Identities/MBR-036719
Gold, golden identity

Nicole Hughes

4 source records from 2 feeds.

MBR-036719Verified4 records

Golden record

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

First nameCLM
Nicole
Middle name—
—
Last nameCLM
Hughes
Date of birthENR
2001-10-12
GenderCLM
F
Member IDENR
UHC-13273-39
SSNENR
•••-••-9981
PhoneENR
4305770794
EmailENR
nicole.hughes@yahoo.com
AddressENR
5263 Willow Ct
CityENR
Columbus
StateENR
OH
ZIPENR
43271
GroupENR
GRP-7719
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.960.990.99CLMCLM-411130CLMCLM-411128ENRENR-114627CLMCLM-411129IDMBR-036719
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-411130CLM2026-06-29Nicole Hughesflagged2001-10-12UHC-13273-3943057707945263 Willow Ct, Columbus, OHRule0.99D1 member id + dob exact
CLM-411128CLM2026-07-24Nicole Hughesflagged—UHC-13273-39——Rule0.96D3 member id + name
ENR-114627ENR2026-09-04Hughes Nicoleflagged2001-10-12UHC-13273-3943057707945263 Willow Ct, Columbus, OHRule0.99D1 member id + dob exact
CLM-411129CLM2026-09-20Nicole Hughesflagged2001-10-12——5263 Willow Ct, Columbus, OHScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411130CLMENR-114627ENR0.99RuleD1 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
▶ENR-114627ENRCLM-411129CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411130CLMCLM-411129CLM0.97RuleD2 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
▶CLM-411130CLMCLM-411128CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411128CLMENR-114627ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411129 → UHC-13273-39 (Nicole Hughes)
    ACT-006389, Claims processor
  • Care coordination outreachProposed
    Nicole Hughes: 3 claims, no attributed provider
    ACT-019546, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automaticallyc303a90964
    scoring_agent, CLM-411129, identity id MBR-036719, confidence 0.99, method probabilistic, matched record ENR-114627, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyca600015d0
    matching_agent, ENR-114627, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411130
  • 2026-10-19 19:54:39Record linked automatically01054c7bb8
    matching_agent, CLM-411128, identity id MBR-036719, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411130
  • 2026-10-19 19:54:39Record linked automatically63c543575e
    matching_agent, CLM-411130, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114627
  • 2026-10-19 19:52:09Record linked automatically295c388ffe
    scoring_agent, CLM-411129, identity id MBR-036719, confidence 0.99, method probabilistic, matched record ENR-114627, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye1dda48577
    matching_agent, ENR-114627, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411130
  • 2026-10-19 19:52:09Record linked automaticallyccd8d0bceb
    matching_agent, CLM-411128, identity id MBR-036719, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411130
  • 2026-10-19 19:52:09Record linked automatically0b1a873536
    matching_agent, CLM-411130, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114627
  • 2026-10-19 19:45:42Record linked automatically1aaaaf4819
    scoring_agent, CLM-411129, identity id MBR-036719, confidence 0.99, method probabilistic, matched record ENR-114627, policy version 1
  • 2026-10-19 19:45:42Record linked automatically56d694dfe2
    matching_agent, ENR-114627, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411130
  • 2026-10-19 19:45:42Record linked automaticallyb1057d7893
    matching_agent, CLM-411128, identity id MBR-036719, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411130
  • 2026-10-19 19:45:42Record linked automatically5150a20e50
    matching_agent, CLM-411130, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114627
  • 2026-10-19 19:32:31Record linked automatically1ceaa9728a
    scoring_agent, CLM-411129, identity id MBR-036719, confidence 0.99, method probabilistic, matched record ENR-114627, policy version 1
  • 2026-10-19 19:32:31Record linked automatically810139bc6a
    matching_agent, ENR-114627, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411130
  • 2026-10-19 19:32:31Record linked automaticallyc652a4d22d
    matching_agent, CLM-411128, identity id MBR-036719, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-411130
  • 2026-10-19 19:32:31Record linked automatically87fe7ac09d
    matching_agent, CLM-411130, identity id MBR-036719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114627
  • 2026-10-19 19:31:28Record linked automatically97360e33a6
    scoring_agent, CLM-411130, identity id MBR-027062, confidence 1, method probabilistic, matched record ENR-114738, policy version 1
  • 2026-10-19 19:31:28Record linked automatically36520db1aa
    matching_agent, ENR-114627, identity id MBR-023127, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114626
  • 2026-10-19 19:31:28Record linked automaticallye630434aa7
    matching_agent, CLM-411128, identity id MBR-015891, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-114734
  • 2026-10-19 19:31:28Record linked automatically5f87aa5a76
    matching_agent, CLM-411129, identity id MBR-015891, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114734

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0190352026-08-30Desert Regional Medical Center
in network
99285$2,365.00$1,050.75ApprovedApproved
CLM-2026-0288852026-06-13Meadow Primary Care Associates
in network
36415, 99395$233.00$137.02ApprovedApproved
CLM-2026-0122112026-05-31Unity Primary Care Associates
out of network
99203, 36415$247.00$71.15ApprovedApproved