Identities/MBR-000697
Gold, golden identity

Nicole F Riley

3 source records from 2 feeds.

MBR-000697Verified3 records

Golden record

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

First nameENR
Nicole
Middle nameENR
F
Last nameENR
Riley
Date of birthENR
2000-12-27
GenderCLM
M
Member IDENR
UHC-46627-03
SSNENR
•••-••-9016
PhoneENR
3845626863
EmailENR
nicole.riley@proton.me
AddressENR
5128 Baseline Rd
CityENR
Miami
StateENR
FL
ZIPENR
33183
GroupENR
GRP-0200
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-425132CLMCLM-425133ENRENR-132830IDMBR-000697
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-425132CLM2026-01-03Nicole Rileyflagged2000-12-27—38456268634814 Main St, Nashville, TNScored1.00—
CLM-425133CLM2026-01-14Nicole Rileyflagged2000-12-27UHC-46627-03—4814 Main St, Nashville, TNScored1.00—
ENR-132830ENR2026-05-11Nicole Rileyflagged2000-12-27UHC-46627-0338456268635128 Baseline Rd, Miami, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425132CLMCLM-425133CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425133CLMENR-132830ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425132CLMENR-132830ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Nicole Riley: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000037, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-425132 → UHC-46627-03 (Nicole Riley)
    ACT-007553, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallya495b8b7ce
    matching_agent, ENR-132830, identity id MBR-000697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425133
  • 2026-10-19 19:54:38Record linked automatically1c89ba70db
    scoring_agent, CLM-425133, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425132, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8f7196b995
    scoring_agent, CLM-425132, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425133, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyaca233f800
    matching_agent, ENR-132830, identity id MBR-000697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425133
  • 2026-10-19 19:52:08Record linked automatically3f21e77373
    scoring_agent, CLM-425133, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425132, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3b7dfcc818
    scoring_agent, CLM-425132, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425133, policy version 1
  • 2026-10-19 19:45:41Record linked automatically5b3e91f8a2
    matching_agent, ENR-132830, identity id MBR-000697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425133
  • 2026-10-19 19:45:41Record linked automaticallyd6fec46236
    scoring_agent, CLM-425133, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425132, policy version 1
  • 2026-10-19 19:45:41Record linked automatically58a09df037
    scoring_agent, CLM-425132, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425133, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc00638af89
    matching_agent, ENR-132830, identity id MBR-000697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425133
  • 2026-10-19 19:32:31Record linked automaticallyed61377f95
    scoring_agent, CLM-425133, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425132, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaefd13de3b
    scoring_agent, CLM-425132, identity id MBR-000697, confidence 1, method probabilistic, matched record CLM-425133, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfcd98a4521
    matching_agent, CLM-425132, identity id MBR-024180, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133100
  • 2026-10-19 19:31:28Record linked automatically9d116c89a1
    matching_agent, CLM-425133, identity id MBR-019988, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133103

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0165992026-01-01Lakeside Dermatology Clinic
in network
11403$454.00$221.48ApprovedApproved
CLM-2026-0235252025-11-29Harbor Physical Therapy
in network
97110, 97161$348.00$190.76ApprovedApproved