Identities/MBR-003217

Gold, golden identity

Nicole Gonzalez

6 source records from 3 feeds.

MBR-003217Verified6 records

Golden record

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

First nameENR: Nicole
Middle name—: —
Last nameENR: Gonzalez
Date of birthENR: 1959-04-24
GenderENR: F
Member IDENR: UHC-37073-66
SSNENR: •••-••-9025
PhoneENR: 7756832545
EmailENR: nicole.gonzalez@outlook.com
AddressCLM: 1921 Union St
CityCLM: Las Vegas
StateCLM: NV
ZIPCLM: 89106
GroupENR: GRP-5866
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×4TPA ×1ENR ×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-424095	CLM	2026-01-11	Nicole Gonzalezflagged	1959-04-24	—	—	1921 Union St, Las Vegas, NV	Scored	1.00	—
TPA-60614	TPA	2026-05-02	Nicole Gonzalezflagged	1959-04-24	—	—	1921 Union St, Las Vegas, NV	Scored	1.00	—
CLM-424094	CLM	2026-06-23	Nicole Gonzalezflagged	1959-04-24	UHC-37073-66	—	1921 Union St, Las Vegas, NV	Scored	1.00	—
CLM-424096	CLM	2026-07-09	Nicole Gonzalezflagged	1959-04-24	UHC-37073-66	7756832545	1921 Union St, Las Vegas, NV	Scored	1.00	—
ENR-131502	ENR	2026-07-28	Nicole Gonzalezflagged	1959-04-24	UHC-37073-66	7756832545	—	Scored	1.00	—
CLM-424093	CLM	2026-10-09	Nicole Gonzalezflagged	1959-04-24	—	7756832545	1921 Union St, Las Vegas, NV	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-424095CLMCLM-424093CLM1.00Scoredweighted 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

▶TPA-60614TPACLM-424093CLM1.00Scoredweighted 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-424095CLMCLM-424094CLM1.00Scoredweighted 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

▶TPA-60614TPACLM-424094CLM1.00Scoredweighted 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-424095CLMCLM-424096CLM1.00Scoredweighted 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

▶TPA-60614TPACLM-424096CLM1.00Scoredweighted 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

▶TPA-60614TPAENR-131502ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-424095CLMTPA-60614TPA1.00Scoredweighted 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-424094CLMCLM-424096CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-424094CLMENR-131502ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424096CLMENR-131502ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-424094CLMCLM-424093CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424096CLMCLM-424093CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-131502ENRCLM-424093CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424095CLMENR-131502ENR0.83Scoredweighted 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

Eligibility conflict resolvedProposed
Nicole Gonzalez: 2 plan codes across sources → canonical MEDICARE-ADV-A
ACT-000161, Eligibility engine
Orphan claim re-pointedExecuted
CLM-424093 → UHC-37073-66 (Nicole Gonzalez)
ACT-003531, Claims processor
Orphan claim re-pointedExecuted
CLM-424095 → UHC-37073-66 (Nicole Gonzalez)
ACT-009886, Claims processor
Care coordination outreachProposed
Nicole Gonzalez: 4 claims, no attributed provider
ACT-018013, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3594d46039
scoring_agent, CLM-424093, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:54:38Record linked automatically95c294cf1a
scoring_agent, ENR-131502, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:54:38Record linked automaticallye23cf869ab
scoring_agent, CLM-424096, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:54:38Record linked automaticallyed8274a005
scoring_agent, CLM-424094, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:54:38Record linked automatically6c9a8ed32b
scoring_agent, TPA-60614, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:54:38Record linked automaticallycadfcf167a
scoring_agent, CLM-424095, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:52:08Record linked automatically57ecc047b7
scoring_agent, CLM-424093, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:52:08Record linked automatically464751fc3a
scoring_agent, ENR-131502, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:52:08Record linked automaticallya6bddb44d1
scoring_agent, CLM-424096, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:52:08Record linked automatically744df22594
scoring_agent, CLM-424094, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:52:08Record linked automatically75a43ac7ae
scoring_agent, TPA-60614, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:52:08Record linked automatically0e4a059d1f
scoring_agent, CLM-424095, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:45:41Record linked automatically9c43f4befe
scoring_agent, CLM-424093, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:45:41Record linked automatically4295f934fb
scoring_agent, ENR-131502, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:45:41Record linked automatically32c3839d60
scoring_agent, CLM-424096, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:45:41Record linked automatically3b2a7def09
scoring_agent, CLM-424094, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:45:41Record linked automaticallyc4422d8243
scoring_agent, TPA-60614, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:45:41Record linked automaticallyc2a1b0a95e
scoring_agent, CLM-424095, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:32:31Record linked automatically30b4abec90
scoring_agent, CLM-424093, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:32:31Record linked automaticallye4cf5b6a11
scoring_agent, ENR-131502, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:32:31Record linked automatically25301137fd
scoring_agent, CLM-424096, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:32:31Record linked automatically73653ef17d
scoring_agent, CLM-424094, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:32:31Record linked automaticallyd4c6c4d677
scoring_agent, TPA-60614, identity id MBR-003217, confidence 1, method probabilistic, matched record CLM-424095, policy version 1
2026-10-19 19:32:31Record linked automatically0dce9ac970
scoring_agent, CLM-424095, identity id MBR-003217, confidence 1, method probabilistic, matched record TPA-60614, policy version 1
2026-10-19 19:31:28Record linked automatically9f1cc9a030
scoring_agent, CLM-424093, identity id MBR-037079, confidence 0.99, method probabilistic, matched record ENR-131692, policy version 1
2026-10-19 19:31:28Record linked automatically24724ebd52
matching_agent, CLM-424094, identity id MBR-033455, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-131695
2026-10-19 19:31:28Record linked automatically6bbe153e29
scoring_agent, CLM-424095, identity id MBR-010356, confidence 1, method probabilistic, matched record CLM-424096, policy version 1
2026-10-19 19:31:28Record linked automatically664abfeb0c
scoring_agent, CLM-424096, identity id MBR-010356, confidence 1, method probabilistic, matched record CLM-424095, 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-2026-008300	2026-09-10	Lakeside Skin Care Associates in network	70553	$1,932.00	—	Needs review	Needs review
CLM-2026-015273	2026-06-07	Sunrise Bone and Joint Center in network	20610, 99213	$425.00	$213.50	Approved	Approved
CLM-2026-010736	2026-05-26	Sunrise Digestive Health Center out of network	45378	$2,367.00	$640.78	Approved	Approved
CLM-2026-032577	2026-01-01	Lakeside Behavioral Health out of network	99214	$290.00	—	Denied	Denied
CLM-2026-032576	2026-01-01	Lakeside Behavioral Health out of network	99214	$290.00	$80.50	Approved	Approved