Identities/MBR-001615
Gold, golden identity

Karen S Rivera

6 source records from 4 feeds.

MBR-001615Verified6 records

Golden record

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

First nameENR
Karen
Middle nameENR
S
Last nameENR
Rivera
Date of birthENR
1984-05-22
GenderPRV
F
Member IDENR
UHC-62284-61
SSNENR
•••-••-4390
PhoneENR
6439595537
EmailCLM
karen.rivera@hotmail.com
AddressENR
9144 Ridge Rd
CityENR
Fresno
StateENR
CA
ZIPENR
93779
GroupENR
GRP-4200
PlanENR
OPTIONS-PPO
Min confidence
0.94
Sources
PRV ×2CLM ×2TPA ×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

0.941.001.001.001.001.00PRVPRV-25669CLMCLM-419043PRVPRV-25670TPATPA-58441ENRENR-125097CLMCLM-419042IDMBR-001615
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
PRV-25669PRV2026-01-06Karen Riveraflagged1984-05-22—64395955379144 Ridge Rd Apt 34, Fresno, CAScored0.94—
CLM-419043CLM2026-03-09Karen Riveraflagged1984-05-22—64395955379144 Ridge Rd, Fresno, CAScored1.00—
PRV-25670PRV2026-04-27Karen Riveraflagged1984-05-22—64395955379144 Ridge Rd, Fresno, CAScored1.00—
TPA-58441TPA2026-05-01Karen Riveraflagged1984-05-22——9144 Ridge Rd Apt 12, Fresno, CAScored1.00—
ENR-125097ENR2026-07-29Karen Riveraflagged1984-05-22UHC-62284-6164395955379144 Ridge Rd, Fresno, CAScored1.00—
CLM-419042CLM2026-08-17Karen Riveraflagged1984-05-22UHC-62284-6164395955379144 Ridge Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419043CLMCLM-419042CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25670PRVCLM-419042CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58441TPACLM-419042CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-25670PRVENR-125097ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-58441TPAENR-125097ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419043CLMPRV-25670PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419043CLMTPA-58441TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25670PRVTPA-58441TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-125097ENRCLM-419042CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419043CLMENR-125097ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-25669PRVCLM-419042CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25669PRVCLM-419043CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25669PRVENR-125097ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25669PRVPRV-25670PRV0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-25669PRVTPA-58441TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-419043 → UHC-62284-61 (Karen Rivera)
    ACT-007331, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye7cd9ca888
    scoring_agent, CLM-419042, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4ffb12a5e5
    scoring_agent, ENR-125097, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyab81f07c56
    scoring_agent, TPA-58441, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8e46919203
    scoring_agent, PRV-25670, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc94e39afd8
    scoring_agent, CLM-419043, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya52b0dc891
    scoring_agent, PRV-25669, identity id MBR-001615, confidence 0.94, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd6e0b84c90
    scoring_agent, CLM-419042, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd68634fe64
    scoring_agent, ENR-125097, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:52:08Record linked automatically06486631d9
    scoring_agent, TPA-58441, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd80336f3dd
    scoring_agent, PRV-25670, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4207437d90
    scoring_agent, CLM-419043, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybfffd299d2
    scoring_agent, PRV-25669, identity id MBR-001615, confidence 0.94, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:45:41Record linked automatically37e878d304
    scoring_agent, CLM-419042, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:45:41Record linked automatically5a04ac6631
    scoring_agent, ENR-125097, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:45:41Record linked automatically23e017d478
    scoring_agent, TPA-58441, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyac9ede33c0
    scoring_agent, PRV-25670, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:45:41Record linked automatically88f3c13eb7
    scoring_agent, CLM-419043, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:45:41Record linked automatically1e60a0cc2d
    scoring_agent, PRV-25669, identity id MBR-001615, confidence 0.94, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:32:31Record linked automatically069ea62dec
    scoring_agent, CLM-419042, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:32:31Record linked automatically072431927d
    scoring_agent, ENR-125097, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb35972114e
    scoring_agent, TPA-58441, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7693396670
    scoring_agent, PRV-25670, identity id MBR-001615, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:32:31Record linked automatically14915a6f31
    scoring_agent, CLM-419043, identity id MBR-001615, confidence 1, method probabilistic, matched record PRV-25670, policy version 1
  • 2026-10-19 19:32:31Record linked automatically50ebb391a8
    scoring_agent, PRV-25669, identity id MBR-001615, confidence 0.94, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0c9f705cdf
    scoring_agent, CLM-419042, identity id MBR-033570, confidence 1, method probabilistic, matched record CLM-419043, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd37a8ebc69
    scoring_agent, CLM-419043, identity id MBR-033570, confidence 1, method probabilistic, matched record CLM-419042, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya41bc594c5
    scoring_agent, TPA-58441, identity id MBR-032577, confidence 1, method probabilistic, matched record CLM-419377, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyef2e4d2b83
    scoring_agent, PRV-25670, identity id MBR-030276, confidence 0.93, method probabilistic, matched record ENR-125398, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9bdd487b82
    scoring_agent, PRV-25669, identity id MBR-008458, confidence 0.99, method probabilistic, matched record CLM-419375, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0028402026-07-26Harbor Medical Group
in network
99203, 99213$391.00—Needs reviewNeeds review
CLM-2026-0226552026-02-11Unity Counseling Center
in network
99214$307.00$130.34ApprovedApproved