Identities/MBR-004166

Gold, golden identity

Hiroshi F Rice

4 source records from 3 feeds.

MBR-004166Verified4 recordsOpen steward case

Golden record

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

First nameENR: Hiroshi
Middle nameENR: F
Last nameENR: Rice
Date of birthENR: 1947-09-04
GenderENR: F
Member IDENR: UHC-52639-41
SSNENR: •••-••-8954
PhoneENR: 6533423667
Email—: —
AddressENR: 5783 Oak St
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32271
GroupENR: GRP-8213
PlanENR: MEDICARE-ADV-A

Min confidence

0.97

Sources

TPA ×1CLM ×2ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
TPA-54274	TPA	2026-01-14	Hiroshi Riceflagged	1947-09-04	—	—	5783 Oak St, Jacksonville, FL	Rule	0.97	D2 ssn4 + dob + last name
CLM-409816	CLM	2026-05-29	Hiroshi Riceflagged	1947-09-04	—	6533423667	5783 Oak St, Jacksonville, FL	Rule	0.97	D2 ssn4 + dob + last name
ENR-112938	ENR	2026-08-21	Hiroshi Riceflagged	1947-09-04	UHC-52639-41	6533423667	5783 Oak St, Jacksonville, FL	Rule	0.97	D2 ssn4 + dob + last name
CLM-409817	CLM	2026-09-02	Hiroshi Rceflagged	1947-09-04	—	—	5783 Oak St, Jacksonville, FL	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-54274TPACLM-409816CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54274TPACLM-409817CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409816CLM CLM-409817CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112938ENRCLM-409817CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54274TPAENR-112938ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409816CLM ENR-112938ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409816 → UHC-52639-41 (Hiroshi Rice)
ACT-001710, Claims processor
Orphan claim re-pointedExecuted
CLM-409817 → UHC-52639-41 (Hiroshi Rice)
ACT-001834, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyaf3b61bdae
matching_agent, CLM-409817, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:54:38Record linked automatically71344f7b07
matching_agent, ENR-112938, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:54:38Record linked automatically00d6fddbe0
matching_agent, CLM-409816, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:54:38Record linked automatically711874af78
matching_agent, TPA-54274, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409816
2026-10-19 19:52:08Record linked automatically0b969263ff
matching_agent, CLM-409817, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:52:08Record linked automatically2285dd2d44
matching_agent, ENR-112938, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:52:08Record linked automaticallyf0eaa907fb
matching_agent, CLM-409816, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:52:08Record linked automatically1adad71570
matching_agent, TPA-54274, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409816
2026-10-19 19:45:42Record linked automatically86fa47c209
matching_agent, CLM-409817, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:45:42Record linked automatically43edfc74ca
matching_agent, ENR-112938, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:45:42Record linked automatically81475181c4
matching_agent, CLM-409816, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:45:42Record linked automaticallyfae8a03915
matching_agent, TPA-54274, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409816
2026-10-19 19:32:31Record linked automaticallyd74a4c70aa
matching_agent, CLM-409817, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:32:31Record linked automatically12287f7456
matching_agent, ENR-112938, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:32:31Record linked automaticallya73eb75f9b
matching_agent, CLM-409816, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-54274
2026-10-19 19:32:31Record linked automaticallyd1b483cdc0
matching_agent, TPA-54274, identity id MBR-004166, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409816
2026-10-19 19:31:28Record linked automaticallye8aa57269f
matching_agent, ENR-112938, identity id MBR-017031, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112939
2026-10-19 19:31:28Record linked automatically202a01405d
matching_agent, CLM-409816, identity id MBR-011187, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409815
2026-10-19 19:31:28Record linked automaticallydb428c77e6
scoring_agent, CLM-409817, identity id MBR-006057, confidence 1.00, method probabilistic, matched record PRV-22918, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-001979	2026-08-27	Unity Digestive Health Center in network	88305	$187.00	$0.00	Approved	Approved
CLM-2026-001491	2026-04-20	Lakeside Skin Care Associates in network	99213, 17110	$383.00	$187.46	Approved	Approved