Identities/MBR-004093

Gold, golden identity

Ralph Nichols

6 source records from 3 feeds.

MBR-004093Verified6 records

Golden record

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

First nameENR: Ralph
Middle name—: —
Last nameENR: Nichols
Date of birthENR: 1962-06-14
GenderENR: F
Member IDENR: UHC-69144-34
SSNENR: •••-••-2636
PhoneCLM: 4305989682
EmailTPA: ralph.nichols60@outlook.com
AddressENR: 5689 Lincoln Way
CityENR: Chandler
StateENR: AZ
ZIPENR: 85269
GroupENR: GRP-0944
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

ENR ×1CLM ×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

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
ENR-127159	ENR	2026-01-13	Ralph Nicholsflagged	1962-06-14	UHC-69144-34	—	5689 Lincoln Way, Chandler, AZ	Scored	1.00	—
CLM-420649	CLM	2026-04-22	Ralph Nicholsflagged	1962-06-14	UHC-69144-34	—	5689 Lincoln Way, Chandler, AZ	Scored	1.00	—
TPA-59065	TPA	2026-07-16	Ralph Nicholsflagged	1961-06-14	UHC-69144-34	4305989682	5689 Lincoln Way, Chandler, AZ	Rule	0.96	D3 member id + name
TPA-59066	TPA	2026-08-16	Ralph Nicholsflagged	1962-06-14	—	—	5689 Lincoln Way, Chandler, AZ	Scored	1.00	—
CLM-420647	CLM	2026-09-30	Ralph Nicholsflagged	1962-06-14	—	4305989682	5689 Lincoln Way, Chandler, AZ	Scored	1.00	—
CLM-420648	CLM	2026-10-09	Ralph Nicholsflagged	1962-06-14	UHC-69144-34	—	5689 Lincoln Way, Chandler, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-59066TPACLM-420647CLM1.00Scoredweighted 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-59066TPACLM-420648CLM1.00Scoredweighted 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-420647CLMCLM-420648CLM1.00Scoredweighted 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-127159ENRTPA-59066TPA1.00Scoredweighted 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-420649CLMTPA-59066TPA1.00Scoredweighted 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-127159ENRCLM-420648CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420649CLMCLM-420648CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127159ENRCLM-420649CLM0.99RuleD1 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

▶ENR-127159ENRCLM-420647CLM0.97RuleD2 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-420649CLMCLM-420647CLM0.97RuleD2 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

▶TPA-59065TPACLM-420648CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127159ENRTPA-59065TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-420649CLMTPA-59065TPA0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59065TPACLM-420647CLM0.84Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59065TPATPA-59066TPA0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420647 → UHC-69144-34 (Ralph Nichols)
ACT-008414, Claims processor
Care coordination outreachProposed
Ralph Nichols: 3 claims, no attributed provider
ACT-018095, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6c1f73f2e1
scoring_agent, CLM-420648, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:54:38Record linked automatically09014a5283
scoring_agent, CLM-420647, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:54:38Record linked automatically0ddb3ae377
scoring_agent, TPA-59066, identity id MBR-004093, confidence 1, method probabilistic, matched record ENR-127159, policy version 1
2026-10-19 19:54:38Record linked automatically8fae7cdbd2
matching_agent, TPA-59065, identity id MBR-004093, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127159
2026-10-19 19:54:38Record linked automaticallycf7af3f286
scoring_agent, CLM-420649, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:54:38Record linked automatically18b4efdcdb
scoring_agent, ENR-127159, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:52:08Record linked automatically1d07c62baa
scoring_agent, CLM-420648, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:52:08Record linked automaticallyf74f145d79
scoring_agent, CLM-420647, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:52:08Record linked automatically77ea4b002c
scoring_agent, TPA-59066, identity id MBR-004093, confidence 1, method probabilistic, matched record ENR-127159, policy version 1
2026-10-19 19:52:08Record linked automatically5433b0e8aa
matching_agent, TPA-59065, identity id MBR-004093, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127159
2026-10-19 19:52:08Record linked automaticallyf6d4faebad
scoring_agent, CLM-420649, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:52:08Record linked automaticallyd6c429bcbe
scoring_agent, ENR-127159, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:45:42Record linked automatically95f09305e6
scoring_agent, CLM-420648, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:45:42Record linked automatically825b491af3
scoring_agent, CLM-420647, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:45:42Record linked automatically8faa24038b
scoring_agent, TPA-59066, identity id MBR-004093, confidence 1, method probabilistic, matched record ENR-127159, policy version 1
2026-10-19 19:45:42Record linked automaticallyee30e87f56
matching_agent, TPA-59065, identity id MBR-004093, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127159
2026-10-19 19:45:42Record linked automatically12d0b3c3e9
scoring_agent, CLM-420649, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:45:42Record linked automaticallye7d05bd209
scoring_agent, ENR-127159, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:32:31Record linked automatically6820da701a
scoring_agent, CLM-420648, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:32:31Record linked automaticallyf344c0dfdf
scoring_agent, CLM-420647, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:32:31Record linked automaticallyc643ad1620
scoring_agent, TPA-59066, identity id MBR-004093, confidence 1, method probabilistic, matched record ENR-127159, policy version 1
2026-10-19 19:32:31Record linked automaticallyc7170e433b
matching_agent, TPA-59065, identity id MBR-004093, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-127159
2026-10-19 19:32:31Record linked automatically5648c7ea35
scoring_agent, CLM-420649, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:32:31Record linked automaticallyfb13b1f03f
scoring_agent, ENR-127159, identity id MBR-004093, confidence 1, method probabilistic, matched record TPA-59066, policy version 1
2026-10-19 19:31:28Record linked automatically42798cb4e2
scoring_agent, CLM-420647, identity id MBR-030409, confidence 1, method probabilistic, matched record CLM-420648, policy version 1
2026-10-19 19:31:28Record linked automatically5560fc9f2a
scoring_agent, CLM-420648, identity id MBR-030409, confidence 1, method probabilistic, matched record CLM-420647, policy version 1
2026-10-19 19:31:28Record linked automaticallyd0bff1ae72
matching_agent, CLM-420649, identity id MBR-016043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127135
2026-10-19 19:31:28Record linked automatically193b299424
scoring_agent, TPA-59066, identity id MBR-015080, confidence 1, method probabilistic, matched record ENR-127320, policy version 1
2026-10-19 19:31:28Record linked automaticallybfb4a4d798
scoring_agent, TPA-59065, identity id MBR-010094, confidence 1, method probabilistic, matched record CLM-420804, policy version 1
2026-10-19 19:31:28Record linked automatically788fd1c5d0
scoring_agent, ENR-127159, identity id MBR-008399, confidence 1, method probabilistic, matched record CLM-420674, 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-2026-014482	2026-09-20	Mesa Family Practice in network	99214	$308.00	$170.96	Approved	Approved
CLM-2026-026787	2026-09-18	Canyon Clinical Laboratories in network	85025, 80053	$96.00	$0.00	Approved	Approved
CLM-2026-034465	2026-04-05	Lakeside Regional Medical Center in network	99285	$2,726.00	$1,149.30	Approved	Approved