Identities/MBR-001583

Gold, golden identity

Jessica G Rios

7 source records from 4 feeds.

MBR-001583Verified7 records

Golden record

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

First nameENR: Jessica
Middle nameENR: G
Last nameENR: Rios
Date of birthENR: 1950-07-04
GenderPRV: F
Member IDENR: UHC-96873-05
SSNENR: •••-••-9253
PhoneENR: 6348221949
EmailENR: jessica.rios@outlook.com
AddressENR: 552 Spring St
CityENR: Charlotte
StateENR: NC
ZIPENR: 28238
GroupENR: GRP-8871
PlanENR: CORE-HMO

Min confidence

0.99

Sources

TPA ×3CLM ×2PRV ×1ENR ×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
TPA-51616	TPA	2026-01-05	Jess Riosflagged	1950-07-04	—	6348221949	552 Spring St, Charlotte, NC	Scored	1.00	—
TPA-51614	TPA	2026-01-29	Jessica Riosflagged	1950-07-04	—	6348221949	552 Spring St, Charlotte, NC	Scored	1.00	—
CLM-403719	CLM	2026-03-09	Jessica Riosflagged	1949-07-04	UHC-96873-05	—	552 Spring St, Charlotte, NC	Rule	0.99	D1 member id + dob exact
CLM-403720	CLM	2026-03-09	Jessica Riosflagged	1949-07-04	UHC-96873-05	—	552 Spring St, Charlotte, NC	Rule	0.99	D1 member id + dob exact
PRV-21049	PRV	2026-05-08	Jessica Riosflagged	1950-07-04	—	6348221949	552 Spring St, Charlotte, NC	Scored	1.00	—
TPA-51615	TPA	2026-06-01	Jessica Riosflagged	1950-07-04	—	—	552 Spring St, Charlotte, NC	Scored	1.00	—
ENR-104834	ENR	2026-07-22	Jessica Riosflagged	1950-07-04	UHC-96873-05	6348221949	552 Spring St, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51616TPAENR-104834ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-51614TPAENR-104834ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21049PRVENR-104834ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-51615TPAENR-104834ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51616TPAPRV-21049PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-51614TPAPRV-21049PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51616TPATPA-51614TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51616TPATPA-51615TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51614TPATPA-51615TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-21049PRVTPA-51615TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403719CLMCLM-403720CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403719CLMENR-104834ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403720CLMENR-104834ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51616TPACLM-403719CLM0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51614TPACLM-403719CLM0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51616TPACLM-403720CLM0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51614TPACLM-403720CLM0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403719CLMPRV-21049PRV0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403720CLMPRV-21049PRV0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403719CLMTPA-51615TPA0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403720CLMTPA-51615TPA0.72Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.25	3	month_day
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycbe2dce285
scoring_agent, ENR-104834, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:54:38Record linked automaticallyfad26b405a
scoring_agent, TPA-51615, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:54:38Record linked automaticallyf7ea082321
scoring_agent, PRV-21049, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:54:38Record linked automatically7937bd113b
matching_agent, CLM-403720, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403719
2026-10-19 19:54:38Record linked automaticallye4c5dafd63
matching_agent, CLM-403719, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403720
2026-10-19 19:54:38Record linked automatically2037fd9f08
scoring_agent, TPA-51614, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:54:38Record linked automatically5d7c489b77
scoring_agent, TPA-51616, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51614, policy version 1
2026-10-19 19:52:08Record linked automatically5418968a43
scoring_agent, ENR-104834, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:52:08Record linked automatically18132fe07f
scoring_agent, TPA-51615, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:52:08Record linked automatically937d4e1172
scoring_agent, PRV-21049, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:52:08Record linked automatically993225152f
matching_agent, CLM-403720, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403719
2026-10-19 19:52:08Record linked automatically85d4fa3f35
matching_agent, CLM-403719, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403720
2026-10-19 19:52:08Record linked automatically6990275618
scoring_agent, TPA-51614, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:52:08Record linked automatically7a24a9c583
scoring_agent, TPA-51616, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51614, policy version 1
2026-10-19 19:45:41Record linked automaticallyf50f6e045e
scoring_agent, ENR-104834, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:45:41Record linked automaticallyff4a845a60
scoring_agent, TPA-51615, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:45:41Record linked automatically4d12a59866
scoring_agent, PRV-21049, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:45:41Record linked automatically853f9a7bdb
matching_agent, CLM-403720, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403719
2026-10-19 19:45:41Record linked automatically615d03f6d7
matching_agent, CLM-403719, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403720
2026-10-19 19:45:41Record linked automatically40265d5907
scoring_agent, TPA-51614, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:45:41Record linked automaticallya0befc2590
scoring_agent, TPA-51616, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51614, policy version 1
2026-10-19 19:32:31Record linked automatically279be080c3
scoring_agent, ENR-104834, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:32:31Record linked automaticallyf470015768
scoring_agent, TPA-51615, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:32:31Record linked automatically51014b47ab
scoring_agent, PRV-21049, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:32:31Record linked automatically7f41b7e0e7
matching_agent, CLM-403720, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403719
2026-10-19 19:32:31Record linked automatically24986eb3bb
matching_agent, CLM-403719, identity id MBR-001583, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403720
2026-10-19 19:32:31Record linked automatically888e843854
scoring_agent, TPA-51614, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51616, policy version 1
2026-10-19 19:32:31Record linked automatically01db1f2cb4
scoring_agent, TPA-51616, identity id MBR-001583, confidence 1, method probabilistic, matched record TPA-51614, policy version 1
2026-10-19 19:31:28Record linked automatically1f60cfb5da
scoring_agent, CLM-403720, identity id MBR-026290, confidence 1, method probabilistic, matched record TPA-51675, policy version 1
2026-10-19 19:31:28Record linked automaticallyb8f1955977
scoring_agent, ENR-104834, identity id MBR-021859, confidence 1, method probabilistic, matched record CLM-403715, policy version 1
2026-10-19 19:31:28Record linked automaticallyaabdc5eef5
matching_agent, CLM-403719, identity id MBR-019895, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104838
2026-10-19 19:31:28Record linked automaticallyb44aa4aff0
scoring_agent, TPA-51616, identity id MBR-011826, confidence 1, method probabilistic, matched record ENR-104672, policy version 1
2026-10-19 19:31:28Record linked automaticallyb05d219741
scoring_agent, PRV-21049, identity id MBR-006472, confidence 1, method probabilistic, matched record CLM-403444, policy version 1
2026-10-19 19:31:28Record linked automatically1a402f8141
scoring_agent, TPA-51615, identity id MBR-001054, confidence 1, method probabilistic, matched record ENR-104664, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033679	2026-02-12	Sunrise Physical Therapy in network	97110	$272.00	$148.64	Approved	Approved
CLM-2026-012475	2026-01-27	Mesa Clinical Laboratories out of network	87086	$64.00	—	Denied	Denied