Identities/MBR-011210

Gold, golden identity

Nancy C Rojas

7 source records from 3 feeds.

MBR-011210Verified7 records

Golden record

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

First namePRV: Nancy
Middle namePRV: C
Last namePRV: Rojas
Date of birthPRV: 1999-06-09
GenderPRV: M
Member IDPRV: UHC-90304-33
SSNCLM: •••-••-6093
Phone—: —
Email—: —
AddressPRV: 6782 Pine Dr
CityPRV: Houston
StatePRV: TX
ZIPCLM: 77065
GroupCLM: GRP-5252
PlanCLM: SELECT-EPO

Min confidence

0.99

Sources

CLM ×5PRV ×1TPA ×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
CLM-414861	CLM	2026-02-07	Nancy Rojasflagged	1999-06-09	UHC-90304-33	—	6782 Pine Dr, Houston, TX	Scored	1.00	—
CLM-414862	CLM	2026-02-07	Nancy Rojasflagged	1999-06-09	UHC-90304-33	—	6782 Pine Dr, Houston, TX	Scored	1.00	—
CLM-414858	CLM	2026-04-15	Nancy Rojasflagged	1999-06-09	UHC-90304-33	—	6782 Pine Dr, Houston, TX	Scored	1.00	—
PRV-24358	PRV	2026-05-04	Nancy Rojasflagged	1999-06-09	UHC-90304-33	—	6782 Pine Dr, Houston, TX	Rule	0.99	D1 member id + dob exact
CLM-414860	CLM	2026-06-14	Nancy Rojasflagged	1999-06-09	—	—	6782 Pine Dr, Houston, TX	Scored	1.00	—
TPA-56550	TPA	2026-09-11	Nacny Rojasflagged	1999-06-09	UHC-90304-33	—	6782 Pine Dr, Houston, TX	Scored	0.99	—
CLM-414859	CLM	2026-10-11	Nancy Rojasflagged	1999-06-09	—	—	6782 Pine Dr, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-414861CLMCLM-414859CLM1.00Scoredweighted 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-414862CLMCLM-414859CLM1.00Scoredweighted 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-414858CLMCLM-414859CLM1.00Scoredweighted 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-414860CLMCLM-414859CLM1.00Scoredweighted 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-414861CLMCLM-414860CLM1.00Scoredweighted 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-414862CLMCLM-414860CLM1.00Scoredweighted 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-414858CLMCLM-414860CLM1.00Scoredweighted 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-56550TPACLM-414859CLM0.99Scoredweighted 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-414860CLMTPA-56550TPA0.99Scoredweighted 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-414861CLMCLM-414858CLM0.99RuleD1 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

▶CLM-414862CLMCLM-414858CLM0.99RuleD1 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

▶CLM-414861CLMCLM-414862CLM0.99RuleD1 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

