Identities/MBR-016968

Gold, golden identity

Nancy L Andrews

5 source records from 3 feeds.

MBR-016968Verified5 records

Golden record

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

First nameENR: Nancy
Middle nameENR: L
Last nameENR: Andrews
Date of birthENR: 1983-12-26
GenderENR: M
Member IDENR: UHC-15983-34
SSNENR: •••-••-1735
PhoneENR: 9302724103
EmailENR: nancy.andrews55@proton.me
AddressENR: 627 Grand Ave
CityENR: Glendale
StateENR: AZ
ZIPENR: 85355
GroupENR: GRP-2685
PlanENR: MEDICARE-ADV-B

Min confidence

0.98

Sources

TPA ×2CLM ×2ENR ×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
TPA-52905	TPA	2026-03-02	Nency Andrewsflagged	1983-12-26	—	—	627 Grand Ave, Glendale, AZ	Scored	0.98	—
CLM-406607	CLM	2026-04-08	Nancy Andrewsflagged	1983-12-26	UHC-15983-34	—	627 Grand Ave, Glendale, AZ	Scored	1.00	—
ENR-108651	ENR	2026-09-03	Nancy Andrewsflagged	1983-12-26	UHC-15983-34	9302724103	627 Grand Ave, Glendale, AZ	Scored	1.00	—
CLM-406606	CLM	2026-09-05	Nancy Andrewsflagged	1983-12-26	UHC-15983-34	9302724103	—	Rule	0.99	D1 member id + dob exact
TPA-52904	TPA	2026-10-09	Nancy Andrewsflagged	1983-12-26	—	—	627 Grand Ave, Glendale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-406607CLMTPA-52904TPA1.00Scoredweighted 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-108651ENRTPA-52904TPA1.00Scoredweighted 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-406607CLMCLM-406606CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-108651ENRCLM-406606CLM0.99RuleD1 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

▶CLM-406607CLMENR-108651ENR0.99RuleD1 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

▶TPA-52905TPAENR-108651ENR0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52905TPACLM-406607CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52905TPATPA-52904TPA0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52905TPACLM-406606CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-406606CLMTPA-52904TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Nancy Andrews: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000721, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically45c27f6ebf
scoring_agent, TPA-52904, identity id MBR-016968, confidence 1, method probabilistic, matched record CLM-406607, policy version 1
2026-10-19 19:54:38Record linked automaticallya3887e3e26
matching_agent, CLM-406606, identity id MBR-016968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406607
2026-10-19 19:54:38Record linked automaticallyd89676ddfa
scoring_agent, ENR-108651, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:54:38Record linked automaticallyd59afec482
scoring_agent, CLM-406607, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:54:38Record linked automaticallyd1a5e64c1a
scoring_agent, TPA-52905, identity id MBR-016968, confidence 0.98, method probabilistic, matched record ENR-108651, policy version 1
2026-10-19 19:52:09Record linked automatically9ec28843a4
scoring_agent, TPA-52904, identity id MBR-016968, confidence 1, method probabilistic, matched record CLM-406607, policy version 1
2026-10-19 19:52:09Record linked automaticallyb902c81300
matching_agent, CLM-406606, identity id MBR-016968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406607
2026-10-19 19:52:09Record linked automatically8a9dab6b3b
scoring_agent, ENR-108651, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:52:09Record linked automaticallybee33145f1
scoring_agent, CLM-406607, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:52:09Record linked automatically608c00a72c
scoring_agent, TPA-52905, identity id MBR-016968, confidence 0.98, method probabilistic, matched record ENR-108651, policy version 1
2026-10-19 19:45:42Record linked automatically7eeb2ae32c
scoring_agent, TPA-52904, identity id MBR-016968, confidence 1, method probabilistic, matched record CLM-406607, policy version 1
2026-10-19 19:45:42Record linked automatically8160000b81
matching_agent, CLM-406606, identity id MBR-016968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406607
2026-10-19 19:45:42Record linked automatically2297f87258
scoring_agent, ENR-108651, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:45:42Record linked automatically2e1edb34df
scoring_agent, CLM-406607, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:45:42Record linked automaticallyfd7800f8dd
scoring_agent, TPA-52905, identity id MBR-016968, confidence 0.98, method probabilistic, matched record ENR-108651, policy version 1
2026-10-19 19:32:31Record linked automatically62fccbb157
scoring_agent, TPA-52904, identity id MBR-016968, confidence 1, method probabilistic, matched record CLM-406607, policy version 1
2026-10-19 19:32:31Record linked automatically1d96eb777f
matching_agent, CLM-406606, identity id MBR-016968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406607
2026-10-19 19:32:31Record linked automaticallya756042e0e
scoring_agent, ENR-108651, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:32:31Record linked automatically707a93905c
scoring_agent, CLM-406607, identity id MBR-016968, confidence 1, method probabilistic, matched record TPA-52904, policy version 1
2026-10-19 19:32:31Record linked automatically703ad320d5
scoring_agent, TPA-52905, identity id MBR-016968, confidence 0.98, method probabilistic, matched record ENR-108651, policy version 1
2026-10-19 19:31:28Record linked automatically1da1c741c1
scoring_agent, ENR-108651, identity id MBR-034251, confidence 1, method probabilistic, matched record CLM-406602, policy version 1
2026-10-19 19:31:28Record linked automatically6d71812371
scoring_agent, TPA-52905, identity id MBR-033174, confidence 0.93, method probabilistic, matched record CLM-406566, policy version 1
2026-10-19 19:31:28Record linked automaticallyb4bca668b5
matching_agent, TPA-52904, identity id MBR-033174, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52906
2026-10-19 19:31:28Record linked automatically691af99eba
scoring_agent, CLM-406606, identity id MBR-003346, confidence 1, method probabilistic, matched record CLM-406607, policy version 1
2026-10-19 19:31:28Record linked automatically5315f857dd
scoring_agent, CLM-406607, identity id MBR-003346, confidence 1, method probabilistic, matched record ENR-108658, 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-2026-014674	2026-08-20	Unity Medical Group in network	99215	$351.00	$187.62	Approved	Approved
CLM-2026-006004	2026-03-09	Desert Internal Medicine Associates in network	80053, 99214	$366.00	$196.92	Approved	Approved