Identities/MBR-002529
Gold, golden identity

Eugene T Nichols

5 source records from 2 feeds.

MBR-002529Verified5 records

Golden record

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

First nameCLM
Eugene
Middle nameCLM
T
Last nameCLM
Nichols
Date of birthCLM
1980-03-11
GenderCLM
F
Member IDCLM
UHC-77317-26
SSNCLM
•••-••-2274
PhoneTPA
2044201408
EmailTPA
eugene.nichols@gmail.com
AddressCLM
1911 Palm Dr
CityCLM
Phoenix
StateCLM
AZ
ZIP—
—
GroupCLM
GRP-4279
PlanCLM
NAVIGATE-HMO
Min confidence
0.93
Sources
CLM ×3TPA ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.000.93CLMCLM-424569CLMCLM-424571CLMCLM-424570TPATPA-60842TPATPA-60843IDMBR-002529
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-424569CLM2026-01-08Eugene Nicholsflagged1980-03-11UHC-77317-26—1911 Palm Dr, Phoenix, AZRule0.99D1 member id + dob exact
CLM-424571CLM2026-02-05Eugene Nicholsflagged1980-03-11UHC-77317-26—1911 Palm Dr, Phoenix, AZScored1.00—
CLM-424570CLM2026-06-16Eugene Nicholsflagged1980-03-11——1911 Palm Dr, Phoenix, AZScored1.00—
TPA-60842TPA2026-09-11Eugene Nicholsflagged1980-03-11UHC-77317-26—1911 Palm Dr, Phoenix, AZScored1.00—
TPA-60843TPA2026-10-16Eugene Nicholsflagged1980-03-11—20442014081911 Palm Dr, Phoenix, AZScored0.93—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424571CLMCLM-424570CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424570CLMTPA-60842TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424569CLMCLM-424571CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424569CLMTPA-60842TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424571CLMTPA-60842TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424569CLMCLM-424570CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424569CLMTPA-60843TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424571CLMTPA-60843TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424570CLMTPA-60843TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60842TPATPA-60843TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424570 → UHC-77317-26 (Eugene Nichols)
    ACT-006116, Claims processor
  • Care coordination outreachProposed
    Eugene Nichols: 3 claims, no attributed provider
    ACT-017964, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb2dce7d288
    scoring_agent, TPA-60843, identity id MBR-002529, confidence 0.93, method probabilistic, matched record CLM-424569, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb610bcc11c
    scoring_agent, TPA-60842, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye63784846e
    scoring_agent, CLM-424570, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424571, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybbb88eb546
    scoring_agent, CLM-424571, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycda2c23714
    matching_agent, CLM-424569, identity id MBR-002529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424571
  • 2026-10-19 19:52:08Record linked automaticallyf2bddd4cad
    scoring_agent, TPA-60843, identity id MBR-002529, confidence 0.93, method probabilistic, matched record CLM-424569, policy version 1
  • 2026-10-19 19:52:08Record linked automatically87081b020b
    scoring_agent, TPA-60842, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyef853c0a0e
    scoring_agent, CLM-424570, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424571, policy version 1
  • 2026-10-19 19:52:08Record linked automatically14035ac876
    scoring_agent, CLM-424571, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:52:08Record linked automatically72ae4ab48d
    matching_agent, CLM-424569, identity id MBR-002529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424571
  • 2026-10-19 19:45:41Record linked automaticallye3a8066f6e
    scoring_agent, TPA-60843, identity id MBR-002529, confidence 0.93, method probabilistic, matched record CLM-424569, policy version 1
  • 2026-10-19 19:45:41Record linked automatically81c79eff63
    scoring_agent, TPA-60842, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:45:41Record linked automatically14ca12830b
    scoring_agent, CLM-424570, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424571, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallye006bf0b94
    scoring_agent, CLM-424571, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyb8444061c2
    matching_agent, CLM-424569, identity id MBR-002529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424571
  • 2026-10-19 19:32:31Record linked automatically63c7d3acbb
    scoring_agent, TPA-60843, identity id MBR-002529, confidence 0.93, method probabilistic, matched record CLM-424569, policy version 1
  • 2026-10-19 19:32:31Record linked automatically74246d86e3
    scoring_agent, TPA-60842, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:32:31Record linked automatically399dc4a1a2
    scoring_agent, CLM-424570, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424571, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybd9b20250c
    scoring_agent, CLM-424571, identity id MBR-002529, confidence 1, method probabilistic, matched record CLM-424570, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3b0f7cc2a9
    matching_agent, CLM-424569, identity id MBR-002529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424571
  • 2026-10-19 19:31:28Record linked automatically4775b72cb2
    scoring_agent, TPA-60842, identity id MBR-026593, confidence 0.94, method probabilistic, matched record ENR-132408, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0a07af0bb3
    scoring_agent, TPA-60843, identity id MBR-021574, confidence 0.99, method probabilistic, matched record CLM-424636, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb413b6dad7
    matching_agent, CLM-424569, identity id MBR-018632, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132342
  • 2026-10-19 19:31:28Record linked automatically4ecca76d95
    matching_agent, CLM-424570, identity id MBR-005678, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424571
  • 2026-10-19 19:31:28Record linked automaticallybea787be94
    matching_agent, CLM-424571, identity id MBR-005678, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424570

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0179622026-05-20Unity Digestive Health Center
in network
70553, 45378$4,722.00—DeniedDenied
CLM-2026-0049802026-01-14Harbor Clinical Laboratories
out of network
80061, 83036$91.00—DeniedDenied
CLM-2026-0001602025-11-27Pinecrest Diagnostic Imaging
in network
74177, 77067$2,724.00—DeniedDenied
CLM-2026-0001592025-11-27Pinecrest Diagnostic Imaging
in network
74177, 77067$2,724.00$689.21ApprovedApproved