▶CLM-414861CLMPRV-24358PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414862CLMPRV-24358PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414858CLMPRV-24358PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414861CLMTPA-56550TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414862CLMTPA-56550TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414858CLMTPA-56550TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶PRV-24358PRVTPA-56550TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-24358PRVCLM-414859CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-24358PRVCLM-414860CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414859 → UHC-90304-33 (Nancy Rojas)
ACT-003785, Claims processor
Orphan claim re-pointedExecuted
CLM-414860 → UHC-90304-33 (Nancy Rojas)
ACT-004688, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2672d1c990
scoring_agent, CLM-414859, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:54:38Record linked automatically9a5898cae0
scoring_agent, TPA-56550, identity id MBR-011210, confidence 0.99, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:54:38Record linked automatically7abd697acb
scoring_agent, CLM-414860, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:54:38Record linked automatically0b449a5e9f
matching_agent, PRV-24358, identity id MBR-011210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414861
2026-10-19 19:54:38Record linked automaticallyb0ba2e745d
scoring_agent, CLM-414858, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:54:38Record linked automatically92c0e39df8
scoring_agent, CLM-414862, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:54:38Record linked automatically9868613ef5
scoring_agent, CLM-414861, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:52:09Record linked automaticallyabd41b4fa4
scoring_agent, CLM-414859, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:52:09Record linked automaticallyfbf0709185
scoring_agent, TPA-56550, identity id MBR-011210, confidence 0.99, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:52:09Record linked automaticallyfa5acbcd31
scoring_agent, CLM-414860, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:52:09Record linked automaticallyb5fc7b6e39
matching_agent, PRV-24358, identity id MBR-011210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414861
2026-10-19 19:52:09Record linked automaticallyf1ef67b58b
scoring_agent, CLM-414858, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:52:09Record linked automatically09bb3ba870
scoring_agent, CLM-414862, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:52:09Record linked automatically0520994f5e
scoring_agent, CLM-414861, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:45:42Record linked automatically54d0f40ea8
scoring_agent, CLM-414859, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:45:42Record linked automatically9978787aeb
scoring_agent, TPA-56550, identity id MBR-011210, confidence 0.99, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:45:42Record linked automatically145727467c
scoring_agent, CLM-414860, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:45:42Record linked automaticallyd8ac0be4a7
matching_agent, PRV-24358, identity id MBR-011210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414861
2026-10-19 19:45:42Record linked automaticallyeae3eeeebb
scoring_agent, CLM-414858, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:45:42Record linked automaticallybd8ccfb5f5
scoring_agent, CLM-414862, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:45:42Record linked automatically99f7410735
scoring_agent, CLM-414861, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:32:31Record linked automaticallyd674ddbc18
scoring_agent, CLM-414859, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:32:31Record linked automatically2484ef1b37
scoring_agent, TPA-56550, identity id MBR-011210, confidence 0.99, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:32:31Record linked automaticallyed0c62f4f5
scoring_agent, CLM-414860, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414861, policy version 1
2026-10-19 19:32:31Record linked automaticallyb251e707dc
matching_agent, PRV-24358, identity id MBR-011210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414861
2026-10-19 19:32:31Record linked automaticallyeb5b4ead9e
scoring_agent, CLM-414858, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:32:31Record linked automatically532ac1e9bb
scoring_agent, CLM-414862, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:32:31Record linked automatically1e5eabd29a
scoring_agent, CLM-414861, identity id MBR-011210, confidence 1, method probabilistic, matched record CLM-414860, policy version 1
2026-10-19 19:31:28Record linked automatically4e6dcd8e53
matching_agent, PRV-24358, identity id MBR-026738, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119492
2026-10-19 19:31:28Record linked automatically80133c2123
scoring_agent, TPA-56550, identity id MBR-017017, confidence 1, method probabilistic, matched record ENR-119722, policy version 1
2026-10-19 19:31:28Record linked automatically4c58512699
matching_agent, CLM-414862, identity id MBR-006824, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119468
2026-10-19 19:31:28Record linked automatically8318826d7f
matching_agent, CLM-414858, identity id MBR-003253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119467
2026-10-19 19:31:28Record linked automatically570c5e56a0
matching_agent, CLM-414861, identity id MBR-003253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414859
2026-10-19 19:31:28Record linked automaticallydb1db7d842
matching_agent, CLM-414859, identity id MBR-003253, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414861
2026-10-19 19:31:28Record linked automatically053c87fe11
matching_agent, CLM-414860, identity id MBR-003253, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414858

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-2026-009336	2026-09-16	Pinecrest Medical Group in network	99215	$382.00	$211.84	Approved	Approved
CLM-2026-012700	2026-06-06	Desert Clinical Laboratories in network	80053, 80061, 83036	$154.00	$0.00	Approved	Approved
CLM-2026-009918	2026-04-13	Meadow Skin Care Associates in network	99213, 17110	$358.00	$146.96	Approved	Approved
CLM-2026-032213	2026-01-22	Sunrise Physical Therapy in network	97110	$210.00	$105.20	Approved	Approved
CLM-2026-022671	2026-01-19	Lakeside Regional Medical Center in network	99284	$1,560.00	$608.00	Approved	Approved