Identities/MBR-003675

Gold, golden identity

Nancy S Delgado

4 source records from 2 feeds.

MBR-003675Verified4 records

Golden record

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

First nameCLM: Nancy
Middle nameTPA: S
Last nameCLM: Delgado
Date of birthCLM: 1969-01-08
GenderCLM: F
Member IDCLM: UHC-59285-16
SSNCLM: •••-••-1798
Phone—: —
EmailCLM: nancy.delgado29@icloud.com
AddressCLM: 6958 Park Pl
CityCLM: Orlando
StateCLM: FL
ZIPCLM: 32816
GroupCLM: GRP-3079
PlanCLM: MEDICARE-ADV-A

Min confidence

0.92

Sources

CLM ×3TPA ×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-401261	CLM	2026-01-12	Nancy Delgadoflagged	1969-01-08	UHC-59285-16	—	6958 Park Pl, Orlando, FL	Scored	1.00	—
TPA-50542	TPA	2026-04-19	Nanccy Delgadoflagged	1969-01-08	—	—	6958 Park Pl, Orlando, FL	Scored	0.92	—
CLM-401260	CLM	2026-05-15	Nancy Delgadoflagged	1969-01-08	—	—	6958 Park Pl, Orlando, FL	Scored	1.00	—
CLM-401259	CLM	2026-08-20	Nancy Delgadoflagged	1969-01-08	—	—	6958 Park Pl, Orlando, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-401261CLMCLM-401259CLM1.00Scoredweighted 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-401260CLMCLM-401259CLM1.00Scoredweighted 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-401261CLMCLM-401260CLM1.00Scoredweighted 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-50542TPACLM-401259CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-50542TPACLM-401260CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-401261CLMTPA-50542TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401259 → UHC-59285-16 (Nancy Delgado)
ACT-002707, Claims processor
Orphan claim re-pointedExecuted
CLM-401260 → UHC-59285-16 (Nancy Delgado)
ACT-008928, Claims processor
Care coordination outreachProposed
Nancy Delgado: 3 claims, no attributed provider
ACT-018047, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd5b0bb4ddf
scoring_agent, CLM-401259, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:54:38Record linked automaticallybc6f5a6808
scoring_agent, CLM-401260, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa0978b7a4
scoring_agent, TPA-50542, identity id MBR-003675, confidence 0.92, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:54:38Record linked automaticallye4d19223ae
scoring_agent, CLM-401261, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401260, policy version 1
2026-10-19 19:52:08Record linked automatically47c666304c
scoring_agent, CLM-401259, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:52:08Record linked automatically712fb112bd
scoring_agent, CLM-401260, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:52:08Record linked automaticallyf0eaccce44
scoring_agent, TPA-50542, identity id MBR-003675, confidence 0.92, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:52:08Record linked automaticallyf37d37f794
scoring_agent, CLM-401261, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401260, policy version 1
2026-10-19 19:45:42Record linked automaticallyccae729ac2
scoring_agent, CLM-401259, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:45:42Record linked automatically1b4f2e7c00
scoring_agent, CLM-401260, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:45:42Record linked automaticallyb73123b84e
scoring_agent, TPA-50542, identity id MBR-003675, confidence 0.92, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:45:42Record linked automaticallyf272c65e6f
scoring_agent, CLM-401261, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401260, policy version 1
2026-10-19 19:32:31Record linked automatically3543df8fc1
scoring_agent, CLM-401259, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:32:31Record linked automatically7f05b435f4
scoring_agent, CLM-401260, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:32:31Record linked automaticallyb52eaa105c
scoring_agent, TPA-50542, identity id MBR-003675, confidence 0.92, method probabilistic, matched record CLM-401261, policy version 1
2026-10-19 19:32:31Record linked automatically929b3880c7
scoring_agent, CLM-401261, identity id MBR-003675, confidence 1, method probabilistic, matched record CLM-401260, policy version 1
2026-10-19 19:31:28Record linked automatically86d4e97f77
scoring_agent, CLM-401260, identity id MBR-029023, confidence 1, method probabilistic, matched record TPA-50539, policy version 1
2026-10-19 19:31:28Record linked automatically857cdde9aa
scoring_agent, CLM-401259, identity id MBR-015270, confidence 0.99, method probabilistic, matched record TPA-50538, policy version 1
2026-10-19 19:31:28Record linked automatically0bd4022fbd
scoring_agent, TPA-50542, identity id MBR-013410, confidence 1, method probabilistic, matched record TPA-50544, policy version 1
2026-10-19 19:31:28Record linked automatically60bf8577be
matching_agent, CLM-401261, identity id MBR-005477, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101718

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-2026-005168	2026-07-10	Riverside Family Practice in network	99395, 99214	$613.00	$360.06	Approved	Approved
CLM-2026-028722	2026-04-25	Desert Reference Lab out of network	87086, 80061	$105.00	$0.00	Approved	Approved
CLM-2026-020893	2025-12-20	Sunrise Imaging Center in network	77067, 71046	$546.00	$166.94	Approved	Approved