Doris Nunez

4 source records from 2 feeds.

MBR-006293Verified4 records

Golden record

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

First nameENR: Doris
Middle name—: —
Last nameENR: Nunez
Date of birthENR: 1959-06-20
GenderENR: M
Member IDENR: UHC-49736-25
SSNENR: •••-••-4596
PhoneCLM: 2366092402
Email—: —
AddressENR: 4509 Jefferson Ave
CityENR: Miami
StateENR: FL
ZIPENR: 33147
GroupENR: GRP-7033
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-432011	CLM	2026-01-21	Doris Nunezflagged	1959-06-20	UHC-49736-25	—	4509 Jefferson Ave, Miami, FL	Scored	1.00	—
CLM-432012	CLM	2026-02-12	Doris Nunezflagged	1959-06-20	—	—	4509 Jefferson Ave, Miami, FL	Scored	1.00	—
CLM-432013	CLM	2026-07-08	Doris Nunezflagged	1959-06-20	—	2366092402	4509 Jefferson Ave, Miami, FL	Scored	1.00	—
ENR-142011	ENR	2026-09-29	Doris Nunezflagged	1959-06-20	UHC-49736-25	—	4509 Jefferson Ave, Miami, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-432011CLMCLM-432012CLM1.00Scoredweighted 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-432012CLMCLM-432013CLM1.00Scoredweighted 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-432012CLMENR-142011ENR 1.00Scoredweighted 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-432011CLMENR-142011ENR 0.99RuleD1 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-432011CLMCLM-432013CLM0.97RuleD2 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-432013CLMENR-142011ENR 0.97RuleD2 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-432012 → UHC-49736-25 (Doris Nunez)
ACT-006232, Claims processor
Orphan claim re-pointedExecuted
CLM-432013 → UHC-49736-25 (Doris Nunez)
ACT-010366, Claims processor
Care coordination outreachProposed
Doris Nunez: 3 claims, no attributed provider
ACT-018270, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically22fbeecdb3
scoring_agent, ENR-142011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-22 12:43:53Record linked automaticallyd109cc66ac
scoring_agent, CLM-432013, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-22 12:43:53Record linked automatically200f563988
scoring_agent, CLM-432012, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432011, policy version 1
2026-10-22 12:43:53Record linked automaticallyb0f2496775
scoring_agent, CLM-432011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:54:38Record linked automaticallybbfad84c7c
scoring_agent, ENR-142011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:54:38Record linked automatically05f7d40924
scoring_agent, CLM-432013, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:54:38Record linked automatically51887d9eec
scoring_agent, CLM-432012, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432011, policy version 1
2026-10-19 19:54:38Record linked automatically12975718cb
scoring_agent, CLM-432011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:52:09Record linked automatically9941ca66ad
scoring_agent, ENR-142011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:52:09Record linked automatically5b04b9d937
scoring_agent, CLM-432013, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:52:09Record linked automaticallyf543359c93
scoring_agent, CLM-432012, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432011, policy version 1
2026-10-19 19:52:09Record linked automaticallycededa5aef
scoring_agent, CLM-432011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:45:42Record linked automatically4538ec1dda
scoring_agent, ENR-142011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:45:42Record linked automatically606b2f3537
scoring_agent, CLM-432013, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8ef1db389
scoring_agent, CLM-432012, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432011, policy version 1
2026-10-19 19:45:42Record linked automatically80a01d2241
scoring_agent, CLM-432011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:32:31Record linked automatically5d5c075b57
scoring_agent, ENR-142011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:32:31Record linked automatically96fad2f17d
scoring_agent, CLM-432013, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:32:31Record linked automaticallyd012ebe531
scoring_agent, CLM-432012, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432011, policy version 1
2026-10-19 19:32:31Record linked automatically372afaac8a
scoring_agent, CLM-432011, identity id MBR-006293, confidence 1, method probabilistic, matched record CLM-432012, policy version 1
2026-10-19 19:31:28Record linked automatically13b2f5a2b2
matching_agent, ENR-142011, identity id MBR-041256, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431826
2026-10-19 19:31:28Record linked automatically573e138f21
scoring_agent, CLM-432013, identity id MBR-025349, confidence 1, method probabilistic, matched record PRV-29335, policy version 1
2026-10-19 19:31:28Record linked automaticallyc0b4e0ffac
matching_agent, CLM-432011, identity id MBR-025349, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432013

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-2026-034329	2026-05-24	Mesa Physical Therapy in network	70553	$8,973.00	—	Needs review	Needs review
CLM-2026-018405	2026-02-04	Evergreen Counseling Center in network	90837, 90834	$437.00	$210.94	Approved	Approved
CLM-2026-015792	2026-01-11	Summit Cardiovascular Associates in network	93015	$664.00	$0.00	Approved	Approved