Identities/MBR-042091
Gold, golden identity

Nancy J Wallace

3 source records from 2 feeds.

MBR-042091Verified3 records

Golden record

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

First nameENR
Nancy
Middle nameCLM
J
Last nameCLM
Wallace
Date of birthENR
1975-03-03
GenderENR
M
Member IDENR
UHC-28795-61
SSNENR
•••-••-6568
PhoneENR
2893228429
Email—
—
AddressENR
556 Mesa Dr
CityENR
Plano
StateENR
TX
ZIPENR
75030
GroupENR
GRP-5694
PlanENR
CORE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.970.99ENRENR-118061CLMCLM-413815CLMCLM-413816IDMBR-042091
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
ENR-118061ENR2026-08-20Nancy Wallceflagged1975-03-03UHC-28795-612893228429556 Mesa Dr, Plano, TXRule0.99D1 member id + dob exact
CLM-413815CLM2026-10-01Nancy Wallaceflagged1975-03-03—2893228429—Rule0.97D2 ssn4 + dob + last name
CLM-413816CLM2026-10-11Nancy Wallaceflagged1975-03-03UHC-28795-61—556 Mesa Dr, Plano, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-118061ENRCLM-413816CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118061ENRCLM-413815CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413815CLMCLM-413816CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Nancy Wallace: 2 plan codes across sources → canonical CORE-HMO
    ACT-001321, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413815 → UHC-28795-61 (Nancy Wallace)
    ACT-007455, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallyeac3b45e3e
    matching_agent, CLM-413816, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118061
  • 2026-10-22 12:43:55Record linked automaticallybfd95608d9
    matching_agent, CLM-413815, identity id MBR-042091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118061
  • 2026-10-22 12:43:55Record linked automaticallyb20a56001d
    matching_agent, ENR-118061, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413816
  • 2026-10-19 19:54:39Record linked automatically3396e30a70
    matching_agent, CLM-413816, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118061
  • 2026-10-19 19:54:39Record linked automaticallydabab47c0c
    matching_agent, CLM-413815, identity id MBR-042091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118061
  • 2026-10-19 19:54:39Record linked automaticallyf7cb6a8859
    matching_agent, ENR-118061, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413816
  • 2026-10-19 19:52:09Record linked automaticallyce801d218b
    matching_agent, CLM-413816, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118061
  • 2026-10-19 19:52:09Record linked automaticallyd1348575e9
    matching_agent, CLM-413815, identity id MBR-042091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118061
  • 2026-10-19 19:52:09Record linked automatically3daa69dbef
    matching_agent, ENR-118061, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413816
  • 2026-10-19 19:45:42Record linked automatically2f1abd8463
    matching_agent, CLM-413816, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118061
  • 2026-10-19 19:45:42Record linked automatically5e5577a062
    matching_agent, CLM-413815, identity id MBR-042091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118061
  • 2026-10-19 19:45:42Record linked automaticallyb187dc3565
    matching_agent, ENR-118061, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413816
  • 2026-10-19 19:32:31Record linked automaticallyb7b9001746
    matching_agent, CLM-413816, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118061
  • 2026-10-19 19:32:31Record linked automaticallybcee46e356
    matching_agent, CLM-413815, identity id MBR-042091, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118061
  • 2026-10-19 19:32:31Record linked automaticallyc8beed0ff6
    matching_agent, ENR-118061, identity id MBR-042091, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413816
  • 2026-10-19 19:31:28Record linked automatically8704c63276
    scoring_agent, CLM-413816, identity id MBR-002143, confidence 1, method probabilistic, matched record PRV-24064, policy version 1
  • 2026-10-19 19:31:28Record linked automatically00b761ea47
    matching_agent, CLM-413815, identity id MBR-002143, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118153

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0040182026-09-03Valley Skin Care Associates
in network
99213, 17110, 11403$962.00$521.44ApprovedApproved
CLM-2026-0231422026-08-19Mesa Family Practice
in network
99214$273.00$139.26ApprovedApproved