Identities/MBR-005205

Gold, golden identity

Ahmed Riley

6 source records from 3 feeds.

MBR-005205Verified6 records

Golden record

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

First nameENR: Ahmed
Middle name—: —
Last nameENR: Riley
Date of birthENR: 2007-03-13
GenderCLM: F
Member IDENR: UHC-08481-83
SSNENR: •••-••-5942
PhoneENR: 4979169533
EmailENR: ahmed.riley87@yahoo.com
AddressENR: 5024 Hillcrest Rd
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32283
GroupENR: GRP-6391
PlanENR: MEDICARE-ADV-B

Min confidence

0.93

Sources

TPA ×2ENR ×1CLM ×3

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-54527	TPA	2026-01-17	Ahmed Rileyflagged	2007-03-13	—	—	5024 Hillcrest Rd, Jacksonville, FL	Scored	1.00	—
ENR-113628	ENR	2026-01-27	Ahmed Rileyflagged	2007-03-13	UHC-08481-83	4979169533	5024 Hillcrest Rd, Jacksonville, FL	Scored	1.00	—
CLM-410360	CLM	2026-05-12	Ahmed Rileyflagged	2007-03-13	—	—	5024 Hillcrest Rd, Jacksonville, FL	Scored	0.93	—
CLM-410359	CLM	2026-06-04	Ahmed Rileyflagged	2007-03-13	UHC-08481-83	—	5024 Hillcrest Rd, Jacksonville, FL	Scored	1.00	—
TPA-54528	TPA	2026-06-09	Amhed Rileyflagged	2007-03-13	—	—	5024 Hillcrest Rd, Jacksonville, FL	Scored	0.99	—
CLM-410358	CLM	2026-08-20	Ahmmed Rileyflagged	2007-03-13	UHC-08481-83	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-54527TPA CLM-410359CLM 1.00Scoredweighted 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-54527TPA ENR-113628ENR1.00Scoredweighted 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-54527TPA TPA-54528TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113628ENRCLM-410358CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-410359CLM CLM-410358CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113628ENRCLM-410359CLM 0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-113628ENRTPA-54528TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶CLM-410359CLM TPA-54528TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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

▶CLM-410360CLMCLM-410359CLM 0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54527TPA CLM-410360CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-113628ENRCLM-410360CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-410360CLMTPA-54528TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54527TPA CLM-410358CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶CLM-410360CLMCLM-410358CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-54528TPACLM-410358CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.96	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ahmed Riley: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000255, Eligibility engine
Orphan claim re-pointedExecuted
CLM-410360 → UHC-08481-83 (Ahmed Riley)
ACT-002393, Claims processor
Care coordination outreachProposed
Ahmed Riley: 3 claims, no attributed provider
ACT-018185, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically6976734929
matching_agent, CLM-410358, identity id MBR-005205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113628
2026-10-19 19:54:38Record linked automatically5ba6447ee3
scoring_agent, TPA-54528, identity id MBR-005205, confidence 0.99, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:54:38Record linked automatically06062d404c
scoring_agent, CLM-410359, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:54:38Record linked automatically90840801ec
scoring_agent, CLM-410360, identity id MBR-005205, confidence 0.93, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:54:38Record linked automaticallyf672fec04f
scoring_agent, ENR-113628, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:54:38Record linked automatically1b93dc5ac4
scoring_agent, TPA-54527, identity id MBR-005205, confidence 1, method probabilistic, matched record ENR-113628, policy version 1
2026-10-19 19:52:08Record linked automatically74c2105114
matching_agent, CLM-410358, identity id MBR-005205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113628
2026-10-19 19:52:08Record linked automatically9f6f73ad54
scoring_agent, TPA-54528, identity id MBR-005205, confidence 0.99, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:52:08Record linked automatically7d684b5028
scoring_agent, CLM-410359, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:52:08Record linked automatically31c403ac1d
scoring_agent, CLM-410360, identity id MBR-005205, confidence 0.93, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:52:08Record linked automatically931c21df3b
scoring_agent, ENR-113628, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:52:08Record linked automatically69263fea26
scoring_agent, TPA-54527, identity id MBR-005205, confidence 1, method probabilistic, matched record ENR-113628, policy version 1
2026-10-19 19:45:42Record linked automatically5c8b773be8
matching_agent, CLM-410358, identity id MBR-005205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113628
2026-10-19 19:45:42Record linked automaticallyf14d0f2171
scoring_agent, TPA-54528, identity id MBR-005205, confidence 0.99, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:45:42Record linked automatically2b04adffb8
scoring_agent, CLM-410359, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:45:42Record linked automatically13eaa5de31
scoring_agent, CLM-410360, identity id MBR-005205, confidence 0.93, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:45:42Record linked automatically90572ccf8b
scoring_agent, ENR-113628, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:45:42Record linked automatically75ba1e96a1
scoring_agent, TPA-54527, identity id MBR-005205, confidence 1, method probabilistic, matched record ENR-113628, policy version 1
2026-10-19 19:32:31Record linked automatically31e0abed35
matching_agent, CLM-410358, identity id MBR-005205, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113628
2026-10-19 19:32:31Record linked automatically50040685d2
scoring_agent, TPA-54528, identity id MBR-005205, confidence 0.99, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:32:31Record linked automatically6a6bb11d15
scoring_agent, CLM-410359, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:32:31Record linked automatically0bc4b91b99
scoring_agent, CLM-410360, identity id MBR-005205, confidence 0.93, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:32:31Record linked automaticallyd887c5a35c
scoring_agent, ENR-113628, identity id MBR-005205, confidence 1, method probabilistic, matched record TPA-54527, policy version 1
2026-10-19 19:32:31Record linked automatically1d5f704774
scoring_agent, TPA-54527, identity id MBR-005205, confidence 1, method probabilistic, matched record ENR-113628, policy version 1
2026-10-19 19:31:28Record linked automatically9719075ec1
matching_agent, CLM-410360, identity id MBR-041314, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113673
2026-10-19 19:31:28Record linked automaticallyc3f8041c4b
matching_agent, CLM-410358, identity id MBR-031605, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113670
2026-10-19 19:31:28Record linked automatically662271c39a
scoring_agent, TPA-54528, identity id MBR-015628, confidence 0.97, method probabilistic, matched record CLM-410152, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa21a18c93
scoring_agent, TPA-54527, identity id MBR-006671, confidence 0.99, method probabilistic, matched record ENR-113404, policy version 1
2026-10-19 19:31:28Record linked automaticallye5226a12f6
scoring_agent, CLM-410359, identity id MBR-005623, confidence 1, method probabilistic, matched record ENR-113671, policy version 1

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-2026-007110	2026-07-11	Mesa Dermatology Clinic in network	11403, 99213, 11102	$1,070.00	$623.40	Approved	Approved
CLM-2026-020903	2026-04-23	Desert Rehabilitation Center in network	97110, 97014	$308.00	$170.96	Approved	Approved
CLM-2026-003946	2026-04-05	Canyon Clinical Laboratories in network	85025, 80053	$138.00	$0.00	Approved	Approved