Identities/MBR-011022

Gold, golden identity

Nicole I Torres

5 source records from 3 feeds.

MBR-011022Verified5 recordsOpen steward case

Golden record

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

First nameENR: Nicole
Middle nameENR: I
Last nameENR: Torres
Date of birthENR: 1982-01-12
GenderENR: F
Member IDENR: UHC-96313-13
SSNENR: •••-••-3391
PhoneENR: 6313922199
EmailENR: nicole.torres14@aol.com
AddressENR: 6945 Market St
CityENR: San Diego
StateENR: CA
ZIPENR: 92103
GroupENR: GRP-0202
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

ENR ×2CLM ×2PRV ×1

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-102904	ENR	2026-02-06	Nicole Torresflagged	1982-01-12	UHC-96313-13	6313922199	6945 Market St, San Diego, CA	Scored	1.00	—
ENR-102903	ENR	2026-02-28	Nicole Torresflagged	1982-01-12	UHC-96313-13	6313922199	6945 Market St, San Diego, CA	Scored	1.00	—
CLM-402275	CLM	2026-08-04	Nicole Torresflagged	1982-01-12	—	—	6945 Market St, San Diego, CA	Scored	1.00	—
CLM-402276	CLM	2026-09-11	Nicole Torresflagged	1982-01-12	UHC-96313-13	—	6945 Market St, San Diego, CA	Scored	1.00	—
PRV-20675	PRV	2026-10-14	Nicole Torresflagged	1982-01-12	—	6313922199	6945 Market St, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-102904ENRPRV-20675PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-102903ENRPRV-20675PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-402275CLMPRV-20675PRV1.00Scoredweighted 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-402276CLMPRV-20675PRV1.00Scoredweighted 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-102904ENRCLM-402276CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-102903ENRCLM-402276CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-102904ENRENR-102903ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶ENR-102904ENRCLM-402275CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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

▶ENR-102903ENRCLM-402275CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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

▶CLM-402275CLMCLM-402276CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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-402275 → UHC-96313-13 (Nicole Torres)
ACT-007229, Claims processor
Duplicate member record retiredExecuted
Nicole Torres: 2 enrollment records collapsed into UHC-96313-13
ACT-023381, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically47f55628cb
scoring_agent, PRV-20675, identity id MBR-011022, confidence 1, method probabilistic, matched record ENR-102904, policy version 1
2026-10-19 19:54:38Record linked automaticallye15dc895a2
scoring_agent, CLM-402276, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:54:38Record linked automaticallycabe93a971
scoring_agent, CLM-402275, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:54:38Record linked automaticallyd71b507748
scoring_agent, ENR-102903, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:54:38Record linked automaticallye8a09a8e2c
scoring_agent, ENR-102904, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:52:09Record linked automaticallyb869fa8ed8
scoring_agent, PRV-20675, identity id MBR-011022, confidence 1, method probabilistic, matched record ENR-102904, policy version 1
2026-10-19 19:52:09Record linked automatically280a614758
scoring_agent, CLM-402276, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:52:09Record linked automatically0f1c398c24
scoring_agent, CLM-402275, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:52:09Record linked automatically168fe79dff
scoring_agent, ENR-102903, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:52:09Record linked automatically02b182bf74
scoring_agent, ENR-102904, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:45:42Record linked automatically7500b66744
scoring_agent, PRV-20675, identity id MBR-011022, confidence 1, method probabilistic, matched record ENR-102904, policy version 1
2026-10-19 19:45:42Record linked automatically72005b862c
scoring_agent, CLM-402276, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:45:42Record linked automatically0eeec187cd
scoring_agent, CLM-402275, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:45:42Record linked automaticallya697acc2ab
scoring_agent, ENR-102903, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:45:42Record linked automaticallyb2c2ea3983
scoring_agent, ENR-102904, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:32:31Record linked automatically0873c68d68
scoring_agent, PRV-20675, identity id MBR-011022, confidence 1, method probabilistic, matched record ENR-102904, policy version 1
2026-10-19 19:32:31Record linked automatically3d08f73cd9
scoring_agent, CLM-402276, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:32:31Record linked automaticallydbaa59f438
scoring_agent, CLM-402275, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:32:31Record linked automaticallyae2860b208
scoring_agent, ENR-102903, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:32:31Record linked automaticallyb319132635
scoring_agent, ENR-102904, identity id MBR-011022, confidence 1, method probabilistic, matched record PRV-20675, policy version 1
2026-10-19 19:31:28Record linked automaticallyd1377ee52b
matching_agent, ENR-102904, identity id MBR-041673, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51010
2026-10-19 19:31:28Record linked automaticallyd81bfefbde
matching_agent, PRV-20675, identity id MBR-029392, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51016
2026-10-19 19:31:28Record linked automaticallya6ad4e1325
matching_agent, ENR-102903, identity id MBR-012465, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51009
2026-10-19 19:31:28Record linked automaticallyc33b7cac28
matching_agent, CLM-402275, identity id MBR-009986, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402274
2026-10-19 19:31:28Record linked automaticallydf787bc5bd
matching_agent, CLM-402276, identity id MBR-009986, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-402274

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-2026-024141	2026-08-03	Mesa Physical Therapy in network	97110	$188.00	$86.56	Approved	Approved
CLM-2026-022260	2026-07-13	Sunrise Heart Institute in network	93015	$425.00	$0.00	Approved	Approved