Identities/MBR-012564

Gold, golden identity

Patrick Nichols

5 source records from 3 feeds.

MBR-012564Verified5 records

Golden record

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

First nameENR: Patrick
Middle name—: —
Last nameENR: Nichols
Date of birthENR: 1945-08-01
GenderENR: M
Member IDENR: UHC-30949-43
SSNENR: •••-••-5327
PhoneENR: 5875690437
EmailENR: patrick.nichols49@gmail.com
AddressENR: 6749 Hillcrest Rd
CityENR: Sacramento
StateENR: CA
ZIPENR: 95837
GroupENR: GRP-0745
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×3ENR ×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-422042	CLM	2026-02-12	Patrick Nicholsflagged	1945-08-01	UHC-30949-43	5875690437	—	Scored	1.00	—
CLM-422040	CLM	2026-02-27	Patrick Nicholsflagged	1945-08-01	—	5875690437	6749 Hillcrest Rd, Sacramento, CA	Scored	1.00	—
ENR-128851	ENR	2026-06-11	Patrick Nicholsflagged	1945-08-01	UHC-30949-43	5875690437	6749 Hillcrest Rd, Sacramento, CA	Scored	1.00	—
TPA-59682	TPA	2026-06-28	Patrick Nicholsflagged	—	—	5875690437	6749 Hillcrest Rd, Sacramento, CA	Scored	1.00	—
CLM-422041	CLM	2026-08-26	Patrick Nichholsflagged	1945-08-01	UHC-30949-43	—	6749 Hillcrest Rd, Sacramento, CA	Scored	0.99	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-422042CLM CLM-422040CLM1.00Scoredweighted 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-422040CLMENR-128851ENR1.00Scoredweighted 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-422040CLMTPA-59682TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128851ENRTPA-59682TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422040CLMCLM-422041CLM0.99Scoredweighted 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-422042CLM CLM-422041CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-128851ENRCLM-422041CLM0.99RuleD1 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-422042CLM ENR-128851ENR0.99RuleD1 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-59682TPACLM-422041CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-422042CLM TPA-59682TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Patrick Nichols: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000568, Eligibility engine
Orphan claim re-pointedExecuted
CLM-422040 → UHC-30949-43 (Patrick Nichols)
ACT-001508, Claims processor
Care coordination outreachProposed
Patrick Nichols: 3 claims, no attributed provider
ACT-018687, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4e704242ab
scoring_agent, CLM-422041, identity id MBR-012564, confidence 0.99, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:54:38Record linked automatically9dcbc970dd
scoring_agent, TPA-59682, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:54:38Record linked automaticallyd5f39c23a9
scoring_agent, ENR-128851, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:54:38Record linked automaticallybb3825033d
scoring_agent, CLM-422040, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422042, policy version 1
2026-10-19 19:54:38Record linked automaticallyb7bce26ae7
scoring_agent, CLM-422042, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:52:09Record linked automatically2bbc376bc4
scoring_agent, CLM-422041, identity id MBR-012564, confidence 0.99, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:52:09Record linked automaticallyf4329c01ab
scoring_agent, TPA-59682, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:52:09Record linked automatically5fe98b1798
scoring_agent, ENR-128851, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:52:09Record linked automatically80babc3979
scoring_agent, CLM-422040, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422042, policy version 1
2026-10-19 19:52:09Record linked automaticallya14b811806
scoring_agent, CLM-422042, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:45:42Record linked automatically25a6f2c00d
scoring_agent, CLM-422041, identity id MBR-012564, confidence 0.99, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:45:42Record linked automaticallyec3d2c9d04
scoring_agent, TPA-59682, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:45:42Record linked automatically16858d6d87
scoring_agent, ENR-128851, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:45:42Record linked automaticallya62c3d8efa
scoring_agent, CLM-422040, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422042, policy version 1
2026-10-19 19:45:42Record linked automatically3b1098bf3d
scoring_agent, CLM-422042, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:32:31Record linked automatically39145f60d3
scoring_agent, CLM-422041, identity id MBR-012564, confidence 0.99, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:32:31Record linked automatically12bb9a4e4b
scoring_agent, TPA-59682, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:32:31Record linked automatically6c32b149c3
scoring_agent, ENR-128851, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:32:31Record linked automaticallybb501c4309
scoring_agent, CLM-422040, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422042, policy version 1
2026-10-19 19:32:31Record linked automaticallya62e881b46
scoring_agent, CLM-422042, identity id MBR-012564, confidence 1, method probabilistic, matched record CLM-422040, policy version 1
2026-10-19 19:31:28Record linked automatically8af20f5521
scoring_agent, TPA-59682, identity id MBR-039368, confidence 1, method probabilistic, matched record ENR-129080, policy version 1
2026-10-19 19:31:28Record linked automatically5f682bf6d3
matching_agent, ENR-128851, identity id MBR-038146, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128850
2026-10-19 19:31:28Record linked automaticallyc03c64c7ee
matching_agent, CLM-422042, identity id MBR-029790, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128992
2026-10-19 19:31:28Record linked automaticallyfb1d4ffd87
scoring_agent, CLM-422040, identity id MBR-016710, confidence 1, method probabilistic, matched record TPA-59642, policy version 1
2026-10-19 19:31:28Record linked automatically9785bbf7d2
matching_agent, CLM-422041, identity id MBR-016710, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422040

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-2026-007211	2026-08-05	Mesa Diabetes Center in network	99215, 83036, 99214	$584.00	$322.08	Approved	Approved
CLM-2026-000736	2026-02-18	Canyon Primary Care Associates in network	90471	$36.00	$0.00	Approved	Approved
CLM-2026-031454	2026-02-01	Meadow Family Practice in network	99213, 36415, 90471	$280.00	—	Denied	Denied
CLM-2026-031453	2026-02-01	Meadow Family Practice in network	99213, 36415, 90471	$280.00	$148.60	Approved	Approved