Karen Nichols

4 source records from 4 feeds.

MBR-009993Verified4 records

Golden record

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

First namePRV: Karen
Middle name—: —
Last nameENR: Nichols
Date of birthENR: 1944-07-15
GenderENR: M
Member IDENR: UHC-16586-71
SSNENR: •••-••-9154
PhoneENR: 9594802672
EmailPRV: karen.nichols@yahoo.com
AddressENR: 8450 Indian School Rd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90035
GroupENR: GRP-2712
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

ENR ×1CLM ×1TPA ×1PRV ×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
ENR-127698	ENR	2026-02-03	Keren Nicholsflagged	1944-07-15	UHC-16586-71	9594802672	8450 Indian School Rd, Los Angeles, CA	Rule	0.99	D1 member id + dob exact
CLM-421094	CLM	2026-06-01	Karen Nicholsflagged	1944-07-15	UHC-16586-71	—	8450 Indian School Rd, Los Angeles, CA	Scored	0.99	—
TPA-59274	TPA	2026-08-18	Karen Niicholsflagged	1944-07-15	—	—	8450 Indian School Rd, Los Angeles, CA	Scored	0.99	—
PRV-26219	PRV	2026-09-13	Karen Nicholsflagged	1944-07-15	UHC-16586-71	9594802672	8450 Indian School Rd, Los Angeles, CA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59274TPAPRV-26219PRV0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421094CLMTPA-59274TPA0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-127698ENRCLM-421094CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-127698ENRPRV-26219PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-421094CLMPRV-26219PRV0.99RuleD1 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

▶ENR-127698ENRTPA-59274TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.93	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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically20468cd42d
scoring_agent, PRV-26219, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-22 12:43:54Record linked automatically46066b0b07
scoring_agent, TPA-59274, identity id MBR-009993, confidence 0.99, method probabilistic, matched record CLM-421094, policy version 1
2026-10-22 12:43:54Record linked automaticallye6e1365ed3
scoring_agent, CLM-421094, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-22 12:43:54Record linked automaticallyd594858c4a
matching_agent, ENR-127698, identity id MBR-009993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421094
2026-10-19 19:54:38Record linked automaticallydb2f0240cc
scoring_agent, PRV-26219, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:54:38Record linked automaticallybe1d1afc33
scoring_agent, TPA-59274, identity id MBR-009993, confidence 0.99, method probabilistic, matched record CLM-421094, policy version 1
2026-10-19 19:54:38Record linked automaticallybc0ebd6470
scoring_agent, CLM-421094, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:54:38Record linked automatically02b0b25013
matching_agent, ENR-127698, identity id MBR-009993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421094
2026-10-19 19:52:09Record linked automaticallybc04b6c0ce
scoring_agent, PRV-26219, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:52:09Record linked automaticallyf18ec037cc
scoring_agent, TPA-59274, identity id MBR-009993, confidence 0.99, method probabilistic, matched record CLM-421094, policy version 1
2026-10-19 19:52:09Record linked automatically4bde7e8277
scoring_agent, CLM-421094, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:52:09Record linked automaticallyd558427926
matching_agent, ENR-127698, identity id MBR-009993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421094
2026-10-19 19:45:42Record linked automatically29c6bf1d88
scoring_agent, PRV-26219, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2d2fd5dc1
scoring_agent, TPA-59274, identity id MBR-009993, confidence 0.99, method probabilistic, matched record CLM-421094, policy version 1
2026-10-19 19:45:42Record linked automatically85a7d44a05
scoring_agent, CLM-421094, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:45:42Record linked automaticallyfe3de30fb9
matching_agent, ENR-127698, identity id MBR-009993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421094
2026-10-19 19:32:31Record linked automatically671fb9aa88
scoring_agent, PRV-26219, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:32:31Record linked automatically2d01a1dea4
scoring_agent, TPA-59274, identity id MBR-009993, confidence 0.99, method probabilistic, matched record CLM-421094, policy version 1
2026-10-19 19:32:31Record linked automatically088b975034
scoring_agent, CLM-421094, identity id MBR-009993, confidence 0.99, method probabilistic, matched record TPA-59274, policy version 1
2026-10-19 19:32:31Record linked automatically8c0368656e
matching_agent, ENR-127698, identity id MBR-009993, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421094
2026-10-19 19:31:28Record linked automatically82aeda9c2a
matching_agent, PRV-26219, identity id MBR-030360, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421186
2026-10-19 19:31:28Record linked automatically8521bd2d14
matching_agent, CLM-421094, identity id MBR-030044, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127666
2026-10-19 19:31:28Record linked automaticallyee877b4a19
scoring_agent, TPA-59274, identity id MBR-009870, confidence 1, method probabilistic, matched record TPA-59273, 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-2026-027332	2026-05-09	Northgate Clinical Laboratories in network	83036, 85025, 87086	$152.00	$27.79	Approved	Approved