Identities/MBR-000555
Gold, golden identity

Karen T Nichols

2 source records from 2 feeds.

MBR-000555Verified2 records

Golden record

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

First nameENR
Karen
Middle nameCLM
T
Last nameENR
Nichols
Date of birthENR
1965-04-02
GenderENR
M
Member IDENR
UHC-24948-24
SSNENR
•••-••-9730
PhoneENR
8439630778
EmailENR
karen.nichols75@hotmail.com
AddressENR
87 Bayshore Dr
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85258
GroupENR
GRP-5896
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.99CLMCLM-427782ENRENR-136421IDMBR-000555
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-427782CLM2026-01-02Kren Nicholsflagged1965-04-02——87 Bayshore Dr, Scottsdale, AZScored0.99—
ENR-136421ENR2026-08-25Karen Nicholsflagged1965-04-02UHC-24948-24843963077887 Bayshore Dr, Scottsdale, AZScored0.99—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-427782CLMENR-136421ENR0.99Scoredweighted 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-427782 → UHC-24948-24 (Karen Nichols)
    ACT-004703, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:52Record linked automaticallyb6d17637bb
    scoring_agent, ENR-136421, identity id MBR-000555, confidence 0.99, method probabilistic, matched record CLM-427782, policy version 1
  • 2026-10-22 12:43:52Record linked automatically8e6ef48891
    scoring_agent, CLM-427782, identity id MBR-000555, confidence 0.99, method probabilistic, matched record ENR-136421, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydd02bd6419
    scoring_agent, ENR-136421, identity id MBR-000555, confidence 0.99, method probabilistic, matched record CLM-427782, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9a9c10cd38
    scoring_agent, CLM-427782, identity id MBR-000555, confidence 0.99, method probabilistic, matched record ENR-136421, policy version 1
  • 2026-10-19 19:52:08Record linked automatically906fa4642f
    scoring_agent, ENR-136421, identity id MBR-000555, confidence 0.99, method probabilistic, matched record CLM-427782, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb94eccc8e3
    scoring_agent, CLM-427782, identity id MBR-000555, confidence 0.99, method probabilistic, matched record ENR-136421, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4715f30d10
    scoring_agent, ENR-136421, identity id MBR-000555, confidence 0.99, method probabilistic, matched record CLM-427782, policy version 1
  • 2026-10-19 19:45:41Record linked automatically689da309db
    scoring_agent, CLM-427782, identity id MBR-000555, confidence 0.99, method probabilistic, matched record ENR-136421, policy version 1
  • 2026-10-19 19:32:31Record linked automatically78dd512476
    scoring_agent, ENR-136421, identity id MBR-000555, confidence 0.99, method probabilistic, matched record CLM-427782, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7938608071
    scoring_agent, CLM-427782, identity id MBR-000555, confidence 0.99, method probabilistic, matched record ENR-136421, policy version 1
  • 2026-10-19 19:31:28Record linked automatically968bd45d0a
    matching_agent, ENR-136421, identity id MBR-034708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427521
  • 2026-10-19 19:31:28Record linked automatically1d73b82af2
    scoring_agent, CLM-427782, identity id MBR-014111, confidence 1, method probabilistic, matched record CLM-427783, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0127732025-11-25Heritage Rehabilitation Center
in network
97110, 97161$432.00$227.84ApprovedApproved