Identities/MBR-020281

Gold, golden identity

Robert S Nichols

6 source records from 3 feeds.

MBR-020281Verified6 records

Golden record

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

First nameENR: Robert
Middle nameENR: S
Last nameENR: Nichols
Date of birthENR: 1989-09-18
GenderENR: M
Member IDENR: UHC-85627-10
SSNENR: •••-••-8902
PhoneENR: 3325387382
EmailENR: robert.nichols85@aol.com
AddressENR: 8307 Sunset Blvd
CityENR: Las Vegas
StateENR: NV
ZIPCLM: 89136
GroupENR: GRP-5204
PlanENR: MEDICARE-ADV-A

Min confidence

0.93

Sources

ENR ×1CLM ×3TPA ×2

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
ENR-133851	ENR	2026-03-17	Robert Nicholsflagged	1989-09-18	UHC-85627-10	3325387382	8307 Sunset Blvd, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-425881	CLM	2026-07-12	Bobby Nicholsflagged	1989-09-18	UHC-85627-10	—	4382 Sunset Blvd, Miami, FL	Scored	1.00	—
TPA-61427	TPA	2026-07-21	Robert Nicholsflagged	1989-09-18	—	3325387382	4382 Sunset Blvd, Miami, FL	Scored	1.00	—
TPA-61428	TPA	2026-07-28	Robert Nicholsflagged	1989-09-18	UHC-85627-10	3325387382	4382 Sunset Blvd, Miami, FL	Scored	1.00	—
CLM-425880	CLM	2026-10-02	Robert Nicholsflagged	1989-09-18	—	—	8307 Sunset Blvd, Las Vegas, NV	Scored	0.93	—
CLM-425882	CLM	2026-10-14	Robert Nicholsflagged	1989-09-18	—	—	—	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-425881CLMTPA-61427TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61427TPATPA-61428TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-133851 ENRCLM-425881CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-133851 ENRTPA-61428TPA0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-425881CLMTPA-61428TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-133851 ENRCLM-425882CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61428TPACLM-425882CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-133851 ENRCLM-425880CLM 0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425881CLMCLM-425882CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-61427TPACLM-425882CLM0.83Scoredweighted 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

▶CLM-425880CLM CLM-425882CLM0.83Scoredweighted 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

▶ENR-133851 ENRTPA-61427TPA0.82Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425881CLMCLM-425880CLM 0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-61427TPACLM-425880CLM 0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-61428TPACLM-425880CLM 0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425882 → UHC-85627-10 (Robert Nichols)
ACT-007797, Claims processor
Orphan claim re-pointedExecuted
CLM-425880 → UHC-85627-10 (Robert Nichols)
ACT-008795, Claims processor
Care coordination outreachProposed
Robert Nichols: 3 claims, no attributed provider
ACT-019099, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyae73739e4e
matching_agent, CLM-425882, identity id MBR-020281, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133851
2026-10-19 19:54:38Record linked automaticallyf1af9978a4
scoring_agent, CLM-425880, identity id MBR-020281, confidence 0.93, method probabilistic, matched record ENR-133851, policy version 1
2026-10-19 19:54:38Record linked automatically5e57c2cc26
scoring_agent, TPA-61428, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:54:38Record linked automatically201cc06512
scoring_agent, TPA-61427, identity id MBR-020281, confidence 1, method probabilistic, matched record CLM-425881, policy version 1
2026-10-19 19:54:38Record linked automatically08fc5c4014
scoring_agent, CLM-425881, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:54:38Record linked automatically398a729b27
matching_agent, ENR-133851, identity id MBR-020281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425881
2026-10-19 19:52:09Record linked automaticallyc68e1cb6c9
matching_agent, CLM-425882, identity id MBR-020281, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133851
2026-10-19 19:52:09Record linked automaticallyd62fc9ae61
scoring_agent, CLM-425880, identity id MBR-020281, confidence 0.93, method probabilistic, matched record ENR-133851, policy version 1
2026-10-19 19:52:09Record linked automaticallyed785b20c0
scoring_agent, TPA-61428, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:52:09Record linked automatically5764b6f214
scoring_agent, TPA-61427, identity id MBR-020281, confidence 1, method probabilistic, matched record CLM-425881, policy version 1
2026-10-19 19:52:09Record linked automaticallyef365421c6
scoring_agent, CLM-425881, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:52:09Record linked automatically670ef1b5e8
matching_agent, ENR-133851, identity id MBR-020281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425881
2026-10-19 19:45:42Record linked automatically06874d1b05
matching_agent, CLM-425882, identity id MBR-020281, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133851
2026-10-19 19:45:42Record linked automatically49b6052a1e
scoring_agent, CLM-425880, identity id MBR-020281, confidence 0.93, method probabilistic, matched record ENR-133851, policy version 1
2026-10-19 19:45:42Record linked automatically1a82fc9d33
scoring_agent, TPA-61428, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:45:42Record linked automatically4838d2f410
scoring_agent, TPA-61427, identity id MBR-020281, confidence 1, method probabilistic, matched record CLM-425881, policy version 1
2026-10-19 19:45:42Record linked automatically67cb0e6888
scoring_agent, CLM-425881, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:45:42Record linked automaticallyee1ca7b143
matching_agent, ENR-133851, identity id MBR-020281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425881
2026-10-19 19:32:31Record linked automatically3e3d13ae47
matching_agent, CLM-425882, identity id MBR-020281, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133851
2026-10-19 19:32:31Record linked automatically007547454b
scoring_agent, CLM-425880, identity id MBR-020281, confidence 0.93, method probabilistic, matched record ENR-133851, policy version 1
2026-10-19 19:32:31Record linked automatically10977cc29e
scoring_agent, TPA-61428, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:32:31Record linked automatically335e79bbfc
scoring_agent, TPA-61427, identity id MBR-020281, confidence 1, method probabilistic, matched record CLM-425881, policy version 1
2026-10-19 19:32:31Record linked automatically2970e132df
scoring_agent, CLM-425881, identity id MBR-020281, confidence 1, method probabilistic, matched record TPA-61427, policy version 1
2026-10-19 19:32:31Record linked automatically712c2c60d4
matching_agent, ENR-133851, identity id MBR-020281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425881
2026-10-19 19:31:28Record linked automatically5b910605c7
matching_agent, CLM-425882, identity id MBR-026120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27629
2026-10-19 19:31:28Record linked automaticallye35da525fd
matching_agent, CLM-425881, identity id MBR-026120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27629
2026-10-19 19:31:28Record linked automatically47e201434a
scoring_agent, ENR-133851, identity id MBR-025258, confidence 1, method probabilistic, matched record TPA-61298, policy version 1
2026-10-19 19:31:28Record linked automatically5a33d1202b
scoring_agent, TPA-61428, identity id MBR-022598, confidence 0.97, method probabilistic, matched record PRV-27643, policy version 1
2026-10-19 19:31:28Record linked automatically84319037f5
matching_agent, CLM-425880, identity id MBR-015694, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134156
2026-10-19 19:31:28Record linked automaticallyacdf4015d6
matching_agent, TPA-61427, identity id MBR-013780, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134258

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-2026-024480	2026-09-05	Evergreen Orthopedic Specialists in network	20610, 99213	$425.00	$203.50	Approved	Approved
CLM-2026-028228	2026-09-09	Harbor Medical Group in network	99214	$213.00	$102.06	Approved	Approved
CLM-2026-017243	2026-06-14	Lakeside Internal Medicine Associates in network	99232	$176.00	$0.00	Approved	Approved