Identities/MBR-005921
Gold, golden identity

Nicole Gonzales

4 source records from 2 feeds.

MBR-005921Verified4 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
Gonzales
Date of birthENR
1941-02-13
GenderENR
M
Member IDENR
UHC-80545-64
SSNENR
•••-••-8574
PhoneCLM
8182614739
EmailCLM
nicole.gonzales68@yahoo.com
AddressENR
4175 Forest Ave
CityENR
Orlando
StateENR
FL
ZIPENR
32880
GroupENR
GRP-5424
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.990.99CLMCLM-431363CLMCLM-431362ENRENR-141183CLMCLM-431364IDMBR-005921
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-431363CLM2026-01-19Nicole Gonzalesflagged1941-02-13UHC-80545-6481826147394175 Forest Ave, Orlando, FLRule0.99D1 member id + dob exact
CLM-431362CLM2026-03-23Nicole Gonzalesflagged1941-02-13UHC-80545-64—4175 Forest Ave # 860, Orlando, FLRule0.99D1 member id + dob exact
ENR-141183ENR2026-04-11Nicole Gonzalesflagged1941-02-13UHC-80545-64—4175 Forest Ave, Orlando, FLRule0.99D1 member id + dob exact
CLM-431364CLM2026-04-13Nicole Gonzalesflagged1941-02-13UHC-80545-648182614739—Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431363CLMCLM-431362CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431363CLMCLM-431364CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431362CLMCLM-431364CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141183 ENRCLM-431364CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-431363CLMENR-141183 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431362CLMENR-141183 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Nicole Gonzales: 3 claims, no attributed provider
    ACT-018242, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1f571fdd32
    matching_agent, CLM-431364, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:54:38Record linked automatically930c6752c5
    matching_agent, ENR-141183, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:54:38Record linked automatically2f547197e1
    matching_agent, CLM-431362, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:54:38Record linked automaticallyc65309c5d6
    matching_agent, CLM-431363, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431362
  • 2026-10-19 19:52:08Record linked automatically6c7e148a65
    matching_agent, CLM-431364, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:52:08Record linked automatically17ea75bdf8
    matching_agent, ENR-141183, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:52:08Record linked automatically17ed13592d
    matching_agent, CLM-431362, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:52:08Record linked automatically29c36b3d09
    matching_agent, CLM-431363, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431362
  • 2026-10-19 19:45:42Record linked automatically1993602bc0
    matching_agent, CLM-431364, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:45:42Record linked automatically6ba91ca880
    matching_agent, ENR-141183, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:45:42Record linked automaticallyd514ee6650
    matching_agent, CLM-431362, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:45:42Record linked automaticallyb135d9a394
    matching_agent, CLM-431363, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431362
  • 2026-10-19 19:32:31Record linked automatically08407de135
    matching_agent, CLM-431364, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:32:31Record linked automatically18d9c25c62
    matching_agent, ENR-141183, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:32:31Record linked automatically2fd29178c2
    matching_agent, CLM-431362, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431363
  • 2026-10-19 19:32:31Record linked automatically843469f19a
    matching_agent, CLM-431363, identity id MBR-005921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431362
  • 2026-10-19 19:31:28Record linked automaticallyf3dbe3bc6b
    scoring_agent, CLM-431362, identity id MBR-036834, confidence 1, method probabilistic, matched record TPA-63751, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8c822fa523
    matching_agent, ENR-141183, identity id MBR-010223, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431222

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0281572026-03-25Heritage Orthopedic Specialists
in network
29881$10,502.00—DeniedDenied
CLM-2026-0187342026-02-09Mesa Internal Medicine Associates
out of network
99232$242.00$0.00ApprovedApproved
CLM-2026-0000722026-01-01Summit Clinical Laboratories
in network
85025, 80053$115.00—Needs reviewNeeds review
CLM-2026-0000712026-01-01Canyon Clinical Laboratories
in network
85025, 80053$115.00$0.00ApprovedApproved