Gold, golden identity
Nancy Delgado
4 source records from 2 feeds.
MBR-018973Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Nancy
- Middle name—
- —
- Last nameENR
- Delgado
- Date of birthENR
- 1953-06-14
- GenderCLM
- M
- Member IDENR
- UHC-60245-45
- SSNENR
- •••-••-3947
- PhoneENR
- 4248420120
- EmailENR
- nancy.delgado71@outlook.com
- AddressCLM
- 452 Harbor Blvd
- CityENR
- Nashville
- StateENR
- TN
- ZIPENR
- 37208
- GroupENR
- GRP-2545
- PlanENR
- OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×3
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-107635 | ENR | 2026-03-11 | Nancy Delgadoflagged | 1953-06-14 | UHC-60245-45 | 4248420120 | 452 Harbor Blvd # 564, Nashville, TN | Rule | 0.99 | D1 member id + dob exact |
| CLM-405810 | CLM | 2026-05-26 | Nancy Delgadoflagged | 1953-06-14 | UHC-60245-45 | — | 452 Harbor Blvd, Nashville, TN | Scored | 0.99 | — |
| CLM-405811 | CLM | 2026-06-07 | Nnacy Delgadoflagged | 1953-06-14 | — | — | 452 Harbor Blvd, Nashville, TN | Scored | 0.99 | — |
| CLM-405809 | CLM | 2026-08-28 | Nancy Delgadoflagged | 1953-06-14 | UHC-60245-45 | — | 452 Harbor Blvd, Nashville, TN | Scored | 0.99 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-405811 CLMCLM-405809CLM 0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-405810CLMCLM-405811 CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-107635ENRCLM-405809CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-405810CLMCLM-405809CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-107635ENRCLM-405810CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-107635ENRCLM-405811 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-405811 → UHC-60245-45 (Nancy Delgado)ACT-010158, Claims processor
- Outreach address correctedProposedNancy Delgado: 452 Harbor Blvd # 564, Nashville → 452 Harbor Blvd, NashvilleACT-012176, Outreach
- Care coordination outreachProposedNancy Delgado: 3 claims, no attributed providerACT-019035, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automaticallyf3f2fc3915scoring_agent, CLM-405809, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-22 12:43:54Record linked automatically8c350fb07escoring_agent, CLM-405811, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405810, policy version 1
- 2026-10-22 12:43:54Record linked automatically31b9971349scoring_agent, CLM-405810, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-22 12:43:54Record linked automatically06b5b6d202matching_agent, ENR-107635, identity id MBR-018973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405810
- 2026-10-19 19:54:38Record linked automatically1bf6c7c41cscoring_agent, CLM-405809, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:54:38Record linked automatically6ae209bfeescoring_agent, CLM-405811, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405810, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyac7153d038scoring_agent, CLM-405810, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyfa4a50275cmatching_agent, ENR-107635, identity id MBR-018973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405810
- 2026-10-19 19:52:09Record linked automatically1db2ddd157scoring_agent, CLM-405809, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:52:09Record linked automaticallydf1878c273scoring_agent, CLM-405811, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405810, policy version 1
- 2026-10-19 19:52:09Record linked automatically45fd8283e3scoring_agent, CLM-405810, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc6c1443b99matching_agent, ENR-107635, identity id MBR-018973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405810
- 2026-10-19 19:45:42Record linked automatically799d88b29ascoring_agent, CLM-405809, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:45:42Record linked automatically0a9e4fed89scoring_agent, CLM-405811, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405810, policy version 1
- 2026-10-19 19:45:42Record linked automatically7948bbaed6scoring_agent, CLM-405810, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyc20ae225b4matching_agent, ENR-107635, identity id MBR-018973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405810
- 2026-10-19 19:32:31Record linked automatically89ce4bc823scoring_agent, CLM-405809, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:32:31Record linked automatically1c894ee1e7scoring_agent, CLM-405811, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405810, policy version 1
- 2026-10-19 19:32:31Record linked automatically523a6490fascoring_agent, CLM-405810, identity id MBR-018973, confidence 0.99, method probabilistic, matched record CLM-405811, policy version 1
- 2026-10-19 19:32:31Record linked automatically474f81673fmatching_agent, ENR-107635, identity id MBR-018973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405810
- 2026-10-19 19:31:28Record linked automatically6f43ee8634matching_agent, ENR-107635, identity id MBR-042086, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405830
- 2026-10-19 19:31:28Record linked automatically05a9b4fab9matching_agent, CLM-405811, identity id MBR-031428, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107605
- 2026-10-19 19:31:28Record linked automaticallyc8dd578133scoring_agent, CLM-405810, identity id MBR-018186, confidence 1, method probabilistic, matched record TPA-52589, policy version 1
- 2026-10-19 19:31:28Record linked automatically46948704fematching_agent, CLM-405809, identity id MBR-017789, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107602
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-001229 | 2026-08-24 | Heritage Rehabilitation Center in network | 97110 | $288.00 | — | Needs review | Needs review |
| CLM-2026-001228 | 2026-08-24 | Pinecrest Physical Therapy in network | 97110 | $288.00 | $138.56 | Approved | Approved |
| CLM-2026-033563 | 2026-05-24 | Meadow Skin Care Associates in network | 17110, 11102 | $367.00 | $167.54 | Approved | Approved |
| CLM-2026-034055 | 2026-05-16 | Pinecrest Clinical Laboratories in network | 87086, 80053 | $95.00 | $0.00 | Approved | Approved |