Andrea Z Rivera

3 source records from 3 feeds.

MBR-002910Verified3 records

Golden record

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

First nameENR: Andrea
Middle nameENR: Z
Last nameCLM: Rivera
Date of birthENR: 1976-05-09
GenderENR: F
Member IDENR: UHC-55163-08
SSNENR: •••-••-6289
PhoneENR: 3879539187
EmailTPA: andrea.rivera29@outlook.com
AddressENR: 7221 Valley View Dr
CityENR: Denver
StateENR: CO
ZIPENR: 80259
GroupENR: GRP-4136
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×1ENR ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-407673	CLM	2026-01-10	Andrea Riveraflagged	1976-05-09	UHC-55163-08	—	7221 Valley View Dr, Denver, CO	Scored	1.00	—
ENR-110076	ENR	2026-04-13	Andrea Riveeraflagged	1976-05-09	UHC-55163-08	3879539187	7221 Valley View Dr, Denver, CO	Scored	0.99	—
TPA-53365	TPA	2026-07-27	Andrea Riveraflagged	1976-05-09	—	3879539187	7221 Valley View Dr, Denver, CO	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-407673CLMTPA-53365TPA1.00Scoredweighted 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

▶ENR-110076ENRTPA-53365TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-407673CLMENR-110076ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: 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

2026-10-22 12:43:53Record linked automatically88a0697794
scoring_agent, TPA-53365, identity id MBR-002910, confidence 1, method probabilistic, matched record CLM-407673, policy version 1
2026-10-22 12:43:53Record linked automaticallye263e04cba
scoring_agent, ENR-110076, identity id MBR-002910, confidence 0.99, method probabilistic, matched record TPA-53365, policy version 1
2026-10-22 12:43:53Record linked automatically4dc6c7e635
scoring_agent, CLM-407673, identity id MBR-002910, confidence 1, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:54:38Record linked automatically9dea5ebec2
scoring_agent, TPA-53365, identity id MBR-002910, confidence 1, method probabilistic, matched record CLM-407673, policy version 1
2026-10-19 19:54:38Record linked automatically7129536526
scoring_agent, ENR-110076, identity id MBR-002910, confidence 0.99, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:54:38Record linked automaticallyd8e8239e23
scoring_agent, CLM-407673, identity id MBR-002910, confidence 1, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:52:08Record linked automaticallyf48f8ab567
scoring_agent, TPA-53365, identity id MBR-002910, confidence 1, method probabilistic, matched record CLM-407673, policy version 1
2026-10-19 19:52:08Record linked automatically2212f3fa7e
scoring_agent, ENR-110076, identity id MBR-002910, confidence 0.99, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:52:08Record linked automatically5f27a390b3
scoring_agent, CLM-407673, identity id MBR-002910, confidence 1, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:45:41Record linked automatically590e1c8869
scoring_agent, TPA-53365, identity id MBR-002910, confidence 1, method probabilistic, matched record CLM-407673, policy version 1
2026-10-19 19:45:41Record linked automatically3e083da13c
scoring_agent, ENR-110076, identity id MBR-002910, confidence 0.99, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:45:41Record linked automatically279d4df14c
scoring_agent, CLM-407673, identity id MBR-002910, confidence 1, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:32:31Record linked automaticallyf248f38bf1
scoring_agent, TPA-53365, identity id MBR-002910, confidence 1, method probabilistic, matched record CLM-407673, policy version 1
2026-10-19 19:32:31Record linked automaticallyc2a2d4478d
scoring_agent, ENR-110076, identity id MBR-002910, confidence 0.99, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:32:31Record linked automatically79928e17cf
scoring_agent, CLM-407673, identity id MBR-002910, confidence 1, method probabilistic, matched record TPA-53365, policy version 1
2026-10-19 19:31:28Record linked automatically56f475d2bf
matching_agent, CLM-407673, identity id MBR-036411, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407672
2026-10-19 19:31:28Record linked automaticallya9bd3ae876
matching_agent, ENR-110076, identity id MBR-010848, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110075
2026-10-19 19:31:28Record linked automatically50c1a032d0
scoring_agent, TPA-53365, identity id MBR-006049, confidence 1, method probabilistic, matched record PRV-22245, 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-2026-033329	2025-12-24	Sunrise Orthopedic Specialists in network	99213	$172.00	$66.64	Approved	Approved