Identities/MBR-005702

Gold, golden identity

Nicholas B West

5 source records from 3 feeds.

MBR-005702Verified5 records

Golden record

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

First nameCLM: Nicholas
Middle namePRV: B
Last namePRV: West
Date of birthPRV: 1984-01-12
GenderPRV: F
Member IDPRV: UHC-15259-45
SSN—: —
PhonePRV: 2395018715
EmailPRV: nicholas.west@proton.me
AddressPRV: 5521 Grand Ave
CityPRV: Fresno
StatePRV: CA
ZIPPRV: 93776
GroupTPA: GRP-9386
PlanCLM: OPTIONS-PPO

Min confidence

1.00

Sources

PRV ×2TPA ×2CLM ×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
PRV-28164	PRV	2026-01-19	Nick Westflagged	1984-01-12	UHC-15259-45	2395018715	5521 Grand Ave, Fresno, CA	Scored	1.00	—
TPA-62296	TPA	2026-02-15	Nicholas Westflagged	1984-01-12	—	2395018715	5521 Grand Ave, Fresno, CA	Scored	1.00	—
TPA-62295	TPA	2026-02-15	Nicholas Westflagged	1984-01-12	—	2395018715	5521 Grand Ave, Fresno, CA	Scored	1.00	—
CLM-427857	CLM	2026-05-05	Nicholas Westflagged	1984-01-12	UHC-15259-45	—	5521 Grand Ave, Fresno, CA	Scored	1.00	—
PRV-28165	PRV	2026-07-24	Nichoals Westflagged	1984-01-12	UHC-15259-45	2395018715	5521 Grand Ave, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-62296TPACLM-427857CLM1.00Scoredweighted 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-62295TPACLM-427857CLM1.00Scoredweighted 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

▶PRV-28164PRVTPA-62295TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62296TPATPA-62295TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-28164PRVTPA-62296TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-62296TPAPRV-28165PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-62295TPAPRV-28165PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28164PRVCLM-427857CLM0.99RuleD1 member id + dob exactAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-28164PRVPRV-28165PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427857CLMPRV-28165PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Nicholas West: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-000280, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd001c74dd3
scoring_agent, PRV-28165, identity id MBR-005702, confidence 1.00, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:54:38Record linked automatically14a13e752a
scoring_agent, CLM-427857, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:54:38Record linked automaticallyafddc743c2
scoring_agent, TPA-62295, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:54:38Record linked automatically1909eb1072
scoring_agent, TPA-62296, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:54:38Record linked automatically60baa033a2
scoring_agent, PRV-28164, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:52:08Record linked automatically2f15458197
scoring_agent, PRV-28165, identity id MBR-005702, confidence 1.00, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:52:08Record linked automatically7f693dd89d
scoring_agent, CLM-427857, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:52:08Record linked automatically1eb99811e1
scoring_agent, TPA-62295, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:52:08Record linked automaticallyadaac3fb65
scoring_agent, TPA-62296, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:52:08Record linked automatically9d6fb360dc
scoring_agent, PRV-28164, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:45:42Record linked automatically4e6ce9d66a
scoring_agent, PRV-28165, identity id MBR-005702, confidence 1.00, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:45:42Record linked automatically8a2af44423
scoring_agent, CLM-427857, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:45:42Record linked automatically03439d7088
scoring_agent, TPA-62295, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:45:42Record linked automaticallyda03bb3320
scoring_agent, TPA-62296, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:45:42Record linked automatically67bcd25fea
scoring_agent, PRV-28164, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:32:31Record linked automatically01cd4780a4
scoring_agent, PRV-28165, identity id MBR-005702, confidence 1.00, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:32:31Record linked automatically06fed73aad
scoring_agent, CLM-427857, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:32:31Record linked automatically2f41e873e6
scoring_agent, TPA-62295, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:32:31Record linked automatically5dbeb70b86
scoring_agent, TPA-62296, identity id MBR-005702, confidence 1, method probabilistic, matched record PRV-28164, policy version 1
2026-10-19 19:32:31Record linked automatically98f3d05b3a
scoring_agent, PRV-28164, identity id MBR-005702, confidence 1, method probabilistic, matched record TPA-62296, policy version 1
2026-10-19 19:31:28Record linked automaticallyde2a94d0f2
scoring_agent, PRV-28164, identity id MBR-026186, confidence 0.98, method probabilistic, matched record ENR-136806, policy version 1
2026-10-19 19:31:28Record linked automatically5ae6f6a70b
matching_agent, PRV-28165, identity id MBR-016847, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136810
2026-10-19 19:31:28Record linked automaticallye569f1ef96
scoring_agent, TPA-62295, identity id MBR-012500, confidence 0.99, method probabilistic, matched record CLM-427979, policy version 1
2026-10-19 19:31:28Record linked automatically7a10bfc6e1
matching_agent, CLM-427857, identity id MBR-003476, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427856

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-014735	2026-03-22	Cornerstone Diabetes Center in network	99214, 95251	$439.00	$197.18	Approved	Approved