Identities/MBR-006469
Gold, golden identity

Nicole W Hamilton

4 source records from 2 feeds.

MBR-006469Verified4 records

Golden record

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

First nameENR
Nicole
Middle nameENR
W
Last nameENR
Hamilton
Date of birthENR
1968-10-20
GenderCLM
M
Member IDCLM
UHC-21000-52
SSNENR
•••-••-1240
PhoneENR
5835148608
EmailENR
nicole.hamilton83@hotmail.com
AddressENR
7488 Willow Ct
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85271
GroupENR
GRP-2499
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
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

0.990.971.001.00CLMCLM-400664CLMCLM-400663ENRENR-100902CLMCLM-400665IDMBR-006469
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-400664CLM2026-01-21Nicole Hamiltonflagged1968-10-20UHC-21000-52——Rule0.99D1 member id + dob exact
CLM-400663CLM2026-06-04Nicole Hamiltonflagged1968-10-20———Rule0.97D2 ssn4 + dob + last name
ENR-100902ENR2026-07-22Nicole Hamiltonflagged1968-10-20—58351486087488 Willow Ct, Scottsdale, AZScored1.00—
CLM-400665CLM2026-09-02Nicole Hamiltonflagged1968-10-20UHC-21000-5258351486087488 Willow Ct, Scottsdale, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-100902ENR CLM-400665CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400664CLMCLM-400665CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400664CLMCLM-400663CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400664CLMENR-100902ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400663CLMENR-100902ENR 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-400663CLMCLM-400665CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400663 → UHC-21000-52 (Nicole Hamilton)
    ACT-005390, Claims processor
  • Care coordination outreachProposed
    Nicole Hamilton: 3 claims, no attributed provider
    ACT-018284, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically0ccf73db45
    scoring_agent, CLM-400665, identity id MBR-006469, confidence 1, method probabilistic, matched record ENR-100902, policy version 1
  • 2026-10-22 12:43:53Record linked automatically03195ad320
    scoring_agent, ENR-100902, identity id MBR-006469, confidence 1, method probabilistic, matched record CLM-400665, policy version 1
  • 2026-10-22 12:43:53Record linked automatically209db04fc4
    matching_agent, CLM-400663, identity id MBR-006469, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400664
  • 2026-10-22 12:43:53Record linked automaticallyeb95ff7751
    matching_agent, CLM-400664, identity id MBR-006469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400665
  • 2026-10-19 19:54:38Record linked automatically3559e928d7
    scoring_agent, CLM-400665, identity id MBR-006469, confidence 1, method probabilistic, matched record ENR-100902, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5991bff553
    scoring_agent, ENR-100902, identity id MBR-006469, confidence 1, method probabilistic, matched record CLM-400665, policy version 1
  • 2026-10-19 19:54:38Record linked automatically515870295a
    matching_agent, CLM-400663, identity id MBR-006469, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400664
  • 2026-10-19 19:54:38Record linked automatically4db5706a19
    matching_agent, CLM-400664, identity id MBR-006469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400665
  • 2026-10-19 19:52:09Record linked automaticallyee3a8aad35
    scoring_agent, CLM-400665, identity id MBR-006469, confidence 1, method probabilistic, matched record ENR-100902, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9dcbdd9087
    scoring_agent, ENR-100902, identity id MBR-006469, confidence 1, method probabilistic, matched record CLM-400665, policy version 1
  • 2026-10-19 19:52:09Record linked automatically88759cc52e
    matching_agent, CLM-400663, identity id MBR-006469, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400664
  • 2026-10-19 19:52:09Record linked automatically08bddea371
    matching_agent, CLM-400664, identity id MBR-006469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400665
  • 2026-10-19 19:45:42Record linked automatically8a1a17ee57
    scoring_agent, CLM-400665, identity id MBR-006469, confidence 1, method probabilistic, matched record ENR-100902, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeb18bae782
    scoring_agent, ENR-100902, identity id MBR-006469, confidence 1, method probabilistic, matched record CLM-400665, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaee6bb9375
    matching_agent, CLM-400663, identity id MBR-006469, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400664
  • 2026-10-19 19:45:42Record linked automaticallya94b85f8ce
    matching_agent, CLM-400664, identity id MBR-006469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400665
  • 2026-10-19 19:32:31Record linked automatically6e5ae27636
    scoring_agent, CLM-400665, identity id MBR-006469, confidence 1, method probabilistic, matched record ENR-100902, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb63c0ecaf8
    scoring_agent, ENR-100902, identity id MBR-006469, confidence 1, method probabilistic, matched record CLM-400665, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2fd2d7e1d7
    matching_agent, CLM-400663, identity id MBR-006469, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400664
  • 2026-10-19 19:32:31Record linked automaticallyf85ec773e5
    matching_agent, CLM-400664, identity id MBR-006469, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400665
  • 2026-10-19 19:31:28Record linked automatically139416585b
    matching_agent, ENR-100902, identity id MBR-023786, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400627
  • 2026-10-19 19:31:28Record linked automatically2289ad81f7
    matching_agent, CLM-400664, identity id MBR-007769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100936
  • 2026-10-19 19:31:28Record linked automatically6c6fa77f9b
    matching_agent, CLM-400665, identity id MBR-007769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100936
  • 2026-10-19 19:31:28Record linked automaticallyd3ca7dd85a
    scoring_agent, CLM-400663, identity id MBR-000300, confidence 1, method probabilistic, matched record ENR-100935, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0225222026-07-26Riverside Medical Group
in network
99395, 36415$273.00—DeniedDenied
CLM-2026-0153852026-05-13Desert Primary Care Associates
in network
99395$291.00—DeniedDenied
CLM-2026-0144472025-12-10Unity Family Practice
in network
36415$25.00$0.00ApprovedApproved