Identities/MBR-004065
Gold, golden identity

Walter P Rice

3 source records from 1 feed.

MBR-004065Verified3 records

Golden record

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

First nameCLM
Walter
Middle nameCLM
P
Last nameCLM
Rice
Date of birthCLM
1977-12-07
GenderCLM
F
Member IDCLM
UHC-37561-39
SSN—
—
PhoneCLM
6658608479
EmailCLM
walter.rice60@gmail.com
AddressCLM
5345 Maple Ave
CityCLM
San Diego
StateCLM
CA
ZIPCLM
92113
GroupCLM
GRP-5380
PlanCLM
MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.00CLMCLM-432342CLMCLM-432340CLMCLM-432341IDMBR-004065
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-432342CLM2026-01-13Walter Riceflagged1977-12-07UHC-37561-396658608479—Scored1.00—
CLM-432340CLM2026-05-29Walter Riceflagged1977-12-07UHC-37561-39—5345 Maple Ave, San Diego, CAScored1.00—
CLM-432341CLM2026-10-10Walter Riceflagged1977-12-07—66586084795345 Maple Ave, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432342CLMCLM-432341CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432340CLMCLM-432341CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432342CLMCLM-432340CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-432341 → UHC-37561-39 (Walter Rice)
    ACT-003797, Claims processor
  • Care coordination outreachProposed
    Walter Rice: 3 claims, no attributed provider
    ACT-018090, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically9a0be6d95b
    scoring_agent, CLM-432341, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432342, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallye4b4fe0ffa
    scoring_agent, CLM-432340, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-22 12:43:53Record linked automatically628cdc2b6d
    scoring_agent, CLM-432342, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye52debea0c
    scoring_agent, CLM-432341, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432342, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye9aae39fe8
    scoring_agent, CLM-432340, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb53465755a
    scoring_agent, CLM-432342, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf5d66a4522
    scoring_agent, CLM-432341, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432342, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6e80144234
    scoring_agent, CLM-432340, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc5661ecf91
    scoring_agent, CLM-432342, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7f7513f93d
    scoring_agent, CLM-432341, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432342, policy version 1
  • 2026-10-19 19:45:42Record linked automatically93d0043441
    scoring_agent, CLM-432340, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0b75a3982d
    scoring_agent, CLM-432342, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:32:31Record linked automatically87abccbbfa
    scoring_agent, CLM-432341, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432342, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye3fd81e8d2
    scoring_agent, CLM-432340, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye457e14fb4
    scoring_agent, CLM-432342, identity id MBR-004065, confidence 1, method probabilistic, matched record CLM-432341, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc7bc2dcc10
    matching_agent, CLM-432341, identity id MBR-036186, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142628
  • 2026-10-19 19:31:28Record linked automatically944e2c601e
    scoring_agent, CLM-432342, identity id MBR-024020, confidence 0.94, method probabilistic, matched record ENR-142629, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya1e4301c47
    matching_agent, CLM-432340, identity id MBR-020517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142626

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0094022026-09-09Meadow Regional Medical Center
in network
99283$866.00$126.30ApprovedApproved
CLM-2026-0115562026-04-22Unity Clinical Laboratories
in network
80053, 83036, 80061$187.00$0.00ApprovedApproved
CLM-2026-0098512025-12-02Harbor Family Practice
in network
36415$14.00$0.00ApprovedApproved