Identities/MBR-020421
Gold, golden identity

Nicole K Banks

5 source records from 3 feeds.

MBR-020421Verified5 records

Golden record

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

First nameENR
Nicole
Middle nameTPA
K
Last nameENR
Banks
Date of birthENR
1996-12-26
GenderENR
M
Member IDENR
UHC-03903-87
SSNENR
•••-••-3194
PhoneENR
5514045899
EmailENR
nicole.banks@gmail.com
AddressENR
2517 Mountain View Dr
CityENR
Mesa
StateENR
AZ
ZIPENR
85200
GroupENR
GRP-5995
PlanENR
CORE-HMO
Min confidence
0.93
Sources
CLM ×2TPA ×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

1.000.930.991.000.99CLMCLM-414423TPATPA-56369ENRENR-118996TPATPA-56368CLMCLM-414422IDMBR-020421
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
CLM-414423CLM2026-03-18Nicole Banksflagged1996-12-26UHC-03903-87—2517 Mountain View Dr, Mesa, AZScored1.00—
TPA-56369TPA2026-04-07Nicole Banksflagged1996-12-26——2517 Mountain View Dr, Mesa, AZScored0.93—
ENR-118996ENR2026-06-15Nicole Banksflagged1996-12-26UHC-03903-8755140458992517 Mountain View Dr, Mesa, AZRule0.99D1 member id + dob exact
TPA-56368TPA2026-07-24Nicole Banksflagged1996-12-26——2517 Mountain View Dr, Mesa, AZScored1.00—
CLM-414422CLM2026-10-07Banks Nicoleflagged1996-12-26UHC-03903-8755140458992517 Mountain View Dr, Mesa, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414423CLMTPA-56368TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414423CLMCLM-414422CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118996ENRCLM-414422CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414423CLMENR-118996ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56368TPACLM-414422CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118996ENRTPA-56368TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-56369TPAENR-118996ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56369TPATPA-56368TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414423CLMTPA-56369TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Nicole Banks: 2 plan codes across sources → canonical CORE-HMO
    ACT-000856, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically80498a9c6a
    matching_agent, CLM-414422, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:54:38Record linked automaticallyeb9df8c7b5
    scoring_agent, TPA-56368, identity id MBR-020421, confidence 1, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:54:38Record linked automatically22cfd6b3ce
    matching_agent, ENR-118996, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:54:38Record linked automaticallyf892647bc7
    scoring_agent, TPA-56369, identity id MBR-020421, confidence 0.93, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:54:38Record linked automatically41639520a4
    scoring_agent, CLM-414423, identity id MBR-020421, confidence 1, method probabilistic, matched record TPA-56368, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyae3396aee1
    matching_agent, CLM-414422, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:52:09Record linked automatically5322aecb86
    scoring_agent, TPA-56368, identity id MBR-020421, confidence 1, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7f25c999f9
    matching_agent, ENR-118996, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:52:09Record linked automaticallya26652f3a4
    scoring_agent, TPA-56369, identity id MBR-020421, confidence 0.93, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyacec0be5a4
    scoring_agent, CLM-414423, identity id MBR-020421, confidence 1, method probabilistic, matched record TPA-56368, policy version 1
  • 2026-10-19 19:45:42Record linked automatically06e3ec6914
    matching_agent, CLM-414422, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:45:42Record linked automaticallycf0a476a28
    scoring_agent, TPA-56368, identity id MBR-020421, confidence 1, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye830f48868
    matching_agent, ENR-118996, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:45:42Record linked automatically6469688449
    scoring_agent, TPA-56369, identity id MBR-020421, confidence 0.93, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf817d5d691
    scoring_agent, CLM-414423, identity id MBR-020421, confidence 1, method probabilistic, matched record TPA-56368, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyedabc628fd
    matching_agent, CLM-414422, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:32:31Record linked automaticallyb74dd490f7
    scoring_agent, TPA-56368, identity id MBR-020421, confidence 1, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4129988ebb
    matching_agent, ENR-118996, identity id MBR-020421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414423
  • 2026-10-19 19:32:31Record linked automatically9740282859
    scoring_agent, TPA-56369, identity id MBR-020421, confidence 0.93, method probabilistic, matched record CLM-414423, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1b0778cac8
    scoring_agent, CLM-414423, identity id MBR-020421, confidence 1, method probabilistic, matched record TPA-56368, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye7a3f47e43
    matching_agent, ENR-118996, identity id MBR-032598, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-414486
  • 2026-10-19 19:31:28Record linked automaticallya8848a3338
    scoring_agent, TPA-56369, identity id MBR-028155, confidence 1, method probabilistic, matched record ENR-119207, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc0c454ae7d
    scoring_agent, TPA-56368, identity id MBR-016806, confidence 1, method probabilistic, matched record CLM-414657, policy version 1
  • 2026-10-19 19:31:28Record linked automatically907b4c6ebf
    scoring_agent, CLM-414423, identity id MBR-012582, confidence 1, method probabilistic, matched record CLM-414422, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf1d51a80da
    scoring_agent, CLM-414422, identity id MBR-012582, confidence 1, method probabilistic, matched record CLM-414423, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0036732026-09-01Meadow Family Practice
in network
99203$251.00—Needs reviewNeeds review
CLM-2026-0036722026-09-01Mesa Medical Group
in network
99203$251.00$115.62ApprovedApproved
CLM-2026-0111202026-02-16Pinecrest Diagnostic Imaging
in network
74177$1,715.00$0.00ApprovedApproved