Identities/MBR-000416
Gold, golden identity

Albert W Richards

4 source records from 2 feeds.

MBR-000416Verified4 records

Golden record

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

First nameENR
Albert
Middle nameENR
W
Last nameCLM
Richards
Date of birthENR
1994-01-03
GenderENR
F
Member IDENR
UHC-91600-43
SSNENR
•••-••-1284
PhoneCLM
3465088391
EmailENR
albert.richards@aol.com
AddressENR
3265 Church St
CityENR
Chandler
StateENR
AZ
ZIPENR
85246
GroupENR
GRP-2148
PlanENR
NAVIGATE-HMO
Min confidence
0.97
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

0.990.970.990.97CLMCLM-415265CLMCLM-415266ENRENR-120125CLMCLM-415267IDMBR-000416
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-415265CLM2026-01-02Albert Richardsflagged1994-01-03UHC-91600-43——Rule0.99D1 member id + dob exact
CLM-415266CLM2026-01-29Albet Richadrsflagged1994-01-03—34650883913265 Church St, Chandler, AZRule0.97D2 ssn4 + dob + last name
ENR-120125ENR2026-04-09Albert Richarddsflagged1994-01-03UHC-91600-43—3265 Church St, Chandler, AZRule0.99D1 member id + dob exact
CLM-415267CLM2026-07-08Albert Richardsflagged1994-01-03—34650883913265 Church St, Chandler, AZRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415265CLMENR-120125ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-120125ENRCLM-415267CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415266CLMCLM-415267CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415266CLMENR-120125ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-415265CLMCLM-415267CLM0.83Scoredweighted 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

  • Orphan claim re-pointedExecuted
    CLM-415266 → UHC-91600-43 (Albert Richards)
    ACT-009436, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-415267 → UHC-91600-43 (Albert Richards)
    ACT-010166, Claims processor
  • Care coordination outreachProposed
    Albert Richards: 3 claims, no attributed provider
    ACT-017798, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf597d11b51
    matching_agent, CLM-415267, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:54:38Record linked automaticallyaf84855185
    matching_agent, ENR-120125, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415265
  • 2026-10-19 19:54:38Record linked automatically3db1939bd4
    matching_agent, CLM-415266, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:54:38Record linked automatically60e21ea003
    matching_agent, CLM-415265, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120125
  • 2026-10-19 19:52:08Record linked automatically18d49c6a2f
    matching_agent, CLM-415267, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:52:08Record linked automaticallyd1290cf494
    matching_agent, ENR-120125, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415265
  • 2026-10-19 19:52:08Record linked automaticallya04eb11c2e
    matching_agent, CLM-415266, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:52:08Record linked automatically90d0409851
    matching_agent, CLM-415265, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120125
  • 2026-10-19 19:45:41Record linked automatically6efdf5d9e8
    matching_agent, CLM-415267, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:45:41Record linked automatically2a25eb83d6
    matching_agent, ENR-120125, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415265
  • 2026-10-19 19:45:41Record linked automaticallyc214bbd9f4
    matching_agent, CLM-415266, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:45:41Record linked automatically7a2e293bbc
    matching_agent, CLM-415265, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120125
  • 2026-10-19 19:32:31Record linked automatically3fcd580fc4
    matching_agent, CLM-415267, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:32:31Record linked automatically1c91d9983a
    matching_agent, ENR-120125, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415265
  • 2026-10-19 19:32:31Record linked automaticallyebed64c9eb
    matching_agent, CLM-415266, identity id MBR-000416, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-120125
  • 2026-10-19 19:32:31Record linked automatically62a39a3dd8
    matching_agent, CLM-415265, identity id MBR-000416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120125
  • 2026-10-19 19:31:28Record linked automaticallyc929ba35d9
    matching_agent, ENR-120125, identity id MBR-015104, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120124
  • 2026-10-19 19:31:28Record linked automaticallye5afa24b32
    matching_agent, CLM-415267, identity id MBR-014817, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415268
  • 2026-10-19 19:31:28Record linked automaticallyf5531abfcc
    scoring_agent, CLM-415266, identity id MBR-014770, confidence 1, method probabilistic, matched record CLM-415265, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb5d1ad33b8
    scoring_agent, CLM-415265, identity id MBR-014770, confidence 1, method probabilistic, matched record CLM-415264, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0335942026-06-02Unity Diagnostic Imaging
in network
76700, 71046$645.00$0.00ApprovedApproved
CLM-2026-0309102025-12-16Lakeside Behavioral Health
out of network
90837, 90834$339.00—DeniedDenied
CLM-2026-0294742025-12-19Valley Bone and Joint Center
out of network
20610, 99213$418.00—DeniedDenied