Identities/MBR-003998
Gold, golden identity

Nancy Rios

4 source records from 2 feeds.

MBR-003998Verified4 records

Golden record

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

First nameENR
Nancy
Middle name—
—
Last nameENR
Rios
Date of birthENR
1977-12-11
GenderENR
M
Member IDENR
UHC-76965-35
SSNCLM
•••-••-7143
PhoneCLM
4717473991
Email—
—
AddressENR
9570 Broadway
CityENR
Scottsdale
StateENR
AZ
ZIPENR
85294
GroupENR
GRP-7293
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-431133CLMCLM-431134ENRENR-140881CLMCLM-431132IDMBR-003998
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
CLM-431133CLM2026-01-13Nancy Ryosflagged1977-12-11UHC-76965-35—9570 Broadway Apt 21, Scottsdale, AZRule0.99D1 member id + dob exact
CLM-431134CLM2026-03-30Nancy Riosflagged1977-12-11UHC-76965-3547174739919570 Broadway, Scottsdale, AZRule0.99D1 member id + dob exact
ENR-140881ENR2026-05-20Nancy Riosflagged1977-12-11UHC-76965-35—9570 Broadway, Scottsdale, AZRule0.99D1 member id + dob exact
CLM-431132CLM2026-08-03Nancy Riosflagged1977-12-11UHC-76965-35—9570 Broadway, Scottsdale, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431133CLMCLM-431132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-431134CLMCLM-431132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-140881ENRCLM-431132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431133CLMCLM-431134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431133CLMENR-140881ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-431134CLMENR-140881ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Nancy Rios: 3 claims, no attributed provider
    ACT-018080, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically46f7206c3d
    matching_agent, CLM-431132, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:54:38Record linked automatically9626323c77
    matching_agent, ENR-140881, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:54:38Record linked automaticallybe210e9c65
    matching_agent, CLM-431134, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:54:38Record linked automatically07529125ad
    matching_agent, CLM-431133, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431134
  • 2026-10-19 19:52:08Record linked automatically1fa071a97e
    matching_agent, CLM-431132, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:52:08Record linked automaticallyf6206fc6b4
    matching_agent, ENR-140881, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:52:08Record linked automatically86a6fa3526
    matching_agent, CLM-431134, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:52:08Record linked automatically8760ce5ac4
    matching_agent, CLM-431133, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431134
  • 2026-10-19 19:45:42Record linked automatically1bcb1cf368
    matching_agent, CLM-431132, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:45:42Record linked automatically11239ae19f
    matching_agent, ENR-140881, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:45:42Record linked automatically810f0f286e
    matching_agent, CLM-431134, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:45:42Record linked automaticallycf44e57354
    matching_agent, CLM-431133, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431134
  • 2026-10-19 19:32:31Record linked automatically9ad30e0e88
    matching_agent, CLM-431132, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:32:31Record linked automatically28dc372f6e
    matching_agent, ENR-140881, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:32:31Record linked automatically50acb8dd8b
    matching_agent, CLM-431134, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133
  • 2026-10-19 19:32:31Record linked automatically08f31fe5a2
    matching_agent, CLM-431133, identity id MBR-003998, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431134
  • 2026-10-19 19:31:28Record linked automaticallye031f828a9
    scoring_agent, CLM-431134, identity id MBR-032110, confidence 1, method probabilistic, matched record ENR-141062, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8e37d53e2c
    matching_agent, CLM-431132, identity id MBR-029470, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29098
  • 2026-10-19 19:31:28Record linked automatically35bde2405f
    matching_agent, CLM-431133, identity id MBR-009025, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141059

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0078782026-06-30Lakeside Bone and Joint Center
in network
27447$40,697.00—Needs reviewNeeds review
CLM-2026-0236802026-03-16Mesa Clinical Laboratories
out of network
85025$56.00$0.00ApprovedApproved
CLM-2026-0324492025-12-30Mesa Clinical Laboratories
in network
80053, 85025$125.00$0.00ApprovedApproved