Gold, golden identity
Wayne Nelson
3 source records from 2 feeds.
MBR-003211Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Wayne
- Middle name—
- —
- Last nameENR
- Nelson
- Date of birthENR
- 2003-08-18
- GenderCLM
- M
- Member IDENR
- UHC-16289-79
- SSNENR
- •••-••-5402
- PhoneENR
- 6403276604
- EmailENR
- wayne.nelson38@aol.com
- AddressENR
- 4213 Spring St
- CityENR
- Charlotte
- StateENR
- NC
- ZIPENR
- 28293
- GroupENR
- GRP-5501
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-423597 | CLM | 2026-01-11 | Wayne Nelsonflagged | 2003-08-18 | — | 6403276604 | 4213 Spring St, Charlotte, NC | Rule | 0.97 | D2 ssn4 + dob + last name |
| CLM-423596 | CLM | 2026-07-05 | Wayne Nelsonflagged | 2003-08-18 | UHC-16289-79 | — | 4213 Spring St, Charlotte, NC | Rule | 0.99 | D1 member id + dob exact |
| ENR-130871 | ENR | 2026-08-20 | Wayne Nelsonflagged | 2003-08-18 | UHC-16289-79 | 6403276604 | 4213 Spring St, Charlotte, NC | Rule | 0.99 | D1 member id + dob exact |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-423596CLMENR-130871ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-423597CLMENR-130871ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-423597CLMCLM-423596CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-423597 → UHC-16289-79 (Wayne Nelson)ACT-008285, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automaticallyf9064d33cbmatching_agent, ENR-130871, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423596
- 2026-10-22 12:43:53Record linked automatically759b27b581matching_agent, CLM-423596, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130871
- 2026-10-22 12:43:53Record linked automatically765f1f9709matching_agent, CLM-423597, identity id MBR-003211, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130871
- 2026-10-19 19:54:38Record linked automatically02eafcadb0matching_agent, ENR-130871, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423596
- 2026-10-19 19:54:38Record linked automatically03dcc5f4eematching_agent, CLM-423596, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130871
- 2026-10-19 19:54:38Record linked automaticallye9d814ffbbmatching_agent, CLM-423597, identity id MBR-003211, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130871
- 2026-10-19 19:52:08Record linked automatically6fa2a485d6matching_agent, ENR-130871, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423596
- 2026-10-19 19:52:08Record linked automaticallyddf5d5d980matching_agent, CLM-423596, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130871
- 2026-10-19 19:52:08Record linked automatically41ef7be453matching_agent, CLM-423597, identity id MBR-003211, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130871
- 2026-10-19 19:45:41Record linked automatically907efde010matching_agent, ENR-130871, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423596
- 2026-10-19 19:45:41Record linked automatically08cc8942f0matching_agent, CLM-423596, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130871
- 2026-10-19 19:45:41Record linked automaticallyc4b4975b90matching_agent, CLM-423597, identity id MBR-003211, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130871
- 2026-10-19 19:32:31Record linked automaticallyf84919354dmatching_agent, ENR-130871, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423596
- 2026-10-19 19:32:31Record linked automaticallyf15f670937matching_agent, CLM-423596, identity id MBR-003211, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130871
- 2026-10-19 19:32:31Record linked automatically302d312227matching_agent, CLM-423597, identity id MBR-003211, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-130871
- 2026-10-19 19:31:28Record linked automaticallycdaf0e7830matching_agent, CLM-423597, identity id MBR-004966, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-131073
- 2026-10-19 19:31:28Record linked automatically85e58ada73matching_agent, CLM-423596, identity id MBR-003008, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423595
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-2026-020241 | 2026-05-29 | Northgate Imaging Center out of network | 76700 | $375.00 | $0.00 | Approved | Approved |
| CLM-2026-026300 | 2025-12-12 | Valley Community Hospital out of network | 99283 | $955.00 | $279.75 | Approved | Approved |