Identities/MBR-003721
Gold, golden identity

Patrick C Rios

3 source records from 3 feeds.

MBR-003721Verified3 records

Golden record

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

First nameCLM
Patrick
Middle nameENR
C
Last nameENR
Rios
Date of birthENR
1957-01-19
GenderENR
M
Member IDENR
UHC-80704-58
SSNENR
•••-••-2706
PhoneENR
9317699026
EmailENR
patrick.rios@aol.com
AddressENR
2799 Washington St
CityENR
Plano
StateENR
TX
ZIP—
—
GroupENR
GRP-7691
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
TPA ×1ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.970.97TPATPA-63761ENRENR-140910CLMCLM-431154IDMBR-003721
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
TPA-63761TPA2026-01-12Patrick Riosflagged1957-01-19———Rule0.97D2 ssn4 + dob + last name
ENR-140910ENR2026-01-28Pat Riosflagged1957-01-19UHC-80704-5893176990262799 Washington St, Plano, TXRule0.97D2 ssn4 + dob + last name
CLM-431154CLM2026-07-26Patrick Riosflagged1957-01-19—93176990262799 Washington St, Plano, TXRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-63761TPACLM-431154CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-140910ENRCLM-431154CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-63761TPAENR-140910ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431154 → UHC-80704-58 (Patrick Rios)
    ACT-003630, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically9f47617e50
    matching_agent, CLM-431154, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-22 12:43:53Record linked automaticallya74b520cc4
    matching_agent, ENR-140910, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-22 12:43:53Record linked automatically9d66f22003
    matching_agent, TPA-63761, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140910
  • 2026-10-19 19:54:38Record linked automatically5abea95e5e
    matching_agent, CLM-431154, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:54:38Record linked automatically16fd08459b
    matching_agent, ENR-140910, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:54:38Record linked automaticallyb51f695563
    matching_agent, TPA-63761, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140910
  • 2026-10-19 19:52:08Record linked automatically55c132c1a3
    matching_agent, CLM-431154, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:52:08Record linked automaticallyb7ed37af10
    matching_agent, ENR-140910, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:52:08Record linked automatically3b55fffc8f
    matching_agent, TPA-63761, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140910
  • 2026-10-19 19:45:42Record linked automaticallyd103b4bc87
    matching_agent, CLM-431154, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:45:42Record linked automatically84a331beca
    matching_agent, ENR-140910, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:45:42Record linked automatically045845c880
    matching_agent, TPA-63761, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140910
  • 2026-10-19 19:32:31Record linked automatically95f790ad7f
    matching_agent, CLM-431154, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:32:31Record linked automaticallye501e3d311
    matching_agent, ENR-140910, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63761
  • 2026-10-19 19:32:31Record linked automatically0b638176d2
    matching_agent, TPA-63761, identity id MBR-003721, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-140910
  • 2026-10-19 19:31:28Record linked automatically9af2a8ec19
    scoring_agent, TPA-63761, identity id MBR-027966, confidence 1, method probabilistic, matched record ENR-141405, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4e6098daae
    scoring_agent, ENR-140910, identity id MBR-023574, confidence 0.94, method probabilistic, matched record TPA-63589, policy version 1
  • 2026-10-19 19:31:28Record linked automatically90593f6953
    scoring_agent, CLM-431154, identity id MBR-015893, confidence 0.99, method probabilistic, matched record CLM-431153, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0086292026-07-24Riverside Family Practice
in network
99395, 99203$579.00$318.98ApprovedApproved