Identities/MBR-004869
Gold, golden identity

Jose E Richardson

6 source records from 3 feeds.

MBR-004869Verified6 records

Golden record

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

First nameENR
Jose
Middle nameENR
E
Last nameENR
Richardson
Date of birthENR
1960-08-27
GenderENR
M
Member IDENR
UHC-61622-11
SSNENR
•••-••-4365
PhoneENR
6046186708
EmailENR
jose.richardson78@icloud.com
AddressENR
9388 Cedar Ln
CityENR
Nashville
StateENR
TN
ZIPENR
37275
GroupENR
GRP-3840
PlanENR
NAVIGATE-HMO
Min confidence
0.93
Sources
PRV ×1ENR ×2CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.930.990.990.990.990.99PRVPRV-20880ENRENR-104054CLMCLM-403132ENRENR-104053CLMCLM-403133CLMCLM-403134IDMBR-004869
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
PRV-20880PRV2026-01-16Jose Richardsonflagged1960-08-27——9388 Cedar Ln, Nashville, TNScored0.93—
ENR-104054ENR2026-08-10Jose Richardsonflagged1960-08-27UHC-61622-1160461867089388 Cedar Ln, Nashville, TNRule0.99D1 member id + dob exact
CLM-403132CLM2026-08-25Joes Richardsonflagged1960-08-27UHC-61622-11——Rule0.99D1 member id + dob exact
ENR-104053ENR2026-08-28Jose Richardsonflagged1960-08-27UHC-61622-1160461867089388 Cedar Ln, Nashville, TNRule0.99D1 member id + dob exact
CLM-403133CLM2026-09-14Jose Richardsonflagged1960-08-27UHC-61622-1160461867089388 Cedar Ln, Nashville, TNRule0.99D1 member id + dob exact
CLM-403134CLM2026-09-15Joose Richardsonflagged1960-08-27UHC-61622-1160461867089388 Cedar Ln, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-104054ENR CLM-403132CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104054ENR CLM-403133CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-403132CLMCLM-403133CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104053ENRCLM-403133CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-104054ENR CLM-403134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403132CLMCLM-403134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-104053ENRCLM-403134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403133CLMCLM-403134CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-104054ENR ENR-104053ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-403132CLMENR-104053ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20880PRVCLM-403133CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20880PRVENR-104053ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20880PRVENR-104054ENR 0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20880PRVCLM-403134CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20880PRVCLM-403132CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Duplicate member record retiredExecuted
    Jose Richardson: 2 enrollment records collapsed into UHC-61622-11
    ACT-022455, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically57cc648f2d
    matching_agent, CLM-403134, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:54:38Record linked automaticallyfa4d1706f5
    matching_agent, CLM-403133, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:54:38Record linked automatically6cfec9e526
    matching_agent, ENR-104053, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:54:38Record linked automatically78afdcea4e
    matching_agent, CLM-403132, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:54:38Record linked automaticallyc62aa4d700
    matching_agent, ENR-104054, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403132
  • 2026-10-19 19:54:38Record linked automatically323b545844
    scoring_agent, PRV-20880, identity id MBR-004869, confidence 0.93, method probabilistic, matched record ENR-104054, policy version 1
  • 2026-10-19 19:52:08Record linked automatically213e9456fd
    matching_agent, CLM-403134, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:52:08Record linked automaticallyf8e1e6edf6
    matching_agent, CLM-403133, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:52:08Record linked automaticallyf5589762bd
    matching_agent, ENR-104053, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:52:08Record linked automatically42699dc22b
    matching_agent, CLM-403132, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:52:08Record linked automatically6ae4542d0a
    matching_agent, ENR-104054, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403132
  • 2026-10-19 19:52:08Record linked automaticallyb0ea0e3a70
    scoring_agent, PRV-20880, identity id MBR-004869, confidence 0.93, method probabilistic, matched record ENR-104054, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf5fbf159a3
    matching_agent, CLM-403134, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:45:42Record linked automatically2a4d136533
    matching_agent, CLM-403133, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:45:42Record linked automaticallyf10884dfad
    matching_agent, ENR-104053, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:45:42Record linked automatically349b34aebd
    matching_agent, CLM-403132, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:45:42Record linked automatically6ed70ee881
    matching_agent, ENR-104054, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403132
  • 2026-10-19 19:45:42Record linked automatically19dad5ba76
    scoring_agent, PRV-20880, identity id MBR-004869, confidence 0.93, method probabilistic, matched record ENR-104054, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf2208d21f2
    matching_agent, CLM-403134, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:32:31Record linked automaticallyb9e564be3d
    matching_agent, CLM-403133, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:32:31Record linked automatically44103515a7
    matching_agent, ENR-104053, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:32:31Record linked automatically84d16bb920
    matching_agent, CLM-403132, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104054
  • 2026-10-19 19:32:31Record linked automatically9af3f44607
    matching_agent, ENR-104054, identity id MBR-004869, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403132
  • 2026-10-19 19:32:31Record linked automaticallycd2ca2af1c
    scoring_agent, PRV-20880, identity id MBR-004869, confidence 0.93, method probabilistic, matched record ENR-104054, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyecbbf4e310
    matching_agent, CLM-403134, identity id MBR-007677, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403135
  • 2026-10-19 19:31:28Record linked automatically3e49377d6a
    matching_agent, CLM-403132, identity id MBR-006612, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104112
  • 2026-10-19 19:31:28Record linked automatically6784742ae0
    matching_agent, ENR-104054, identity id MBR-003497, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403086
  • 2026-10-19 19:31:28Record linked automatically132b678c06
    matching_agent, PRV-20880, identity id MBR-003411, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402890

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0256102026-08-19Valley Primary Care Associates
in network
99214, 90471$283.00$135.46ApprovedApproved
CLM-2026-0297632026-08-06Meadow Physical Therapy
out of network
97110, 97014$179.00—DeniedDenied
CLM-2026-0142192026-07-29Mesa Family Practice
in network
99203, 90471$259.00—Needs reviewNeeds review
CLM-2026-0142182026-07-29Desert Medical Group
in network
99203, 90471$259.00$120.58ApprovedApproved