Identities/MBR-004731

Gold, golden identity

Ethan Rios

5 source records from 3 feeds.

MBR-004731Verified5 recordsOpen steward case

Golden record

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

First nameENR: Ethan
Middle name—: —
Last nameENR: Rios
Date of birthENR: 1992-05-13
GenderENR: M
Member IDENR: UHC-98500-33
SSNENR: •••-••-3779
PhoneENR: 2722856719
EmailENR: ethan.rios@icloud.com
AddressENR: 143 Lake View Rd
CityENR: Orlando
StateENR: FL
ZIPENR: 32828
GroupENR: GRP-6544
PlanENR: SELECT-EPO

Min confidence

0.96

Sources

PRV ×1ENR ×2CLM ×2

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
PRV-21132	PRV	2026-01-15	Ethan Riosflagged	—	UHC-98500-33	2722856719	143 Lake View Rd, Orlando, FL	Rule	0.96	D3 member id + name
ENR-105260	ENR	2026-04-18	Ethan Riosflagged	—	UHC-98500-33	—	4691 Harbor Blvd, Eden Prairie, MN	Rule	0.96	D3 member id + name
CLM-404021	CLM	2026-06-30	Ethan Riosflagged	1992-05-13	UHC-98500-33	2722856719	143 Lake View Rd, Orlando, FL	Scored	1.00	—
ENR-105261	ENR	2026-07-24	Ethan Riosflagged	1992-05-13	UHC-98500-33	2722856719	143 Lake View Rd, Orlando, FL	Scored	1.00	—
CLM-404020	CLM	2026-10-05	Ethan Riosflagged	1992-05-13	—	2722856719	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-404021CLM CLM-404020CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-105261ENRCLM-404020CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-404021CLM ENR-105261ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	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

▶PRV-21132PRVCLM-404021CLM 0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-105260ENRCLM-404021CLM 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
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21132PRVENR-105260ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21132PRVENR-105261ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-105260ENRENR-105261ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21132PRVCLM-404020CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404020 → UHC-98500-33 (Ethan Rios)
ACT-008524, Claims processor
Outreach address correctedProposed
Ethan Rios: 4691 Harbor Blvd, Eden Prairie → 143 Lake View Rd, Orlando
ACT-010887, Outreach
Duplicate member record retiredExecuted
Ethan Rios: 2 enrollment records collapsed into UHC-98500-33
ACT-022432, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically8b4ca6e279
scoring_agent, CLM-404020, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404021, policy version 1
2026-10-19 19:54:38Record linked automatically126bd37397
scoring_agent, ENR-105261, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:54:38Record linked automatically9e493198de
scoring_agent, CLM-404021, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:54:38Record linked automaticallyd0ca334a41
matching_agent, ENR-105260, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21132
2026-10-19 19:54:38Record linked automatically3de98ccb40
matching_agent, PRV-21132, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105260
2026-10-19 19:52:08Record linked automatically3854bda31c
scoring_agent, CLM-404020, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404021, policy version 1
2026-10-19 19:52:08Record linked automatically45ffe628c1
scoring_agent, ENR-105261, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:52:08Record linked automatically70e649637c
scoring_agent, CLM-404021, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:52:08Record linked automatically7c68f07621
matching_agent, ENR-105260, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21132
2026-10-19 19:52:08Record linked automatically144fad4716
matching_agent, PRV-21132, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105260
2026-10-19 19:45:42Record linked automatically05d5e8c8a9
scoring_agent, CLM-404020, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404021, policy version 1
2026-10-19 19:45:42Record linked automatically76cf07a517
scoring_agent, ENR-105261, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:45:42Record linked automaticallyd0d306d691
scoring_agent, CLM-404021, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:45:42Record linked automatically3ec2ba0103
matching_agent, ENR-105260, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21132
2026-10-19 19:45:42Record linked automatically16a3c66a56
matching_agent, PRV-21132, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105260
2026-10-19 19:32:31Record linked automatically95772abee9
scoring_agent, CLM-404020, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404021, policy version 1
2026-10-19 19:32:31Record linked automatically352cdf7847
scoring_agent, ENR-105261, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:32:31Record linked automatically683f212d33
scoring_agent, CLM-404021, identity id MBR-004731, confidence 1, method probabilistic, matched record CLM-404020, policy version 1
2026-10-19 19:32:31Record linked automaticallyf450d5d625
matching_agent, ENR-105260, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-21132
2026-10-19 19:32:31Record linked automaticallyedc0cd0048
matching_agent, PRV-21132, identity id MBR-004731, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-105260
2026-10-19 19:31:28Record linked automatically3f5869f2b5
scoring_agent, CLM-404020, identity id MBR-034313, confidence 1, method probabilistic, matched record TPA-51798, policy version 1
2026-10-19 19:31:28Record linked automatically9d9bcdb075
scoring_agent, PRV-21132, identity id MBR-025399, confidence 1, method probabilistic, matched record ENR-104840, policy version 1
2026-10-19 19:31:28Record linked automatically29d7d12578
scoring_agent, CLM-404021, identity id MBR-024451, confidence 1, method probabilistic, matched record PRV-21212, policy version 1
2026-10-19 19:31:28Record linked automatically96bf764f36
scoring_agent, ENR-105260, identity id MBR-019281, confidence 1, method probabilistic, matched record CLM-404054, policy version 1
2026-10-19 19:31:28Record linked automaticallyb14b06deaa
matching_agent, ENR-105261, identity id MBR-019281, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-105260

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-2026-027255	2026-10-01	Sunrise Physical Therapy in network	97110, 97161, 97014	$456.00	$252.72	Approved	Approved
CLM-2026-008839	2026-06-04	Evergreen Cardiovascular Associates in network	93224, 99214	$708.00	—	Denied	Denied
CLM-2026-008838	2026-06-04	Evergreen Cardiovascular Associates in network	93224, 99214	$708.00	$398.96	Approved	Approved