Identities/MBR-010513

Gold, golden identity

Nicole Q Carter

6 source records from 4 feeds.

MBR-010513Verified6 records

Golden record

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

First nameENR: Nicole
Middle nameENR: Q
Last nameENR: Carter
Date of birthENR: 1978-02-06
GenderPRV: F
Member IDENR: UHC-16666-12
SSN—: —
PhonePRV: 2922199419
EmailPRV: nicole.carter@gmail.com
AddressENR: 5698 Grand Ave
CityENR: Houston
StateENR: TX
ZIPENR: 77048
GroupENR: GRP-2105
PlanENR: MEDICARE-ADV-A

Min confidence

0.96

Sources

ENR ×1PRV ×1TPA ×1CLM ×3

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
ENR-112094	ENR	2026-02-05	Nicole Carterflagged	1978-02-06	UHC-16666-12	—	5698 Grand Ave, Houston, TX	Scored	1.00	—
PRV-22687	PRV	2026-04-05	Nicole Carterflagged	1978-02-06	—	2922199419	5698 Grand Ave, Houston, TX	Scored	1.00	—
TPA-53992	TPA	2026-04-30	Nicole Carterflagged	1978-02-06	—	—	5698 Grand Ave, Houston, TX	Scored	1.00	—
CLM-409164	CLM	2026-05-08	Nicole Carterflagged	1979-02-06	UHC-16666-12	2922199419	—	Rule	0.96	D3 member id + name
CLM-409162	CLM	2026-05-14	Nicolle Carterflagged	1978-02-06	UHC-16666-12	2922199419	5698 Grand Ave, Houston, TX	Scored	1.00	—
CLM-409163	CLM	2026-09-14	Nicole Carterflagged	1978-02-06	—	—	5698 Grand Ave, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-112094ENRCLM-409163CLM1.00Scoredweighted 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-22687PRVCLM-409163CLM1.00Scoredweighted 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-53992TPACLM-409163CLM1.00Scoredweighted 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

▶ENR-112094ENRPRV-22687PRV1.00Scoredweighted 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

▶ENR-112094ENRTPA-53992TPA1.00Scoredweighted 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-22687PRVTPA-53992TPA1.00Scoredweighted 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-22687PRVCLM-409162CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53992TPACLM-409162CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409162CLMCLM-409163CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-112094ENRCLM-409162CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409164CLMCLM-409162CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112094ENRCLM-409164CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22687PRVCLM-409164CLM0.80Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409164CLMCLM-409163CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-53992TPACLM-409164CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409163 → UHC-16666-12 (Nicole Carter)
ACT-001950, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically20ebc58bb9
scoring_agent, CLM-409163, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:54:38Record linked automaticallyfa4e8f46ea
scoring_agent, CLM-409162, identity id MBR-010513, confidence 1.00, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:54:38Record linked automatically6f58174cff
matching_agent, CLM-409164, identity id MBR-010513, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112094
2026-10-19 19:54:38Record linked automatically8eb5e7347e
scoring_agent, TPA-53992, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:54:38Record linked automaticallye254098e78
scoring_agent, PRV-22687, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:54:38Record linked automaticallyd6145873c0
scoring_agent, ENR-112094, identity id MBR-010513, confidence 1, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:52:09Record linked automaticallyb7c6dcfb74
scoring_agent, CLM-409163, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:52:09Record linked automatically90b31bf8af
scoring_agent, CLM-409162, identity id MBR-010513, confidence 1.00, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:52:09Record linked automatically8190d57c1b
matching_agent, CLM-409164, identity id MBR-010513, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112094
2026-10-19 19:52:09Record linked automaticallyc7a079875b
scoring_agent, TPA-53992, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:52:09Record linked automatically337594b0c5
scoring_agent, PRV-22687, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:52:09Record linked automaticallyf36edd3407
scoring_agent, ENR-112094, identity id MBR-010513, confidence 1, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:45:42Record linked automaticallyf8fabdc36c
scoring_agent, CLM-409163, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:45:42Record linked automatically416928165d
scoring_agent, CLM-409162, identity id MBR-010513, confidence 1.00, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:45:42Record linked automatically7d0ba8aff2
matching_agent, CLM-409164, identity id MBR-010513, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112094
2026-10-19 19:45:42Record linked automaticallyb4ec725845
scoring_agent, TPA-53992, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:45:42Record linked automatically99a8b94a84
scoring_agent, PRV-22687, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:45:42Record linked automatically1ec213fa11
scoring_agent, ENR-112094, identity id MBR-010513, confidence 1, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:32:31Record linked automatically51d0ff3937
scoring_agent, CLM-409163, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:32:31Record linked automatically054b45e771
scoring_agent, CLM-409162, identity id MBR-010513, confidence 1.00, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:32:31Record linked automaticallya814c9ae58
matching_agent, CLM-409164, identity id MBR-010513, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112094
2026-10-19 19:32:31Record linked automatically520a93dcab
scoring_agent, TPA-53992, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:32:31Record linked automaticallyb5ba00ddad
scoring_agent, PRV-22687, identity id MBR-010513, confidence 1, method probabilistic, matched record ENR-112094, policy version 1
2026-10-19 19:32:31Record linked automaticallyc458d4e65f
scoring_agent, ENR-112094, identity id MBR-010513, confidence 1, method probabilistic, matched record PRV-22687, policy version 1
2026-10-19 19:31:28Record linked automatically8349d5db1b
matching_agent, CLM-409164, identity id MBR-037244, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22725
2026-10-19 19:31:28Record linked automatically2fa368a43d
matching_agent, CLM-409163, identity id MBR-024872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112061
2026-10-19 19:31:28Record linked automaticallya15afe75fa
matching_agent, PRV-22687, identity id MBR-022695, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111903
2026-10-19 19:31:28Record linked automatically8e5d31d222
scoring_agent, TPA-53992, identity id MBR-011208, confidence 0.93, method probabilistic, matched record CLM-408972, 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-2026-002419	2026-08-20	Valley Primary Care Associates out of network	99395, 99213, 99203	$711.00	$294.95	Approved	Approved
CLM-2026-006848	2025-11-23	Canyon Regional Medical Center in network	71046, 99283	$1,011.00	—	Denied	Denied
CLM-2026-027036	2026-04-19	Desert Internal Medicine Associates in network	80053, 99215	$424.00	$237.88	Approved	Approved