Nicole H Kelley

4 source records from 2 feeds.

MBR-014299Verified4 records

Golden record

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

First nameENR: Nicole
Middle nameENR: H
Last nameENR: Kelley
Date of birthENR: 1961-04-04
GenderENR: M
Member IDENR: UHC-85597-57
SSNENR: •••-••-8121
PhoneENR: 3414460761
EmailENR: nicole.kelley17@aol.com
AddressENR: 4084 Central Ave
CityENR: Plano
StateENR: TX
ZIPENR: 75074
GroupENR: GRP-8039
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×3ENR ×1

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-403776	CLM	2026-02-19	Nicole Kelleyflagged	1961-04-04	—	—	4084 Central Ave, Plano, TX	Scored	1.00	—
CLM-403775	CLM	2026-04-19	Nicole Kelleyflagged	1961-04-04	UHC-85597-57	—	4084 Central Ave, Plano, TX	Scored	1.00	—
ENR-104907	ENR	2026-05-28	Nicole Kelleyflagged	1961-04-04	UHC-85597-57	3414460761	4084 Central Ave, Plano, TX	Scored	1.00	—
CLM-403777	CLM	2026-08-15	Nicole Kelleyflagged	1961-04-04	—	3414460761	4084 Central Ave, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-403776CLM CLM-403775CLM1.00Scoredweighted 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-403776CLM CLM-403777CLM1.00Scoredweighted 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-403775CLMCLM-403777CLM1.00Scoredweighted 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-104907ENRCLM-403777CLM1.00Scoredweighted 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-403776CLM ENR-104907ENR1.00Scoredweighted 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-403775CLMENR-104907ENR0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403776 → UHC-85597-57 (Nicole Kelley)
ACT-008450, Claims processor
Orphan claim re-pointedExecuted
CLM-403777 → UHC-85597-57 (Nicole Kelley)
ACT-008823, Claims processor
Care coordination outreachProposed
Nicole Kelley: 3 claims, no attributed provider
ACT-018797, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically5f1f0226c3
scoring_agent, CLM-403777, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-22 12:43:54Record linked automatically1deb2de209
scoring_agent, ENR-104907, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-22 12:43:54Record linked automaticallyba8288bafc
scoring_agent, CLM-403775, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-22 12:43:54Record linked automaticallye094ab41ac
scoring_agent, CLM-403776, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403775, policy version 1
2026-10-19 19:54:38Record linked automaticallyef0d0f89b2
scoring_agent, CLM-403777, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:54:38Record linked automatically3005fbfed4
scoring_agent, ENR-104907, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:54:38Record linked automaticallyd391c3701b
scoring_agent, CLM-403775, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:54:38Record linked automatically7eda7d8ab6
scoring_agent, CLM-403776, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403775, policy version 1
2026-10-19 19:52:09Record linked automatically9f8f494d6b
scoring_agent, CLM-403777, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:52:09Record linked automatically3a50cb32f1
scoring_agent, ENR-104907, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:52:09Record linked automaticallyf45aed9b75
scoring_agent, CLM-403775, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:52:09Record linked automatically3b412b46f2
scoring_agent, CLM-403776, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403775, policy version 1
2026-10-19 19:45:42Record linked automatically79cc064a55
scoring_agent, CLM-403777, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:45:42Record linked automaticallyb44d01de39
scoring_agent, ENR-104907, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:45:42Record linked automatically5fe51f7810
scoring_agent, CLM-403775, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:45:42Record linked automatically0951627156
scoring_agent, CLM-403776, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403775, policy version 1
2026-10-19 19:32:31Record linked automatically6505204150
scoring_agent, CLM-403777, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:32:31Record linked automatically183b32db19
scoring_agent, ENR-104907, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:32:31Record linked automaticallyd6ade70432
scoring_agent, CLM-403775, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403776, policy version 1
2026-10-19 19:32:31Record linked automatically2b7db6cbb0
scoring_agent, CLM-403776, identity id MBR-014299, confidence 1, method probabilistic, matched record CLM-403775, policy version 1
2026-10-19 19:31:28Record linked automatically4a9ddc972a
matching_agent, CLM-403776, identity id MBR-026119, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104926
2026-10-19 19:31:28Record linked automaticallyb71b97c100
scoring_agent, CLM-403777, identity id MBR-013055, confidence 1, method probabilistic, matched record PRV-21151, policy version 1
2026-10-19 19:31:28Record linked automaticallyc9f95f161c
matching_agent, CLM-403775, identity id MBR-000645, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-51700

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-2026-028326	2026-07-08	Summit Regional Medical Center in network	70553	$2,332.00	—	Needs review	Needs review
CLM-2026-001475	2026-04-08	Meadow Physical Therapy out of network	97110	$248.00	—	Denied	Denied
CLM-2026-026937	2026-01-17	Canyon Heart Institute out of network	99214	$268.00	—	Denied	Denied