Identities/MBR-027654

Gold, golden identity

Michelle W Nelson

6 source records from 3 feeds.

MBR-027654Verified6 recordsOpen steward case

Golden record

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

First nameENR: Michelle
Middle nameENR: W
Last nameENR: Nelson
Date of birthENR: 1947-08-08
GenderENR: F
Member IDENR: UHC-68864-27
SSNENR: •••-••-7754
PhoneENR: 4894834073
EmailENR: michelle.nelson@gmail.com
AddressCLM: 2704 Lincoln Way Apt 15
CityENR: Nashville
StateENR: TN
ZIPENR: 37286
GroupENR: GRP-2787
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

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-108040	ENR	2026-04-25	Michelle Nelsonflagged	1947-08-08	UHC-68864-27	4894834073	2704 Lincoln Way, Nashville, TN	Scored	1.00	—
CLM-406126	CLM	2026-05-08	Michelle Nelsonflagged	1947-08-08	UHC-68864-27	—	—	Rule	0.99	D1 member id + dob exact
TPA-52718	TPA	2026-06-19	Michelle Nelsnoflagged	1947-08-08	—	—	2704 Lincoln Way, Nashville, TN	Scored	0.99	—
TPA-52719	TPA	2026-06-23	Michelle Nelsonflagged	1947-08-08	UHC-68864-27	4894834073	2704 Lincoln Way, Nashville, TN	Scored	1.00	—
CLM-406127	CLM	2026-08-24	Michelle Nelsonflagged	1947-08-08	UHC-68864-27	—	2704 Lincoln Way, Nashville, TN	Scored	1.00	—
CLM-406128	CLM	2026-09-01	Michelle Nelsonflagged	1947-08-08	—	—	2704 Lincoln Way Apt 15, Nashville, TN	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-108040ENRCLM-406128CLM1.00Scoredweighted 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

▶TPA-52719TPACLM-406128CLM1.00Scoredweighted 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-406127CLMCLM-406128CLM1.00Scoredweighted 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-108040ENRTPA-52718TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52718TPACLM-406127CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52718TPACLM-406128CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52718TPATPA-52719TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-108040ENRCLM-406126CLM0.99RuleD1 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-108040ENRCLM-406127CLM0.99RuleD1 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

▶CLM-406126CLMCLM-406127CLM0.99RuleD1 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

▶TPA-52719TPACLM-406127CLM0.99RuleD1 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

▶ENR-108040ENRTPA-52719TPA0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406126CLMTPA-52719TPA0.99RuleD1 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

▶CLM-406126CLMCLM-406128CLM0.83Scoredweighted 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-406126CLMTPA-52718TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406128 → UHC-68864-27 (Michelle Nelson)
ACT-003910, Claims processor
Outreach address correctedProposed
Michelle Nelson: 2704 Lincoln Way, Nashville → 2704 Lincoln Way Apt 15, Nashville
ACT-012782, Outreach
Care coordination outreachProposed
Michelle Nelson: 3 claims, no attributed provider
ACT-019380, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically4e791e5ff8
scoring_agent, CLM-406128, identity id MBR-027654, confidence 1, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:54:38Record linked automatically525da86538
scoring_agent, CLM-406127, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:54:38Record linked automaticallyfe0ea129e5
scoring_agent, TPA-52719, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:54:38Record linked automaticallye58f71f076
scoring_agent, TPA-52718, identity id MBR-027654, confidence 0.99, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:54:38Record linked automatically57b1881580
matching_agent, CLM-406126, identity id MBR-027654, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108040
2026-10-19 19:54:38Record linked automatically1bf9143ec4
scoring_agent, ENR-108040, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:52:09Record linked automaticallyaa62422295
scoring_agent, CLM-406128, identity id MBR-027654, confidence 1, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:52:09Record linked automaticallye08a5bffed
scoring_agent, CLM-406127, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:52:09Record linked automaticallya3407a764f
scoring_agent, TPA-52719, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:52:09Record linked automaticallyab793babde
scoring_agent, TPA-52718, identity id MBR-027654, confidence 0.99, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:52:09Record linked automaticallye2b95ecded
matching_agent, CLM-406126, identity id MBR-027654, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108040
2026-10-19 19:52:09Record linked automatically703f6dbcfb
scoring_agent, ENR-108040, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:45:42Record linked automaticallyb28c605c09
scoring_agent, CLM-406128, identity id MBR-027654, confidence 1, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:45:42Record linked automaticallyc512025c48
scoring_agent, CLM-406127, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:45:42Record linked automaticallyb82ff07862
scoring_agent, TPA-52719, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:45:42Record linked automatically0957f72317
scoring_agent, TPA-52718, identity id MBR-027654, confidence 0.99, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:45:42Record linked automatically624cd57662
matching_agent, CLM-406126, identity id MBR-027654, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108040
2026-10-19 19:45:42Record linked automaticallyf18e18662c
scoring_agent, ENR-108040, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:32:31Record linked automatically903882cee8
scoring_agent, CLM-406128, identity id MBR-027654, confidence 1, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:32:31Record linked automaticallyef292b94dd
scoring_agent, CLM-406127, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:32:31Record linked automatically5225e54f01
scoring_agent, TPA-52719, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:32:31Record linked automaticallye173700ea1
scoring_agent, TPA-52718, identity id MBR-027654, confidence 0.99, method probabilistic, matched record ENR-108040, policy version 1
2026-10-19 19:32:31Record linked automatically0a5a70ee70
matching_agent, CLM-406126, identity id MBR-027654, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108040
2026-10-19 19:32:31Record linked automaticallyd6d850d91b
scoring_agent, ENR-108040, identity id MBR-027654, confidence 1, method probabilistic, matched record CLM-406128, policy version 1
2026-10-19 19:31:28Record linked automaticallyce9132bc8f
scoring_agent, TPA-52718, identity id MBR-033043, confidence 1, method probabilistic, matched record ENR-107994, policy version 1
2026-10-19 19:31:28Record linked automatically8979b81a69
scoring_agent, CLM-406127, identity id MBR-030720, confidence 1, method probabilistic, matched record PRV-21828, policy version 1
2026-10-19 19:31:28Record linked automaticallyf9ae8de2ec
matching_agent, TPA-52719, identity id MBR-014883, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107999
2026-10-19 19:31:28Record linked automatically90a4e3ef33
matching_agent, CLM-406128, identity id MBR-006710, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108017
2026-10-19 19:31:28Record linked automatically957e731cc7
matching_agent, CLM-406126, identity id MBR-003141, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108013

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-2026-009874	2026-08-07	Harbor Primary Care Associates in network	36415, 99395	$291.00	$172.98	Approved	Approved
CLM-2026-025755	2026-08-21	Mesa Dermatology Clinic in network	17110, 99213	$438.00	$231.56	Approved	Approved
CLM-2026-000971	2026-04-27	Pinecrest Behavioral Health in network	90834	$219.00	$95.78	Approved	Approved