Gold, golden identity
Nathan R Shaw
6 source records from 3 feeds.
MBR-007486Verified6 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Nathan
- Middle nameCLM
- R
- Last nameENR
- Shaw
- Date of birthENR
- 2003-08-10
- GenderENR
- M
- Member IDENR
- UHC-44338-93
- SSNENR
- •••-••-0816
- PhoneENR
- 3854216165
- EmailCLM
- nathan.shaw53@hotmail.com
- AddressENR
- 9411 Willow Ct
- CityENR
- Miami
- StateENR
- FL
- ZIPENR
- 33164
- GroupENR
- GRP-8311
- PlanENR
- NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×4ENR ×1TPA ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-431458 | CLM | 2026-01-25 | Nathan Shawflagged | 2003-08-10 | UHC-44338-93 | — | 9411 Willow Ct, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| CLM-431455 | CLM | 2026-04-01 | Nathan Shawflagged | 2003-08-10 | UHC-44338-93 | 3854216165 | 9411 Willow Ct, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| CLM-431456 | CLM | 2026-05-21 | Shaw Nathanflagged | 2003-08-10 | UHC-44338-93 | 3854216165 | 9411 Willow Ct, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| ENR-141299 | ENR | 2026-08-12 | Nathan Shawflagged | 2003-08-10 | UHC-44338-93 | 3854216165 | 9411 Willow Ct, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| CLM-431457 | CLM | 2026-09-12 | Nathan Shawflagged | 2003-08-10 | UHC-44338-93 | — | 9411 Willow Ct, Miami, FL | Scored | 1.00 | — |
| TPA-63889 | TPA | 2026-09-16 | Nathan Shawflagged | 2003-08-10 | — | — | 9411 Willow Ct, Miami, FL | Scored | 1.00 | — |
Evidence
14 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-431457CLMTPA-63889TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431458CLMCLM-431455CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431458CLMCLM-431456CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431455CLM CLM-431456CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431458CLMCLM-431457CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431455CLM CLM-431457CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431456CLMCLM-431457CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-141299ENR CLM-431457CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431458CLMENR-141299ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431455CLM ENR-141299ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431456CLMENR-141299ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431458CLMTPA-63889TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-431455CLM TPA-63889TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-141299ENR TPA-63889TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Care coordination outreachProposedNathan Shaw: 4 claims, no attributed providerACT-018365, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallydfa9a7238bscoring_agent, TPA-63889, identity id MBR-007486, confidence 1, method probabilistic, matched record CLM-431457, policy version 1
- 2026-10-19 19:54:38Record linked automaticallybaf0d30fd7scoring_agent, CLM-431457, identity id MBR-007486, confidence 1, method probabilistic, matched record TPA-63889, policy version 1
- 2026-10-19 19:54:38Record linked automatically5138e6f8dcmatching_agent, ENR-141299, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:54:38Record linked automaticallyc4b4e7e31cmatching_agent, CLM-431456, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:54:38Record linked automaticallyc4adf1a3a3matching_agent, CLM-431455, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:54:38Record linked automatically803665cedcmatching_agent, CLM-431458, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431455
- 2026-10-19 19:52:09Record linked automatically85429d5bffscoring_agent, TPA-63889, identity id MBR-007486, confidence 1, method probabilistic, matched record CLM-431457, policy version 1
- 2026-10-19 19:52:09Record linked automaticallye246f5a0a9scoring_agent, CLM-431457, identity id MBR-007486, confidence 1, method probabilistic, matched record TPA-63889, policy version 1
- 2026-10-19 19:52:09Record linked automatically2ea6c30402matching_agent, ENR-141299, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:52:09Record linked automaticallyba3ca72367matching_agent, CLM-431456, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:52:09Record linked automatically03d2001c0dmatching_agent, CLM-431455, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:52:09Record linked automatically1fa9e7f77ematching_agent, CLM-431458, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431455
- 2026-10-19 19:45:42Record linked automaticallyea5bf6a0a1scoring_agent, TPA-63889, identity id MBR-007486, confidence 1, method probabilistic, matched record CLM-431457, policy version 1
- 2026-10-19 19:45:42Record linked automatically40cffc6405scoring_agent, CLM-431457, identity id MBR-007486, confidence 1, method probabilistic, matched record TPA-63889, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyaac4678d33matching_agent, ENR-141299, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:45:42Record linked automatically601d092671matching_agent, CLM-431456, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:45:42Record linked automaticallyc78c266d9ematching_agent, CLM-431455, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:45:42Record linked automatically64f7de7664matching_agent, CLM-431458, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431455
- 2026-10-19 19:32:31Record linked automatically4e6254f053scoring_agent, TPA-63889, identity id MBR-007486, confidence 1, method probabilistic, matched record CLM-431457, policy version 1
- 2026-10-19 19:32:31Record linked automatically81ed0ecaf2scoring_agent, CLM-431457, identity id MBR-007486, confidence 1, method probabilistic, matched record TPA-63889, policy version 1
- 2026-10-19 19:32:31Record linked automatically3d5d3e1adematching_agent, ENR-141299, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:32:31Record linked automaticallybe3a88c485matching_agent, CLM-431456, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:32:31Record linked automaticallyf993139a89matching_agent, CLM-431455, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431458
- 2026-10-19 19:32:31Record linked automatically0607c086ccmatching_agent, CLM-431458, identity id MBR-007486, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431455
- 2026-10-19 19:31:28Record linked automaticallyae8bd55bacscoring_agent, TPA-63889, identity id MBR-014443, confidence 1, method probabilistic, matched record CLM-431694, policy version 1
- 2026-10-19 19:31:28Record linked automatically791a15925bmatching_agent, CLM-431456, identity id MBR-012857, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431457
- 2026-10-19 19:31:28Record linked automatically9d20f27592matching_agent, CLM-431457, identity id MBR-012857, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141525
- 2026-10-19 19:31:28Record linked automatically34491ddb06matching_agent, CLM-431455, identity id MBR-012047, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141524
- 2026-10-19 19:31:28Record linked automatically367f8bda28scoring_agent, ENR-141299, identity id MBR-006281, confidence 1, method probabilistic, matched record TPA-63717, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyf013dfab65matching_agent, CLM-431458, identity id MBR-004270, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29196
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-2026-027011 | 2026-09-08 | Meadow GI Associates out of network | 45378, 88305 | $1,739.00 | — | Denied | Denied |
| CLM-2026-033593 | 2026-04-07 | Sunrise Medical Group out of network | 80053, 99214 | $336.00 | — | Denied | Denied |
| CLM-2026-026977 | 2026-03-06 | Valley Rehabilitation Center in network | 97110, 97014 | $398.00 | $226.76 | Approved | Approved |
| CLM-2026-017331 | 2026-01-03 | Summit Internal Medicine Associates in network | 99215 | $383.00 | $217.46 | Approved | Approved |