Identities/MBR-002099

Gold, golden identity

Hannah Q Nelson

5 source records from 3 feeds.

MBR-002099Verified5 records

Golden record

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

First nameENR: Hannah
Middle nameENR: Q
Last nameENR: Nelson
Date of birthENR: 1987-03-10
GenderENR: M
Member IDENR: UHC-54516-18
SSNENR: •••-••-0670
PhoneENR: 9654875248
EmailENR: hannah.nelson82@yahoo.com
AddressENR: 7495 Mesa Dr
CityENR: Tampa
StateENR: FL
ZIP—: —
GroupENR: GRP-5702
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

CLM ×3ENR ×1TPA ×1

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
CLM-428511	CLM	2026-01-07	Hannah Nelsonflagged	1987-03-10	—	—	7495 Mesa Dr, Tampa, FL	Scored	1.00	—
ENR-137406	ENR	2026-01-20	Hannah Nelsonflagged	1987-03-10	UHC-54516-18	9654875248	7495 Mesa Dr, Tampa, FL	Scored	1.00	—
CLM-428512	CLM	2026-03-21	Hannah Nelsonflagged	1987-03-10	—	9654875248	—	Scored	1.00	—
CLM-428513	CLM	2026-07-13	Hannah Nelsonflagged	1987-03-10	—	9654875248	7495 Mesa Dr, Tampa, FL	Scored	1.00	—
TPA-62597	TPA	2026-10-05	Hannah Nelsonflagged	1987-03-10	—	—	7495 Mesa Dr, Tampa, FL	Scored	0.93	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-137406ENRCLM-428512CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428511 CLMCLM-428513CLM1.00Scoredweighted 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

▶ENR-137406ENRCLM-428513CLM1.00Scoredweighted 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-428512CLMCLM-428513CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428511 CLMENR-137406ENR1.00Scoredweighted 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

▶CLM-428511 CLMTPA-62597TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-137406ENRTPA-62597TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428513CLMTPA-62597TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-428511 CLMCLM-428512CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-428512CLMTPA-62597TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-428512 → UHC-54516-18 (Hannah Nelson)
ACT-002930, Claims processor
Orphan claim re-pointedExecuted
CLM-428511 → UHC-54516-18 (Hannah Nelson)
ACT-003615, Claims processor
Orphan claim re-pointedExecuted
CLM-428513 → UHC-54516-18 (Hannah Nelson)
ACT-010203, Claims processor
Care coordination outreachProposed
Hannah Nelson: 3 claims, no attributed provider
ACT-017934, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically147a8dd786
scoring_agent, TPA-62597, identity id MBR-002099, confidence 0.93, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:54:38Record linked automatically80f96ff1e7
scoring_agent, CLM-428513, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:54:38Record linked automatically4b923207cd
scoring_agent, CLM-428512, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:54:38Record linked automatically2f2c199e1e
scoring_agent, ENR-137406, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:54:38Record linked automaticallyd64dfee3f7
scoring_agent, CLM-428511, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:52:08Record linked automatically9adee31ea3
scoring_agent, TPA-62597, identity id MBR-002099, confidence 0.93, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:52:08Record linked automatically7c5788eb03
scoring_agent, CLM-428513, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:52:08Record linked automaticallyad33eaab11
scoring_agent, CLM-428512, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:52:08Record linked automatically86d60b4022
scoring_agent, ENR-137406, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:52:08Record linked automatically09ec6a270f
scoring_agent, CLM-428511, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:45:41Record linked automatically7cd58fbd95
scoring_agent, TPA-62597, identity id MBR-002099, confidence 0.93, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:45:41Record linked automatically1abab0f384
scoring_agent, CLM-428513, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:45:41Record linked automaticallyb228a703a0
scoring_agent, CLM-428512, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:45:41Record linked automaticallydc87473f4e
scoring_agent, ENR-137406, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:45:41Record linked automatically1b4eb210cf
scoring_agent, CLM-428511, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb5414913e
scoring_agent, TPA-62597, identity id MBR-002099, confidence 0.93, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:32:31Record linked automaticallyea5fbd67e9
scoring_agent, CLM-428513, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:32:31Record linked automatically744e333368
scoring_agent, CLM-428512, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:32:31Record linked automatically848293fb73
scoring_agent, ENR-137406, identity id MBR-002099, confidence 1, method probabilistic, matched record CLM-428511, policy version 1
2026-10-19 19:32:31Record linked automaticallyd97c153b13
scoring_agent, CLM-428511, identity id MBR-002099, confidence 1, method probabilistic, matched record ENR-137406, policy version 1
2026-10-19 19:31:28Record linked automaticallyf66de8dc84
scoring_agent, ENR-137406, identity id MBR-023431, confidence 1, method probabilistic, matched record TPA-62454, policy version 1
2026-10-19 19:31:28Record linked automaticallycd1b3ab4ce
scoring_agent, TPA-62597, identity id MBR-020445, confidence 1, method probabilistic, matched record ENR-137860, policy version 1
2026-10-19 19:31:28Record linked automatically4b41a71cbf
scoring_agent, CLM-428511, identity id MBR-006478, confidence 1, method probabilistic, matched record PRV-28359, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa4b6ce21d
matching_agent, CLM-428512, identity id MBR-004265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-28360
2026-10-19 19:31:28Record linked automatically56c0ad76f8
scoring_agent, CLM-428513, identity id MBR-000750, confidence 1, method probabilistic, matched record TPA-62534, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033743	2026-06-03	Pinecrest Internal Medicine Associates in network	80053	$90.00	$35.80	Approved	Approved
CLM-2026-006041	2026-02-07	Sunrise Imaging Center out of network	74177	$2,525.00	—	Needs review	Needs review
CLM-2026-008580	2025-12-24	Mesa Primary Care Associates in network	99214	$311.00	$172.82	Approved	Approved