Identities/MBR-004312

Gold, golden identity

James E Rivera

5 source records from 3 feeds.

MBR-004312Verified5 records

Golden record

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

First nameENR: James
Middle nameENR: E
Last nameENR: Rivera
Date of birthENR: 1959-08-11
GenderENR: F
Member IDENR: UHC-90965-61
SSNENR: •••-••-4727
PhoneENR: 6896869435
EmailENR: james.rivera96@icloud.com
AddressENR: 1090 Spring St Apt 4
CityENR: Glendale
StateENR: AZ
ZIPENR: 85375
GroupENR: GRP-2844
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

TPA ×2ENR ×2CLM ×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-52494	TPA	2026-01-14	James Riveraflagged	1959-08-11	—	6896869435	1090 Spring St, Glendale, AZ	Scored	1.00	—
ENR-107431	ENR	2026-03-20	James Riveraflagged	1959-08-11	UHC-90965-61	6896869435	1090 Spring St, Glendale, AZ	Scored	1.00	—
TPA-52493	TPA	2026-07-07	James Riveraflagged	1959-08-11	—	—	1090 Spring St, Glendale, AZ	Scored	1.00	—
CLM-405652	CLM	2026-08-09	James Rieraflagged	1959-08-11	UHC-90965-61	6896869435	1090 Spring St, Glendale, AZ	Scored	0.99	—
ENR-107430	ENR	2026-08-16	James Riveraflagged	—	UHC-90965-61	6896869435	1090 Spring St Apt 4, Glendale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52494TPAENR-107430ENR 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52493TPAENR-107430ENR 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-52494TPAENR-107431ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52494TPATPA-52493TPA1.00Scoredweighted 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

▶TPA-52494TPACLM-405652CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-107431ENRCLM-405652CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶TPA-52493TPACLM-405652CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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-107431ENRTPA-52493TPA0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-107431ENRENR-107430ENR 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-405652CLMENR-107430ENR 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
James Rivera: 1090 Spring St, Glendale → 1090 Spring St Apt 4, Glendale
ACT-010850, Outreach
Duplicate member record retiredExecuted
James Rivera: 2 enrollment records collapsed into UHC-90965-61
ACT-022372, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallye39b5ca70e
scoring_agent, ENR-107430, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:54:38Record linked automaticallydfd943dd29
scoring_agent, CLM-405652, identity id MBR-004312, confidence 0.99, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:54:38Record linked automatically5fe0eb53e7
scoring_agent, TPA-52493, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:54:38Record linked automaticallyf26d3506c5
scoring_agent, ENR-107431, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:54:38Record linked automatically9c4fdeb274
scoring_agent, TPA-52494, identity id MBR-004312, confidence 1, method probabilistic, matched record ENR-107431, policy version 1
2026-10-19 19:52:08Record linked automatically440f35387f
scoring_agent, ENR-107430, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:52:08Record linked automaticallyca7b9c82c4
scoring_agent, CLM-405652, identity id MBR-004312, confidence 0.99, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:52:08Record linked automatically2e6d11d408
scoring_agent, TPA-52493, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:52:08Record linked automaticallyc4267a561f
scoring_agent, ENR-107431, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:52:08Record linked automaticallya5b21fcaef
scoring_agent, TPA-52494, identity id MBR-004312, confidence 1, method probabilistic, matched record ENR-107431, policy version 1
2026-10-19 19:45:42Record linked automatically1f6930d3c2
scoring_agent, ENR-107430, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:45:42Record linked automatically3c39a35abc
scoring_agent, CLM-405652, identity id MBR-004312, confidence 0.99, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:45:42Record linked automatically41df2e0b16
scoring_agent, TPA-52493, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:45:42Record linked automatically4c3530739d
scoring_agent, ENR-107431, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:45:42Record linked automatically42ff6a4dd9
scoring_agent, TPA-52494, identity id MBR-004312, confidence 1, method probabilistic, matched record ENR-107431, policy version 1
2026-10-19 19:32:31Record linked automatically8fbefea182
scoring_agent, ENR-107430, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:32:31Record linked automaticallyed797201e9
scoring_agent, CLM-405652, identity id MBR-004312, confidence 0.99, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:32:31Record linked automatically97027b28dd
scoring_agent, TPA-52493, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:32:31Record linked automaticallyba19d4a2c2
scoring_agent, ENR-107431, identity id MBR-004312, confidence 1, method probabilistic, matched record TPA-52494, policy version 1
2026-10-19 19:32:31Record linked automaticallya4e5f3b616
scoring_agent, TPA-52494, identity id MBR-004312, confidence 1, method probabilistic, matched record ENR-107431, policy version 1
2026-10-19 19:31:28Record linked automatically76e112eb13
scoring_agent, TPA-52494, identity id MBR-038399, confidence 0.94, method probabilistic, matched record PRV-21664, policy version 1
2026-10-19 19:31:28Record linked automaticallya00eda1fd0
matching_agent, CLM-405652, identity id MBR-020976, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-405655
2026-10-19 19:31:28Record linked automatically6e2f86a27b
matching_agent, ENR-107431, identity id MBR-003102, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107430
2026-10-19 19:31:28Record linked automaticallyd257075e8b
matching_agent, ENR-107430, identity id MBR-003102, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107431

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-2026-024358	2026-07-20	Canyon Internal Medicine Associates in network	99215	$311.00	$167.82	Approved	Approved