Gold, golden identity
Julia O Rice
6 source records from 3 feeds.
MBR-001055Verified6 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Julia
- Middle nameENR
- O
- Last nameENR
- Rice
- Date of birthENR
- 1993-04-10
- GenderENR
- M
- Member IDENR
- UHC-46090-42
- SSNENR
- •••-••-0081
- PhoneENR
- 2637214551
- EmailENR
- julia.rice@gmail.com
- AddressENR
- 2155 Valley View Dr
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93782
- GroupENR
- GRP-1442
- PlanENR
- NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×2CLM ×3TPA ×1
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-126488 | ENR | 2026-01-04 | Julia Riceflagged | 1993-04-10 | UHC-46090-42 | 2637214551 | 2155 Valley View Dr, Fresno, CA | Scored | 1.00 | — |
| ENR-126489 | ENR | 2026-01-15 | Julia Riceflagged | 1993-04-10 | UHC-46090-42 | 2637214551 | 2155 Valley View Dr Apt 28, Fresno, CA | Scored | 1.00 | — |
| CLM-420124 | CLM | 2026-03-01 | Julia Riceflagged | 1993-04-10 | UHC-46090-42 | 2637214551 | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-420123 | CLM | 2026-03-01 | Julia Riceflagged | 1993-04-10 | UHC-46090-42 | 2637214551 | — | Rule | 0.99 | D1 member id + dob exact |
| TPA-58868 | TPA | 2026-03-25 | Julia Riceflagged | 1993-04-10 | — | — | 2155 Valley View Dr, Fresno, CA | Scored | 1.00 | — |
| CLM-420125 | CLM | 2026-09-04 | Julia Riceflagged | 1993-04-10 | UHC-46090-42 | 2637214551 | 2155 Valley View Dr, Fresno, CA | Scored | 1.00 | — |
Evidence
15 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶TPA-58868TPACLM-420125CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126488ENRTPA-58868TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126489ENRTPA-58868TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126488ENRCLM-420123CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126489ENRCLM-420123CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420124CLMCLM-420123CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126488ENRCLM-420124CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126489ENRCLM-420124CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126488ENRCLM-420125CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126489ENRCLM-420125CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420124CLMCLM-420125CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420123CLMCLM-420125CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-126488ENRENR-126489ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-420124CLMTPA-58868TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
▶CLM-420123CLMTPA-58868TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedJulia Rice: 2 plan codes across sources → canonical NAVIGATE-HMOACT-000055, Eligibility engine
- Outreach address correctedProposedJulia Rice: 2155 Valley View Dr Apt 28, Fresno → 2155 Valley View Dr, FresnoACT-010559, Outreach
- Care coordination outreachProposedJulia Rice: 3 claims, no attributed providerACT-017853, Next-best-action
- Duplicate member record retiredExecutedJulia Rice: 2 enrollment records collapsed into UHC-46090-42ACT-021853, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically0e7db8a711scoring_agent, CLM-420125, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya821cd20c6scoring_agent, TPA-58868, identity id MBR-001055, confidence 1, method probabilistic, matched record ENR-126488, policy version 1
- 2026-10-19 19:54:38Record linked automatically38cfb9ec31matching_agent, CLM-420123, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:54:38Record linked automaticallyf06257adf2matching_agent, CLM-420124, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:54:38Record linked automaticallyca428ca0c4scoring_agent, ENR-126489, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:54:38Record linked automatically24a6b9a855scoring_agent, ENR-126488, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:52:08Record linked automatically4a9b842feascoring_agent, CLM-420125, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:52:08Record linked automatically1fe87a9621scoring_agent, TPA-58868, identity id MBR-001055, confidence 1, method probabilistic, matched record ENR-126488, policy version 1
- 2026-10-19 19:52:08Record linked automatically76f1eb62b1matching_agent, CLM-420123, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:52:08Record linked automaticallyab5c681bf7matching_agent, CLM-420124, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:52:08Record linked automatically4174089154scoring_agent, ENR-126489, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:52:08Record linked automaticallye623f5c24ascoring_agent, ENR-126488, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:45:41Record linked automatically26e926de3dscoring_agent, CLM-420125, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:45:41Record linked automatically4285c6143cscoring_agent, TPA-58868, identity id MBR-001055, confidence 1, method probabilistic, matched record ENR-126488, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyd5a7f3b835matching_agent, CLM-420123, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:45:41Record linked automaticallyb0d88cd23fmatching_agent, CLM-420124, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:45:41Record linked automatically54f64cad96scoring_agent, ENR-126489, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyde536fb635scoring_agent, ENR-126488, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:32:31Record linked automatically198fbd8f0bscoring_agent, CLM-420125, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyf8ff796336scoring_agent, TPA-58868, identity id MBR-001055, confidence 1, method probabilistic, matched record ENR-126488, policy version 1
- 2026-10-19 19:32:31Record linked automatically909b248e86matching_agent, CLM-420123, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:32:31Record linked automatically5f08bdb76dmatching_agent, CLM-420124, identity id MBR-001055, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126488
- 2026-10-19 19:32:31Record linked automatically5dc4a50199scoring_agent, ENR-126489, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyd285eba598scoring_agent, ENR-126488, identity id MBR-001055, confidence 1, method probabilistic, matched record TPA-58868, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd41a3fefdescoring_agent, TPA-58868, identity id MBR-040057, confidence 1.00, method probabilistic, matched record ENR-126694, policy version 1
- 2026-10-19 19:31:28Record linked automatically7469ae2cd3scoring_agent, CLM-420125, identity id MBR-026342, confidence 1, method probabilistic, matched record ENR-126416, policy version 1
- 2026-10-19 19:31:28Record linked automatically9cd240a5e5matching_agent, ENR-126488, identity id MBR-023308, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126486
- 2026-10-19 19:31:28Record linked automaticallyc48422a87amatching_agent, CLM-420123, identity id MBR-011737, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126414
- 2026-10-19 19:31:28Record linked automatically9dfc5182c8scoring_agent, CLM-420124, identity id MBR-011737, confidence 0.99, method probabilistic, matched record CLM-420123, policy version 1
- 2026-10-19 19:31:28Record linked automatically3a8af19d2fmatching_agent, ENR-126489, identity id MBR-006731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126490
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-020710 | 2026-08-28 | Summit Regional Medical Center in network | 96374 | $189.00 | $0.00 | Approved | Approved |
| CLM-2026-013946 | 2026-02-27 | Riverside Bone and Joint Center in network | 29881 | $9,907.00 | $3,739.22 | Approved | Approved |
| CLM-2026-000768 | 2026-02-14 | Unity Counseling Center in network | 90837, 90834 | $485.00 | $225.70 | Approved | Approved |