Nicole Hayes

4 source records from 2 feeds.

MBR-038832Verified4 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: Hayes
Date of birthCLM: 1939-04-16
GenderCLM: M
Member IDCLM: UHC-32516-68
SSNCLM: •••-••-0142
PhoneCLM: 7178720107
Email—: —
AddressTPA: 695 Apache Blvd Apt 28
CityCLM: Plano
StateCLM: TX
ZIPCLM: 75090
GroupCLM: GRP-1530
PlanCLM: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×2TPA ×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
CLM-409986	CLM	2026-07-18	Nicole Hayesflagged	1939-04-16	—	7178720107	695 Apache Blvd, Plano, TX	Scored	1.00	—
TPA-54369	TPA	2026-08-07	Nicoole Hayseflagged	1939-04-16	UHC-32516-68	7178720107	695 Apache Blvd, Plano, TX	Rule	0.99	D1 member id + dob exact
CLM-409987	CLM	2026-09-04	Nicole Hayesflagged	1939-04-16	UHC-32516-68	7178720107	695 Apache Blvd, Plano, TX	Rule	0.99	D1 member id + dob exact
TPA-54368	TPA	2026-10-05	Nicole Hayesflagged	1939-04-16	UHC-32516-68	—	695 Apache Blvd Apt 28, Plano, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-409986CLMTPA-54368TPA1.00Scoredweighted 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-54369TPACLM-409987CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-54369TPATPA-54368TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409987CLMTPA-54368TPA0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409986CLMTPA-54369TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409986CLMCLM-409987CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Nicole Hayes: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-001293, Eligibility engine
Orphan claim re-pointedExecuted
CLM-409986 → UHC-32516-68 (Nicole Hayes)
ACT-003744, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically345634b4eb
scoring_agent, TPA-54368, identity id MBR-038832, confidence 1, method probabilistic, matched record CLM-409986, policy version 1
2026-10-19 19:54:39Record linked automatically7bde504d3f
matching_agent, CLM-409987, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54369
2026-10-19 19:54:39Record linked automatically52f5801c95
matching_agent, TPA-54369, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409987
2026-10-19 19:54:39Record linked automatically8457d1e4d9
scoring_agent, CLM-409986, identity id MBR-038832, confidence 1, method probabilistic, matched record TPA-54368, policy version 1
2026-10-19 19:52:09Record linked automatically2b8ca3273e
scoring_agent, TPA-54368, identity id MBR-038832, confidence 1, method probabilistic, matched record CLM-409986, policy version 1
2026-10-19 19:52:09Record linked automatically8899ae9d99
matching_agent, CLM-409987, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54369
2026-10-19 19:52:09Record linked automaticallyf58d5fda44
matching_agent, TPA-54369, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409987
2026-10-19 19:52:09Record linked automatically1073338bcc
scoring_agent, CLM-409986, identity id MBR-038832, confidence 1, method probabilistic, matched record TPA-54368, policy version 1
2026-10-19 19:45:42Record linked automaticallyca7397d917
scoring_agent, TPA-54368, identity id MBR-038832, confidence 1, method probabilistic, matched record CLM-409986, policy version 1
2026-10-19 19:45:42Record linked automatically94b24fb2e7
matching_agent, CLM-409987, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54369
2026-10-19 19:45:42Record linked automatically98321eb109
matching_agent, TPA-54369, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409987
2026-10-19 19:45:42Record linked automatically3fde17de35
scoring_agent, CLM-409986, identity id MBR-038832, confidence 1, method probabilistic, matched record TPA-54368, policy version 1
2026-10-19 19:32:31Record linked automaticallye8f2d7f7a9
scoring_agent, TPA-54368, identity id MBR-038832, confidence 1, method probabilistic, matched record CLM-409986, policy version 1
2026-10-19 19:32:31Record linked automaticallyf4a38b71c3
matching_agent, CLM-409987, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-54369
2026-10-19 19:32:31Record linked automaticallyb8bf9a2b56
matching_agent, TPA-54369, identity id MBR-038832, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409987
2026-10-19 19:32:31Record linked automaticallyf9929490ab
scoring_agent, CLM-409986, identity id MBR-038832, confidence 1, method probabilistic, matched record TPA-54368, policy version 1
2026-10-19 19:31:28Record linked automaticallydadc0dbc22
matching_agent, CLM-409986, identity id MBR-037549, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113197
2026-10-19 19:31:28Record linked automatically15226ffdc8
scoring_agent, TPA-54368, identity id MBR-011187, confidence 1, method probabilistic, matched record CLM-409815, policy version 1
2026-10-19 19:31:28Record linked automatically7d75a69657
scoring_agent, CLM-409987, identity id MBR-009441, confidence 1, method probabilistic, matched record TPA-54466, policy version 1

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-2026-002538	2026-08-24	Mesa Bone and Joint Center in network	73721	$1,217.00	$0.00	Approved	Approved
CLM-2026-009145	2026-06-09	Mesa Clinical Laboratories in network	83036, 80061, 80053	$197.00	$0.00	Approved	Approved