Identities/MBR-008099

Gold, golden identity

Samantha D Nunez

6 source records from 3 feeds.

MBR-008099Verified6 recordsOpen steward case

Golden record

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

First nameENR: Samantha
Middle nameENR: D
Last nameENR: Nunez
Date of birthENR: 1990-02-28
GenderENR: M
Member IDENR: UHC-31120-14
SSNCLM: •••-••-3773
PhoneENR: 5365474717
EmailENR: samantha.nunez@icloud.com
AddressENR: 3542 Hillcrest Rd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90035
GroupENR: GRP-8102
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

TPA ×1CLM ×4ENR ×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
TPA-53525	TPA	2026-01-27	Samantha Nunezflagged	1990-02-28	UHC-31120-14	5365474717	3542 Hillcrest Rd, Los Angeles, CA	Scored	1.00	—
CLM-407993	CLM	2026-03-07	Samantha Nunezflagged	1990-02-28	UHC-31120-14	—	3542 Hillcrest Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-407990	CLM	2026-04-03	Samantha Nunezflagged	1990-02-28	—	—	3542 Hillcrest Rd Apt 2, Los Angeles, CA	Scored	1.00	—
CLM-407991	CLM	2026-04-06	Samantha Nunezflagged	—	—	5365474717	3542 Hillcrest Rd Apt 18, Los Angeles, CA	Scored	1.00	—
ENR-110553	ENR	2026-08-25	Samantha Nunezflagged	1990-02-28	UHC-31120-14	5365474717	3542 Hillcrest Rd, Los Angeles, CA	Scored	1.00	—
CLM-407992	CLM	2026-09-27	Samantha Nunezflagged	1990-02-28	—	5365474717	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53525TPACLM-407991CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-110553ENRCLM-407992CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407990CLMENR-110553ENR1.00Scoredweighted 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-53525TPACLM-407993CLM0.99RuleD1 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

▶TPA-53525TPAENR-110553ENR0.99RuleD1 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
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-407993CLMENR-110553ENR0.99RuleD1 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53525TPACLM-407992CLM0.97RuleD2 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407993CLMCLM-407992CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53525TPACLM-407990CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407993CLMCLM-407990CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-407991CLMENR-110553ENR0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407993CLMCLM-407991CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-407990CLMCLM-407992CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-407991CLMCLM-407992CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-407992 → UHC-31120-14 (Samantha Nunez)
ACT-005601, Claims processor
Orphan claim re-pointedExecuted
CLM-407990 → UHC-31120-14 (Samantha Nunez)
ACT-009434, Claims processor
Orphan claim re-pointedExecuted
CLM-407991 → UHC-31120-14 (Samantha Nunez)
ACT-010138, Claims processor
Care coordination outreachProposed
Samantha Nunez: 4 claims, no attributed provider
ACT-018414, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb84391a3d7
scoring_agent, CLM-407992, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:54:38Record linked automatically3956c12890
scoring_agent, ENR-110553, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407990, policy version 1
2026-10-19 19:54:38Record linked automatically365f8d40e0
scoring_agent, CLM-407991, identity id MBR-008099, confidence 1, method probabilistic, matched record TPA-53525, policy version 1
2026-10-19 19:54:38Record linked automatically161bc579b8
scoring_agent, CLM-407990, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:54:38Record linked automatically48c5afb2fc
matching_agent, CLM-407993, identity id MBR-008099, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53525
2026-10-19 19:54:38Record linked automaticallyacb8c67e7b
scoring_agent, TPA-53525, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407991, policy version 1
2026-10-19 19:52:09Record linked automatically6417249381
scoring_agent, CLM-407992, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:52:09Record linked automaticallyc7c96be49d
scoring_agent, ENR-110553, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407990, policy version 1
2026-10-19 19:52:09Record linked automatically80aca2e245
scoring_agent, CLM-407991, identity id MBR-008099, confidence 1, method probabilistic, matched record TPA-53525, policy version 1
2026-10-19 19:52:09Record linked automatically49e2cbcdb4
scoring_agent, CLM-407990, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:52:09Record linked automatically6dec0b8aec
matching_agent, CLM-407993, identity id MBR-008099, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53525
2026-10-19 19:52:09Record linked automaticallyf4398c2e68
scoring_agent, TPA-53525, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407991, policy version 1
2026-10-19 19:45:42Record linked automatically5790d804e2
scoring_agent, CLM-407992, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:45:42Record linked automatically27ba17ab86
scoring_agent, ENR-110553, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407990, policy version 1
2026-10-19 19:45:42Record linked automatically552247a1cb
scoring_agent, CLM-407991, identity id MBR-008099, confidence 1, method probabilistic, matched record TPA-53525, policy version 1
2026-10-19 19:45:42Record linked automatically6b82234a26
scoring_agent, CLM-407990, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:45:42Record linked automatically0f563b6ab1
matching_agent, CLM-407993, identity id MBR-008099, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53525
2026-10-19 19:45:42Record linked automaticallyec36d4c033
scoring_agent, TPA-53525, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407991, policy version 1
2026-10-19 19:32:31Record linked automaticallyb1d0aec25c
scoring_agent, CLM-407992, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:32:31Record linked automaticallya184745ef6
scoring_agent, ENR-110553, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407990, policy version 1
2026-10-19 19:32:31Record linked automatically9e5fbed107
scoring_agent, CLM-407991, identity id MBR-008099, confidence 1, method probabilistic, matched record TPA-53525, policy version 1
2026-10-19 19:32:31Record linked automatically44de8edc90
scoring_agent, CLM-407990, identity id MBR-008099, confidence 1, method probabilistic, matched record ENR-110553, policy version 1
2026-10-19 19:32:31Record linked automaticallyb06f88f199
matching_agent, CLM-407993, identity id MBR-008099, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53525
2026-10-19 19:32:31Record linked automatically17c5aebaed
scoring_agent, TPA-53525, identity id MBR-008099, confidence 1, method probabilistic, matched record CLM-407991, policy version 1
2026-10-19 19:31:28Record linked automaticallyb023bf78f5
scoring_agent, ENR-110553, identity id MBR-038059, confidence 0.94, method probabilistic, matched record PRV-22372, policy version 1
2026-10-19 19:31:28Record linked automaticallyd9d4155ab8
matching_agent, CLM-407990, identity id MBR-034311, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110451
2026-10-19 19:31:28Record linked automatically0944d5efd7
matching_agent, CLM-407992, identity id MBR-005851, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110458
2026-10-19 19:31:28Record linked automatically87ce10831b
matching_agent, CLM-407991, identity id MBR-005851, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110458
2026-10-19 19:31:28Record linked automatically8ae694194a
scoring_agent, TPA-53525, identity id MBR-001565, confidence 1, method probabilistic, matched record PRV-22370, policy version 1

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-2026-016137	2026-09-19	Harbor Physical Therapy in network	97110	$372.00	$190.64	Approved	Approved
CLM-2026-033477	2026-03-07	Riverside Primary Care Associates in network	99395, 99203	$532.00	$289.84	Approved	Approved
CLM-2026-030901	2026-03-25	Cornerstone Family Practice out of network	99214	$271.00	—	Denied	Denied
CLM-2026-015311	2026-02-05	Cornerstone Regional Medical Center in network	99285	$2,664.00	$1,115.20	Approved	Approved