Identities/MBR-001208
Gold, golden identity

Sophia A Riley

4 source records from 2 feeds.

MBR-001208Verified4 records

Golden record

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

First nameENR
Sophia
Middle nameENR
A
Last nameENR
Riley
Date of birthENR
1997-09-13
GenderENR
M
Member IDENR
UHC-71413-86
SSNENR
•••-••-6199
PhoneENR
6092529332
EmailENR
sophia.riley@yahoo.com
AddressENR
6447 Union St
CityENR
Gilbert
StateENR
AZ
ZIPENR
85206
GroupENR
GRP-6138
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.991.00ENRENR-113621CLMCLM-410352ENRENR-113622CLMCLM-410351IDMBR-001208
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-113621ENR2026-01-04Sophia Rileyflagged1997-09-13UHC-71413-8660925293326447 Union St, Gilbert, AZScored1.00—
CLM-410352CLM2026-01-19Sophia Rileyflagged1997-09-13—60925293326447 Union St, Gilbert, AZScored1.00—
ENR-113622ENR2026-01-30Sophia Rieyflagged1997-09-13UHC-71413-86—6447 Union St, Gilbert, AZRule0.99D1 member id + dob exact
CLM-410351CLM2026-03-16Sophia Rileyflagged1997-09-13—6092529332—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-113621ENRCLM-410351CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410352CLMCLM-410351CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113621ENRCLM-410352CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-113621ENRENR-113622ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410352 → UHC-71413-86 (Sophia Riley)
    ACT-003806, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410351 → UHC-71413-86 (Sophia Riley)
    ACT-008523, Claims processor
  • Duplicate member record retiredExecuted
    Sophia Riley: 2 enrollment records collapsed into UHC-71413-86
    ACT-021876, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyade144d625
    scoring_agent, CLM-410351, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:54:38Record linked automatically079735fa29
    matching_agent, ENR-113622, identity id MBR-001208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113621
  • 2026-10-19 19:54:38Record linked automatically722cd84716
    scoring_agent, CLM-410352, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc7df13f3ce
    scoring_agent, ENR-113621, identity id MBR-001208, confidence 1, method probabilistic, matched record CLM-410352, policy version 1
  • 2026-10-19 19:52:08Record linked automatically95c07c4181
    scoring_agent, CLM-410351, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:52:08Record linked automatically86719ae72e
    matching_agent, ENR-113622, identity id MBR-001208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113621
  • 2026-10-19 19:52:08Record linked automatically8d226338f2
    scoring_agent, CLM-410352, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb0f2523cba
    scoring_agent, ENR-113621, identity id MBR-001208, confidence 1, method probabilistic, matched record CLM-410352, policy version 1
  • 2026-10-19 19:45:41Record linked automatically620f64f515
    scoring_agent, CLM-410351, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyb62df43f86
    matching_agent, ENR-113622, identity id MBR-001208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113621
  • 2026-10-19 19:45:41Record linked automaticallyc5a692ef80
    scoring_agent, CLM-410352, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:45:41Record linked automatically7c2bbf4c44
    scoring_agent, ENR-113621, identity id MBR-001208, confidence 1, method probabilistic, matched record CLM-410352, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya0c73f3578
    scoring_agent, CLM-410351, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:32:31Record linked automatically19b7ef7b97
    matching_agent, ENR-113622, identity id MBR-001208, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113621
  • 2026-10-19 19:32:31Record linked automatically0b27630d99
    scoring_agent, CLM-410352, identity id MBR-001208, confidence 1, method probabilistic, matched record ENR-113621, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8edf8d5475
    scoring_agent, ENR-113621, identity id MBR-001208, confidence 1, method probabilistic, matched record CLM-410352, policy version 1
  • 2026-10-19 19:31:28Record linked automatically34cd56a168
    matching_agent, ENR-113621, identity id MBR-010473, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113620
  • 2026-10-19 19:31:28Record linked automatically2979eb0f82
    scoring_agent, CLM-410351, identity id MBR-006193, confidence 1, method probabilistic, matched record PRV-23078, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5431f63af7
    scoring_agent, CLM-410352, identity id MBR-006193, confidence 1, method probabilistic, matched record PRV-23078, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0272542026-03-06Meadow Primary Care Associates
in network
99203$244.00$111.28ApprovedApproved
CLM-2026-0094452026-01-12Pinecrest Internal Medicine Associates
in network
70553$3,544.00—Needs reviewNeeds review