcf80256
    scoring_agent, CLM-405695, identity id MBR-038498, confidence 1, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6fda889926
    scoring_agent, TPA-52515, identity id MBR-038498, confidence 1, method probabilistic, matched record CLM-405695, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd57bf8d202
    scoring_agent, CLM-405694, identity id MBR-038498, confidence 0.99, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybf28f07e66
    scoring_agent, CLM-405695, identity id MBR-038498, confidence 1, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:45:42Record linked automatically28a61a3701
    scoring_agent, TPA-52515, identity id MBR-038498, confidence 1, method probabilistic, matched record CLM-405695, policy version 1
  • 2026-10-19 19:32:31Record linked automatically63637b6a18
    scoring_agent, CLM-405694, identity id MBR-038498, confidence 0.99, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65fcf95e7c
    scoring_agent, CLM-405695, identity id MBR-038498, confidence 1, method probabilistic, matched record TPA-52515, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6962c2ccf9
    scoring_agent, TPA-52515, identity id MBR-038498, confidence 1, method probabilistic, matched record CLM-405695, policy version 1
  • 2026-10-19 19:31:28Record linked automatically51dd827282
    scoring_agent, TPA-52515, identity id MBR-039680, confidence 1, method probabilistic, matched record CLM-405614, policy version 1
  • 2026-10-19 19:31:28Record linked automatically714e019ee2
    matching_agent, CLM-405695, identity id MBR-037198, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405696
  • 2026-10-19 19:31:28Record linked automatically784881c219
    scoring_agent, CLM-405694, identity id MBR-004926, confidence 1, method probabilistic, matched record TPA-52542, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0004262026-08-11Riverside Clinical Laboratories
in network
80053, 83036$161.00$0.00ApprovedApproved
CLM-2026-0198032026-08-01Unity Reference Lab
in network
70553$2,514.00—Needs reviewNeeds review