Nicholas Morales

3 source records from 2 feeds.

MBR-011890Verified3 records

Golden record

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

First nameCLM: Nicholas
Middle name—: —
Last nameCLM: Morales
Date of birthCLM: 1978-01-24
GenderCLM: M
Member IDCLM: UHC-12314-49
SSNCLM: •••-••-9297
PhoneCLM: 5799269631
EmailTPA: nicholas.morales28@hotmail.com
AddressTPA: 7526 Broadway
CityTPA: Fresno
StateTPA: CA
ZIPTPA: 93710
GroupTPA: GRP-4752
PlanCLM: MEDICARE-ADV-B

Min confidence

0.97

Sources

CLM ×1TPA ×2

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-430876	CLM	2026-02-10	Nicholas Moralesflagged	1978-01-24	UHC-12314-49	5799269631	—	Rule	0.99	D1 member id + dob exact
TPA-63644	TPA	2026-02-19	Nicholas Moralesflagged	1978-01-24	—	—	7526 Broadway, Fresno, CA	Rule	0.97	D2 ssn4 + dob + last name
TPA-63645	TPA	2026-06-28	Nicholas Mooralesflagged	1978-01-24	UHC-12314-49	—	7526 Broadway, Fresno, CA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-430876CLMTPA-63645TPA0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-430876CLMTPA-63644TPA0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63644TPATPA-63645TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically84259810d3
matching_agent, TPA-63645, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430876
2026-10-22 12:43:54Record linked automaticallye6106308c1
matching_agent, TPA-63644, identity id MBR-011890, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430876
2026-10-22 12:43:54Record linked automatically7c46be71db
matching_agent, CLM-430876, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63645
2026-10-19 19:54:38Record linked automatically80ed14d0b0
matching_agent, TPA-63645, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430876
2026-10-19 19:54:38Record linked automatically6c05aabfc9
matching_agent, TPA-63644, identity id MBR-011890, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430876
2026-10-19 19:54:38Record linked automatically0632c38a9f
matching_agent, CLM-430876, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63645
2026-10-19 19:52:09Record linked automatically65503a8fee
matching_agent, TPA-63645, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430876
2026-10-19 19:52:09Record linked automaticallyfa167814f8
matching_agent, TPA-63644, identity id MBR-011890, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430876
2026-10-19 19:52:09Record linked automaticallya753e8247d
matching_agent, CLM-430876, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63645
2026-10-19 19:45:42Record linked automatically1cc8adad7b
matching_agent, TPA-63645, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430876
2026-10-19 19:45:42Record linked automatically02f455488e
matching_agent, TPA-63644, identity id MBR-011890, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430876
2026-10-19 19:45:42Record linked automatically08e77b3c70
matching_agent, CLM-430876, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63645
2026-10-19 19:32:31Record linked automatically25ec7964ad
matching_agent, TPA-63645, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430876
2026-10-19 19:32:31Record linked automaticallyf138b564b8
matching_agent, TPA-63644, identity id MBR-011890, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430876
2026-10-19 19:32:31Record linked automatically1c4757f88b
matching_agent, CLM-430876, identity id MBR-011890, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63645
2026-10-19 19:31:28Record linked automatically24ccb48013
scoring_agent, CLM-430876, identity id MBR-017608, confidence 1, method probabilistic, matched record TPA-63540, policy version 1
2026-10-19 19:31:28Record linked automatically1af08cbd4f
matching_agent, TPA-63644, identity id MBR-016057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141117
2026-10-19 19:31:28Record linked automaticallyc539174f0c
scoring_agent, TPA-63645, identity id MBR-001839, confidence 1, method probabilistic, matched record ENR-141118, 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-2026-015880	2026-01-18	Desert Reference Lab out of network	87086, 80061, 85025	$183.00	$0.00	Approved	Approved