Identities/MBR-000866
Gold, golden identity

Diego Richardson

5 source records from 3 feeds.

MBR-000866Verified5 records

Golden record

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

First nameCLM
Diego
Middle name—
—
Last nameENR
Richardson
Date of birthENR
1943-08-13
GenderENR
F
Member IDENR
UHC-07366-97
SSNENR
•••-••-4192
PhoneENR
6045885724
EmailENR
diego.richardson@yahoo.com
AddressENR
9038 Cedar Ln
CityENR
San Antonio
StateENR
TX
ZIPENR
78214
GroupENR
GRP-4980
PlanENR
SELECT-EPO
Min confidence
0.97
Sources
CLM ×3ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.970.991.001.00CLMCLM-422683CLMCLM-422684ENRENR-129716CLMCLM-422685TPATPA-59969IDMBR-000866
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-422683CLM2026-01-03Diego Richardsonflagged1943-08-13UHC-07366-976045885724—Rule0.99D1 member id + dob exact
CLM-422684CLM2026-01-17Diego Richardsonflagged1943-08-13—6045885724—Rule0.97D2 ssn4 + dob + last name
ENR-129716ENR2026-02-14Dieo Richardsonflagged1943-08-13UHC-07366-9760458857249038 Cedar Ln, San Antonio, TXScored0.99—
CLM-422685CLM2026-03-05Diego Richardsonflagged1943-08-13UHC-07366-97—9038 Cedar Ln, San Antonio, TXScored1.00—
TPA-59969TPA2026-10-13Diego Richardsonflagged1943-08-13——9038 Cedar Ln, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422685CLMTPA-59969TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129716ENRTPA-59969TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422683CLMCLM-422685CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129716ENRCLM-422685CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422683CLMENR-129716ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422683CLMCLM-422684CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422684CLM ENR-129716ENR0.97RuleD2 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-422684CLM CLM-422685CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-422683CLMTPA-59969TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-422684CLM TPA-59969TPA0.83Scoredweighted 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-422684 → UHC-07366-97 (Diego Richardson)
    ACT-003811, Claims processor
  • Care coordination outreachProposed
    Diego Richardson: 3 claims, no attributed provider
    ACT-017835, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf35d39d180
    scoring_agent, TPA-59969, identity id MBR-000866, confidence 1, method probabilistic, matched record CLM-422685, policy version 1
  • 2026-10-19 19:54:38Record linked automatically15c30a9fbc
    scoring_agent, CLM-422685, identity id MBR-000866, confidence 1, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:54:38Record linked automatically75a695f765
    scoring_agent, ENR-129716, identity id MBR-000866, confidence 0.99, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:54:38Record linked automatically451b80fa8e
    matching_agent, CLM-422684, identity id MBR-000866, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422683
  • 2026-10-19 19:54:38Record linked automaticallyc3014d42ca
    matching_agent, CLM-422683, identity id MBR-000866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129716
  • 2026-10-19 19:52:08Record linked automatically8b11b903c3
    scoring_agent, TPA-59969, identity id MBR-000866, confidence 1, method probabilistic, matched record CLM-422685, policy version 1
  • 2026-10-19 19:52:08Record linked automatically8547151247
    scoring_agent, CLM-422685, identity id MBR-000866, confidence 1, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5b6d497098
    scoring_agent, ENR-129716, identity id MBR-000866, confidence 0.99, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:52:08Record linked automatically95f59ca9c5
    matching_agent, CLM-422684, identity id MBR-000866, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422683
  • 2026-10-19 19:52:08Record linked automatically2327875d46
    matching_agent, CLM-422683, identity id MBR-000866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129716
  • 2026-10-19 19:45:41Record linked automaticallya23409bac4
    scoring_agent, TPA-59969, identity id MBR-000866, confidence 1, method probabilistic, matched record CLM-422685, policy version 1
  • 2026-10-19 19:45:41Record linked automatically394bfb6e9f
    scoring_agent, CLM-422685, identity id MBR-000866, confidence 1, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallybb9a4a9e5e
    scoring_agent, ENR-129716, identity id MBR-000866, confidence 0.99, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyb7c3cb095c
    matching_agent, CLM-422684, identity id MBR-000866, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422683
  • 2026-10-19 19:45:41Record linked automaticallyf2c530a8d5
    matching_agent, CLM-422683, identity id MBR-000866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129716
  • 2026-10-19 19:32:31Record linked automatically9126d9055e
    scoring_agent, TPA-59969, identity id MBR-000866, confidence 1, method probabilistic, matched record CLM-422685, policy version 1
  • 2026-10-19 19:32:31Record linked automatically73bb9e016c
    scoring_agent, CLM-422685, identity id MBR-000866, confidence 1, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:32:31Record linked automatically06c46f10f7
    scoring_agent, ENR-129716, identity id MBR-000866, confidence 0.99, method probabilistic, matched record TPA-59969, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyea50603700
    matching_agent, CLM-422684, identity id MBR-000866, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422683
  • 2026-10-19 19:32:31Record linked automaticallyab4f4c0db1
    matching_agent, CLM-422683, identity id MBR-000866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129716
  • 2026-10-19 19:31:28Record linked automatically661d8aa5ad
    scoring_agent, TPA-59969, identity id MBR-005914, confidence 0.93, method probabilistic, matched record CLM-422670, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0efe3d2657
    matching_agent, ENR-129716, identity id MBR-004801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26645
  • 2026-10-19 19:31:28Record linked automatically14475a4a42
    scoring_agent, CLM-422684, identity id MBR-004264, confidence 1, method probabilistic, matched record CLM-422683, policy version 1
  • 2026-10-19 19:31:28Record linked automatically58f5d43ac9
    scoring_agent, CLM-422685, identity id MBR-004264, confidence 1, method probabilistic, matched record CLM-422684, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf43d438fcc
    scoring_agent, CLM-422683, identity id MBR-004264, confidence 1, method probabilistic, matched record CLM-422684, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0168802026-03-02Meadow Heart Institute
in network
93224$404.00—Needs reviewNeeds review
CLM-2026-0168792026-03-02Meadow Heart Institute
in network
93224$404.00$175.48ApprovedApproved
CLM-2026-0094822026-01-09Summit Internal Medicine Associates
in network
93000, 80053, 99215$525.00$295.50ApprovedApproved
CLM-2026-0122542025-12-10Lakeside Clinical Laboratories
in network
80053$68.00$0.00ApprovedApproved