Identities/MBR-008961

Gold, golden identity

Jackie Nelson

4 source records from 2 feeds.

MBR-008961Verified4 recordsOpen steward case

Golden record

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

First nameCLM: Jackie
Middle name—: —
Last nameCLM: Nelson
Date of birthCLM: 1956-08-17
GenderCLM: M
Member IDCLM: UHC-14047-09
SSNCLM: •••-••-6765
Phone—: —
Email—: —
AddressCLM: 9235 Jefferson Ave
CityCLM: Los Angeles
StateCLM: CA
ZIPCLM: 90026
GroupCLM: GRP-4312
PlanTPA: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×2CLM ×2

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-58459	TPA	2026-01-30	Jackie Nelsonflagged	1956-08-17	—	—	9235 Jefferson Ave, Los Angeles, CA	Scored	1.00	—
TPA-58458	TPA	2026-03-21	Jacqueline Nelsonflagged	1956-08-17	—	—	9235 Jefferson Ave, Los Angeles, CA	Scored	1.00	—
CLM-419113	CLM	2026-09-10	Jacqueline Nelosnflagged	1956-08-17	UHC-14047-09	—	9235 Jefferson Ave, Los Angeles, CA	Scored	0.99	—
CLM-419111	CLM	2026-10-10	Jackie Nelsonflagged	1956-08-17	—	—	9235 Jefferson Ave, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-58459TPACLM-419111CLM1.00Scoredweighted 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-58458TPACLM-419111CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58459TPATPA-58458TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-419113CLMCLM-419111CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58459TPACLM-419113CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-58458TPACLM-419113CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-419111 → UHC-14047-09 (Jackie Nelson)
ACT-001778, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7f391ea00b
scoring_agent, CLM-419111, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:54:38Record linked automatically3688fb8374
scoring_agent, CLM-419113, identity id MBR-008961, confidence 0.99, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:54:38Record linked automatically960727dca8
scoring_agent, TPA-58458, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:54:38Record linked automatically8698a81cc3
scoring_agent, TPA-58459, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58458, policy version 1
2026-10-19 19:52:09Record linked automatically26a0c58eac
scoring_agent, CLM-419111, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:52:09Record linked automatically0b82f13868
scoring_agent, CLM-419113, identity id MBR-008961, confidence 0.99, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:52:09Record linked automaticallyfafaef816f
scoring_agent, TPA-58458, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:52:09Record linked automaticallyb160d9b619
scoring_agent, TPA-58459, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58458, policy version 1
2026-10-19 19:45:42Record linked automaticallye4ab4d4515
scoring_agent, CLM-419111, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:45:42Record linked automaticallyb38fd7bdbb
scoring_agent, CLM-419113, identity id MBR-008961, confidence 0.99, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:45:42Record linked automatically74aa79b188
scoring_agent, TPA-58458, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:45:42Record linked automaticallyd73fc0fa30
scoring_agent, TPA-58459, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58458, policy version 1
2026-10-19 19:32:31Record linked automaticallyc6e5d7c712
scoring_agent, CLM-419111, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:32:31Record linked automatically4472814004
scoring_agent, CLM-419113, identity id MBR-008961, confidence 0.99, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:32:31Record linked automatically0f73702b88
scoring_agent, TPA-58458, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58459, policy version 1
2026-10-19 19:32:31Record linked automaticallyec20c95cb0
scoring_agent, TPA-58459, identity id MBR-008961, confidence 1, method probabilistic, matched record TPA-58458, policy version 1
2026-10-19 19:31:28Record linked automatically6bc9ff1580
matching_agent, CLM-419113, identity id MBR-032570, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124990
2026-10-19 19:31:28Record linked automatically2a8e183927
scoring_agent, TPA-58459, identity id MBR-015243, confidence 1, method probabilistic, matched record ENR-125471, policy version 1
2026-10-19 19:31:28Record linked automaticallyc96a87569b
scoring_agent, CLM-419111, identity id MBR-004007, confidence 1, method probabilistic, matched record CLM-419110, policy version 1

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-2026-001762	2026-10-07	Heritage Community Hospital in network	99284, 99285, 96374	$4,716.00	$2,443.80	Approved	Approved
CLM-2026-023193	2026-08-01	Pinecrest Bone and Joint Center in network	99213	$193.00	$69.66	Approved	Approved