Nicole Evans

4 source records from 2 feeds.

MBR-033414Verified4 records

Golden record

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

First nameENR: Nicole
Middle name—: —
Last nameENR: Evans
Date of birthENR: 1960-04-28
GenderENR: F
Member IDENR: UHC-84542-04
SSNENR: •••-••-8265
PhoneENR: 4706640162
Email—: —
AddressCLM: 2462 Maple Ave
CityCLM: Tucson
StateCLM: AZ
ZIPCLM: 85720
GroupENR: GRP-4985
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×3ENR ×1

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
CLM-425610	CLM	2026-06-03	Nicole Evansflagged	1960-04-28	—	4706640162	2462 Maple Ave, Tucson, AZ	Scored	1.00	—
CLM-425609	CLM	2026-08-29	Nicle Evansflagged	1960-04-28	—	4706640162	2462 Maple Ave, Tucson, AZ	Scored	1.00	—
CLM-425608	CLM	2026-08-29	Nicle Evansflagged	1960-04-28	—	4706640162	2462 Maple Ave, Tucson, AZ	Scored	1.00	—
ENR-133500	ENR	2026-09-01	Nicole Evansflagged	1960-04-28	UHC-84542-04	4706640162	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-425609CLMCLM-425608CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425610CLMENR-133500 ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425610CLMCLM-425608CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425610CLMCLM-425609CLM0.99Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-425609CLMENR-133500 ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-425608CLMENR-133500 ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425609 → UHC-84542-04 (Nicole Evans)
ACT-003358, Claims processor
Orphan claim re-pointedExecuted
CLM-425608 → UHC-84542-04 (Nicole Evans)
ACT-006092, Claims processor
Orphan claim re-pointedExecuted
CLM-425610 → UHC-84542-04 (Nicole Evans)
ACT-008522, Claims processor
Care coordination outreachProposed
Nicole Evans: 3 claims, no attributed provider
ACT-019502, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically07256bf297
scoring_agent, ENR-133500, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425610, policy version 1
2026-10-22 12:43:55Record linked automatically59dca7ac8a
scoring_agent, CLM-425608, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425609, policy version 1
2026-10-22 12:43:55Record linked automatically0155e30601
scoring_agent, CLM-425609, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425608, policy version 1
2026-10-22 12:43:55Record linked automatically065e6ff52e
scoring_agent, CLM-425610, identity id MBR-033414, confidence 1, method probabilistic, matched record ENR-133500, policy version 1
2026-10-19 19:54:38Record linked automatically926ddecf3b
scoring_agent, ENR-133500, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425610, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb59659085
scoring_agent, CLM-425608, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425609, policy version 1
2026-10-19 19:54:38Record linked automatically9f544fe0c3
scoring_agent, CLM-425609, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425608, policy version 1
2026-10-19 19:54:38Record linked automatically164566bc4d
scoring_agent, CLM-425610, identity id MBR-033414, confidence 1, method probabilistic, matched record ENR-133500, policy version 1
2026-10-19 19:52:09Record linked automatically9163da02ee
scoring_agent, ENR-133500, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425610, policy version 1
2026-10-19 19:52:09Record linked automatically2cbbb727d4
scoring_agent, CLM-425608, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425609, policy version 1
2026-10-19 19:52:09Record linked automatically0d9761d10a
scoring_agent, CLM-425609, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425608, policy version 1
2026-10-19 19:52:09Record linked automatically53e419ac2e
scoring_agent, CLM-425610, identity id MBR-033414, confidence 1, method probabilistic, matched record ENR-133500, policy version 1
2026-10-19 19:45:42Record linked automatically2b25c74631
scoring_agent, ENR-133500, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425610, policy version 1
2026-10-19 19:45:42Record linked automaticallyfbf528b5b2
scoring_agent, CLM-425608, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425609, policy version 1
2026-10-19 19:45:42Record linked automatically3c05090728
scoring_agent, CLM-425609, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425608, policy version 1
2026-10-19 19:45:42Record linked automatically756b61106d
scoring_agent, CLM-425610, identity id MBR-033414, confidence 1, method probabilistic, matched record ENR-133500, policy version 1
2026-10-19 19:32:31Record linked automatically498893dd6b
scoring_agent, ENR-133500, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425610, policy version 1
2026-10-19 19:32:31Record linked automatically03354f0674
scoring_agent, CLM-425608, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425609, policy version 1
2026-10-19 19:32:31Record linked automaticallycd0a45e2c7
scoring_agent, CLM-425609, identity id MBR-033414, confidence 1, method probabilistic, matched record CLM-425608, policy version 1
2026-10-19 19:32:31Record linked automatically449c5b92d9
scoring_agent, CLM-425610, identity id MBR-033414, confidence 1, method probabilistic, matched record ENR-133500, policy version 1
2026-10-19 19:31:28Record linked automaticallyccf58ff4a4
matching_agent, CLM-425608, identity id MBR-010914, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61278
2026-10-19 19:31:28Record linked automatically8798d55b79
matching_agent, CLM-425610, identity id MBR-009266, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133793

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-2026-017886	2026-08-05	Mesa Diabetes Center in network	99214	$212.00	—	Denied	Denied
CLM-2026-007630	2026-07-27	Summit Clinical Laboratories in network	80053	$44.00	—	Denied	Denied
CLM-2026-027253	2026-05-20	Evergreen Medical Group in network	99213	$144.00	—	Denied	Denied