Identities/MBR-015183
Gold, golden identity

Nicholas Carter

4 source records from 3 feeds.

MBR-015183Verified4 records

Golden record

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

First nameENR
Nicholas
Middle name—
—
Last nameENR
Carter
Date of birthENR
1938-12-23
GenderENR
F
Member IDENR
UHC-84056-95
SSNENR
•••-••-9425
Phone—
—
EmailENR
nicholas.carter@gmail.com
AddressENR
8213 Apache Blvd
CityENR
Orlando
StateENR
FL
ZIPENR
32843
GroupENR
GRP-9202
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
TPA ×1ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

1.000.991.001.00TPATPA-51334ENRENR-104044CLMCLM-403126CLMCLM-403125IDMBR-015183
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-51334TPA2026-02-22Nicholas Carterflagged1938-12-23——8213 Apache Blvd, Orlando, FLScored1.00—
ENR-104044ENR2026-03-19Nicholas Carterflagged1938-12-23UHC-84056-95—8213 Apache Blvd, Orlando, FLRule0.99D1 member id + dob exact
CLM-403126CLM2026-05-29Nicholas Carterflagged1938-12-23UHC-84056-95—8213 Apache Blvd # 759, Orlando, FLScored1.00—
CLM-403125CLM2026-06-26Nick Carterflagged1938-12-23——8213 Apache Blvd, Orlando, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403126CLMCLM-403125CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51334TPACLM-403126CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104044ENRCLM-403126CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51334TPACLM-403125CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-104044ENRCLM-403125CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-51334TPAENR-104044ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Nicholas Carter: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000649, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-403125 → UHC-84056-95 (Nicholas Carter)
    ACT-004017, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3bd3df3a33
    scoring_agent, CLM-403125, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0d8174c3f9
    scoring_agent, CLM-403126, identity id MBR-015183, confidence 1, method probabilistic, matched record TPA-51334, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd1cdddacec
    matching_agent, ENR-104044, identity id MBR-015183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403126
  • 2026-10-19 19:54:38Record linked automatically543c5eefe2
    scoring_agent, TPA-51334, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0c7839c101
    scoring_agent, CLM-403125, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:52:09Record linked automatically893162cc18
    scoring_agent, CLM-403126, identity id MBR-015183, confidence 1, method probabilistic, matched record TPA-51334, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4c54834ad6
    matching_agent, ENR-104044, identity id MBR-015183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403126
  • 2026-10-19 19:52:09Record linked automatically9771c4db1a
    scoring_agent, TPA-51334, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyed26ea6e5c
    scoring_agent, CLM-403125, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2e40041d01
    scoring_agent, CLM-403126, identity id MBR-015183, confidence 1, method probabilistic, matched record TPA-51334, policy version 1
  • 2026-10-19 19:45:42Record linked automatically359697795b
    matching_agent, ENR-104044, identity id MBR-015183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403126
  • 2026-10-19 19:45:42Record linked automatically8496c7d7a6
    scoring_agent, TPA-51334, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4e703169ac
    scoring_agent, CLM-403125, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4a4b384d70
    scoring_agent, CLM-403126, identity id MBR-015183, confidence 1, method probabilistic, matched record TPA-51334, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5064c4f261
    matching_agent, ENR-104044, identity id MBR-015183, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403126
  • 2026-10-19 19:32:31Record linked automaticallyb6de80ca38
    scoring_agent, TPA-51334, identity id MBR-015183, confidence 1, method probabilistic, matched record CLM-403126, policy version 1
  • 2026-10-19 19:31:28Record linked automatically655f010f30
    matching_agent, ENR-104044, identity id MBR-010047, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403081
  • 2026-10-19 19:31:28Record linked automaticallyf0b8018b36
    scoring_agent, TPA-51334, identity id MBR-007533, confidence 1, method probabilistic, matched record ENR-103806, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye1e275397c
    scoring_agent, CLM-403126, identity id MBR-005765, confidence 1, method probabilistic, matched record TPA-51423, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0102952025-12-24Mesa GI Associates
in network
45378$1,615.00—DeniedDenied
CLM-2026-0129992026-04-15Heritage Community Hospital
in network
99283$717.00$44.35ApprovedApproved