Identities/MBR-009420

Gold, golden identity

Nathan M Martinez

5 source records from 3 feeds.

MBR-009420Verified5 recordsOpen steward case

Golden record

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

First namePRV: Nathan
Middle nameCLM: M
Last namePRV: Martinez
Date of birthPRV: 1944-04-01
GenderPRV: M
Member IDCLM: UHC-89061-19
SSN—: —
PhonePRV: 9494443956
Email—: —
AddressPRV: 2561 Bayshore Dr
CityPRV: Nashville
StatePRV: TN
ZIPPRV: 37207
GroupCLM: GRP-8010
PlanCLM: SELECT-EPO

Min confidence

1.00

Sources

CLM ×3PRV ×1TPA ×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-421545	CLM	2026-02-01	Nathan Martinezflagged	1944-04-01	UHC-89061-19	9494443956	2561 Bayshore Dr, Nashville, TN	Scored	1.00	—
PRV-26350	PRV	2026-02-01	Nathan Martinezflagged	1944-04-01	—	9494443956	2561 Bayshore Dr, Nashville, TN	Scored	1.00	—
CLM-421546	CLM	2026-05-29	Nathan Martinezflagged	1944-04-01	UHC-89061-19	—	2561 Bayshore Dr, Nashville, TN	Scored	1.00	—
CLM-421547	CLM	2026-06-10	Nathan Martinezflagged	1944-04-01	—	—	2561 Bayshore Dr, Nashville, TN	Scored	1.00	—
TPA-59473	TPA	2026-06-17	Nathan Martinezflagged	1944-04-01	—	9494443956	2561 Bayshore Dr, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-26350PRVCLM-421546CLM1.00Scoredweighted 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-421545CLMCLM-421547CLM1.00Scoredweighted 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

▶PRV-26350PRVCLM-421547CLM1.00Scoredweighted 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-421546CLMCLM-421547CLM1.00Scoredweighted 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-421545CLMPRV-26350PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421545CLMTPA-59473TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26350PRVTPA-59473TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421546CLMTPA-59473TPA1.00Scoredweighted 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-421547CLMTPA-59473TPA1.00Scoredweighted 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-421545CLMCLM-421546CLM0.99RuleD1 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	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421547 → UHC-89061-19 (Nathan Martinez)
ACT-002926, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically7835e98d0f
scoring_agent, TPA-59473, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-22 12:43:54Record linked automaticallyd54a7e0731
scoring_agent, CLM-421547, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-22 12:43:54Record linked automatically4c6792d0c4
scoring_agent, CLM-421546, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-22 12:43:54Record linked automatically298fd35df8
scoring_agent, PRV-26350, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-22 12:43:54Record linked automaticallyc9238dfbff
scoring_agent, CLM-421545, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:54:38Record linked automatically388f1db915
scoring_agent, TPA-59473, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:54:38Record linked automatically34377afba2
scoring_agent, CLM-421547, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:54:38Record linked automatically6d32d17a05
scoring_agent, CLM-421546, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:54:38Record linked automaticallya512a79335
scoring_agent, PRV-26350, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:54:38Record linked automaticallya85a279148
scoring_agent, CLM-421545, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:52:09Record linked automatically4c8e80d605
scoring_agent, TPA-59473, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:52:09Record linked automatically6ed3654a8e
scoring_agent, CLM-421547, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:52:09Record linked automaticallyb4af483056
scoring_agent, CLM-421546, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:52:09Record linked automaticallyb58eaa5c9a
scoring_agent, PRV-26350, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:52:09Record linked automatically2442efc7c0
scoring_agent, CLM-421545, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:45:42Record linked automaticallyb598e72c61
scoring_agent, TPA-59473, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:45:42Record linked automatically1b85122b26
scoring_agent, CLM-421547, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:45:42Record linked automaticallya62f304477
scoring_agent, CLM-421546, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:45:42Record linked automaticallye572a481d6
scoring_agent, PRV-26350, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:45:42Record linked automatically5ebfbf040e
scoring_agent, CLM-421545, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:32:31Record linked automatically923566b29a
scoring_agent, TPA-59473, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4f2b4a2fe
scoring_agent, CLM-421547, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:32:31Record linked automatically867fccc815
scoring_agent, CLM-421546, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:32:31Record linked automatically11118730e6
scoring_agent, PRV-26350, identity id MBR-009420, confidence 1, method probabilistic, matched record CLM-421545, policy version 1
2026-10-19 19:32:31Record linked automatically8605b73cb4
scoring_agent, CLM-421545, identity id MBR-009420, confidence 1, method probabilistic, matched record PRV-26350, policy version 1
2026-10-19 19:31:28Record linked automatically56c7aac06f
scoring_agent, CLM-421546, identity id MBR-038529, confidence 1, method probabilistic, matched record PRV-26332, policy version 1
2026-10-19 19:31:28Record linked automaticallyf4b57a6e9f
matching_agent, PRV-26350, identity id MBR-009357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421627
2026-10-19 19:31:28Record linked automatically7f8ce948d5
matching_agent, CLM-421545, identity id MBR-002901, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128316
2026-10-19 19:31:28Record linked automaticallybe08efd545
matching_agent, CLM-421547, identity id MBR-000126, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128321

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-2026-006031	2026-05-02	Sunrise Dermatology Clinic in network	11403, 99213	$775.00	$405.50	Approved	Approved
CLM-2026-016804	2026-05-11	Lakeside Physical Therapy in network	97110, 97140	$420.00	$235.40	Approved	Approved
CLM-2026-015739	2026-01-11	Canyon Cardiovascular Associates in network	93015	$424.00	$0.00	Approved	Approved