Identities/MBR-011033

Gold, golden identity

Nancy Richards

6 source records from 3 feeds.

MBR-011033Verified6 records

Golden record

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

First namePRV: Nancy
Middle name—: —
Last namePRV: Richards
Date of birthPRV: 1948-06-12
GenderPRV: F
Member IDCLM: UHC-93715-49
SSNTPA: •••-••-5878
PhonePRV: 8129566702
EmailTPA: nancy.richards@proton.me
AddressPRV: 8910 Mountain View Dr
CityPRV: Dallas
StatePRV: TX
ZIPPRV: 75234
GroupTPA: GRP-6136
PlanTPA: MEDICARE-ADV-A

Min confidence

0.97

Sources

TPA ×3CLM ×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
TPA-61768	TPA	2026-02-07	Nancy Rikhardsflagged	1948-06-12	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-426643	CLM	2026-04-05	Nancy Richardsflagged	1948-06-12	UHC-93715-49	8129566702	8910 Mountain View Dr Apt 19, Dallas, TX	Scored	1.00	—
CLM-426642	CLM	2026-04-10	Nancy Richardsflagged	1948-06-12	—	8129566702	8910 Mountain View Dr, Dallas, TX	Scored	1.00	—
TPA-61769	TPA	2026-04-25	Nacy Richardsflagged	1948-06-12	—	—	8910 Mountain View Dr, Dallas, TX	Scored	0.99	—
TPA-61770	TPA	2026-05-29	Nancy Richardsflagged	1948-06-12	UHC-93715-49	8129566702	—	Scored	1.00	—
PRV-27853	PRV	2026-07-06	Nancy Richardsflagged	1948-06-12	—	8129566702	8910 Mountain View Dr, Dallas, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-426643CLMCLM-426642 CLM1.00Scoredweighted 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-426643CLMPRV-27853PRV1.00Scoredweighted 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-426642 CLMPRV-27853PRV1.00Scoredweighted 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

▶TPA-61770TPAPRV-27853PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426642 CLMTPA-61770TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61769TPAPRV-27853PRV0.99Scoredweighted 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-426643CLMTPA-61769TPA0.99Scoredweighted 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-426642 CLMTPA-61769TPA0.99Scoredweighted 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-426643CLMTPA-61770TPA0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61768TPATPA-61769TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61768TPACLM-426642 CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61768TPACLM-426643CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61768TPAPRV-27853PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61768TPATPA-61770TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61769TPATPA-61770TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426642 → UHC-93715-49 (Nancy Richards)
ACT-007051, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically333125ac49
scoring_agent, PRV-27853, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:54:38Record linked automatically6e3440c6d8
scoring_agent, TPA-61770, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:54:38Record linked automatically1f60205d0a
scoring_agent, TPA-61769, identity id MBR-011033, confidence 0.99, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:54:38Record linked automatically51e250ee13
scoring_agent, CLM-426642, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:54:38Record linked automatically2a7e2133b3
scoring_agent, CLM-426643, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:54:38Record linked automaticallyaa5f8da7bc
matching_agent, TPA-61768, identity id MBR-011033, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61769
2026-10-19 19:52:09Record linked automatically498095f7c0
scoring_agent, PRV-27853, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:52:09Record linked automatically7c71cd8c36
scoring_agent, TPA-61770, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:52:09Record linked automaticallyab99c7a724
scoring_agent, TPA-61769, identity id MBR-011033, confidence 0.99, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:52:09Record linked automaticallyf6faab6808
scoring_agent, CLM-426642, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:52:09Record linked automatically1e95dcb167
scoring_agent, CLM-426643, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:52:09Record linked automaticallybc5f79874c
matching_agent, TPA-61768, identity id MBR-011033, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61769
2026-10-19 19:45:42Record linked automaticallyf6287aea72
scoring_agent, PRV-27853, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:45:42Record linked automaticallyf16946f3e2
scoring_agent, TPA-61770, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:45:42Record linked automatically8c7a9a4d5f
scoring_agent, TPA-61769, identity id MBR-011033, confidence 0.99, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:45:42Record linked automatically4d349939ac
scoring_agent, CLM-426642, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:45:42Record linked automatically34e59db26f
scoring_agent, CLM-426643, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:45:42Record linked automatically35b999f4d9
matching_agent, TPA-61768, identity id MBR-011033, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61769
2026-10-19 19:32:31Record linked automatically5fb1d14f5d
scoring_agent, PRV-27853, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:32:31Record linked automatically7efc4a0a3a
scoring_agent, TPA-61770, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:32:31Record linked automatically09b42fcc82
scoring_agent, TPA-61769, identity id MBR-011033, confidence 0.99, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:32:31Record linked automatically201524740f
scoring_agent, CLM-426642, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426643, policy version 1
2026-10-19 19:32:31Record linked automaticallya5f400bbb0
scoring_agent, CLM-426643, identity id MBR-011033, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:32:31Record linked automaticallyd67e98ae76
matching_agent, TPA-61768, identity id MBR-011033, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61769
2026-10-19 19:31:28Record linked automatically0a172f9747
scoring_agent, CLM-426643, identity id MBR-035333, confidence 1, method probabilistic, matched record CLM-426642, policy version 1
2026-10-19 19:31:28Record linked automatically2aa4c31452
scoring_agent, CLM-426642, identity id MBR-035333, confidence 1, method probabilistic, matched record ENR-135247, policy version 1
2026-10-19 19:31:28Record linked automatically35706e7a4a
matching_agent, PRV-27853, identity id MBR-030171, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27852
2026-10-19 19:31:28Record linked automaticallyd1929a97cf
scoring_agent, TPA-61769, identity id MBR-021082, confidence 1, method probabilistic, matched record CLM-426747, policy version 1
2026-10-19 19:31:28Record linked automatically6e34b22306
scoring_agent, TPA-61768, identity id MBR-018344, confidence 1, method probabilistic, matched record CLM-426744, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-021503	2026-03-08	Summit Internal Medicine Associates in network	80053, 99215	$367.00	$207.54	Approved	Approved
CLM-2026-026688	2026-04-01	Pinecrest GI Associates in network	45378	$2,579.00	$996.95	Approved	Approved