Identities/MBR-010544
Gold, golden identity

Nancy Munoz

4 source records from 2 feeds.

MBR-010544Verified4 records

Golden record

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

First nameENR
Nancy
Middle name—
—
Last nameENR
Munoz
Date of birthENR
1947-05-03
GenderENR
F
Member IDENR
UHC-50527-20
SSNENR
•••-••-3286
PhoneCLM
9489508657
EmailCLM
nancy.munoz@proton.me
AddressENR
3307 Elm St
CityENR
Plano
StateENR
TX
ZIPENR
75094
GroupENR
GRP-4913
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×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

0.991.000.991.00ENRENR-102628CLMCLM-402053CLMCLM-402052CLMCLM-402051IDMBR-010544
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
ENR-102628ENR2026-02-05Nancy Munozflagged1947-05-03UHC-50527-20—3307 Elm St, Plano, TXRule0.99D1 member id + dob exact
CLM-402053CLM2026-03-02Nancy Munozflagged1947-05-03—94895086573307 Elm St, Plano, TXScored1.00—
CLM-402052CLM2026-08-30Nancy Munozflagged1947-05-03UHC-50527-20——Rule0.99D1 member id + dob exact
CLM-402051CLM2026-09-23Nancy Munozflagged1947-05-03UHC-50527-20—3307 Elm St, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402053CLMCLM-402051CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102628ENRCLM-402051CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402052CLMCLM-402051CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102628ENRCLM-402052CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402053CLMCLM-402052CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102628ENRCLM-402053CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402053 → UHC-50527-20 (Nancy Munoz)
    ACT-008233, Claims processor
  • Care coordination outreachProposed
    Nancy Munoz: 3 claims, no attributed provider
    ACT-018565, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7c3c34f448
    scoring_agent, CLM-402051, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402053, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyded7f84383
    matching_agent, CLM-402052, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102628
  • 2026-10-19 19:54:38Record linked automatically74bae4ae23
    scoring_agent, CLM-402053, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402051, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8dab4d58a3
    matching_agent, ENR-102628, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402052
  • 2026-10-19 19:52:09Record linked automatically4fd385d325
    scoring_agent, CLM-402051, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402053, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5d38bc09bb
    matching_agent, CLM-402052, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102628
  • 2026-10-19 19:52:09Record linked automaticallyed1eda1138
    scoring_agent, CLM-402053, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402051, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8efb99e1a6
    matching_agent, ENR-102628, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402052
  • 2026-10-19 19:45:42Record linked automatically9f3d57e165
    scoring_agent, CLM-402051, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402053, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7bc6de07f5
    matching_agent, CLM-402052, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102628
  • 2026-10-19 19:45:42Record linked automatically9d6c337d2b
    scoring_agent, CLM-402053, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402051, policy version 1
  • 2026-10-19 19:45:42Record linked automatically86a301efaf
    matching_agent, ENR-102628, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402052
  • 2026-10-19 19:32:31Record linked automaticallyb2e7f57892
    scoring_agent, CLM-402051, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402053, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyce2d18b333
    matching_agent, CLM-402052, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102628
  • 2026-10-19 19:32:31Record linked automaticallyb85bb513b5
    scoring_agent, CLM-402053, identity id MBR-010544, confidence 1, method probabilistic, matched record CLM-402051, policy version 1
  • 2026-10-19 19:32:31Record linked automatically75ca6cc550
    matching_agent, ENR-102628, identity id MBR-010544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402052
  • 2026-10-19 19:31:28Record linked automatically8853d57bce
    matching_agent, CLM-402051, identity id MBR-015207, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102673
  • 2026-10-19 19:31:28Record linked automaticallyb323106abb
    matching_agent, ENR-102628, identity id MBR-012645, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20613
  • 2026-10-19 19:31:28Record linked automatically3792d7ad70
    scoring_agent, CLM-402053, identity id MBR-004384, confidence 1, method probabilistic, matched record ENR-102674, policy version 1
  • 2026-10-19 19:31:28Record linked automatically44f31d6920
    matching_agent, CLM-402052, identity id MBR-004384, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402054

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0132662026-08-09Sunrise Heart Institute
in network
93306, 93015$1,769.00$0.00ApprovedApproved
CLM-2026-0177852026-08-23Pinecrest Medical Group
in network
80053$56.00—Needs reviewNeeds review
CLM-2026-0177842026-08-23Pinecrest Medical Group
in network
80053$56.00$9.72ApprovedApproved
CLM-2026-0261082026-02-21Meadow Family Practice
in network
36415, 99395$327.00$188.48ApprovedApproved