Gold, golden identity
Richard U Rios
2 source records from 2 feeds.
MBR-005535Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Richard
- Middle nameCLM
- U
- Last nameENR
- Rios
- Date of birthENR
- 1951-09-27
- GenderENR
- F
- Member IDENR
- UHC-45393-72
- SSNENR
- •••-••-6897
- PhoneENR
- 7949875701
- EmailENR
- richard.rios71@icloud.com
- AddressENR
- 7188 Indian School Rd
- CityENR
- San Diego
- StateENR
- CA
- ZIPENR
- 92103
- GroupENR
- GRP-7576
- PlanENR
- SELECT-EPO
Min confidence
0.99
Sources
CLM ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-412173 | CLM | 2026-01-18 | Richard Riosflagged | 1951-09-27 | UHC-45393-72 | — | 1776 Hillcrest Rd, Tempe, AZ | Rule | 0.99 | D1 member id + dob exact |
| ENR-116045 | ENR | 2026-08-27 | Richard Riosflagged | 1951-09-27 | UHC-45393-72 | 7949875701 | 7188 Indian School Rd, San Diego, CA | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-412173CLMENR-116045ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automaticallyf0e2ff22ebmatching_agent, ENR-116045, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412173
- 2026-10-22 12:43:53Record linked automatically54f4ca5258matching_agent, CLM-412173, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116045
- 2026-10-19 19:54:38Record linked automatically8a61160dbcmatching_agent, ENR-116045, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412173
- 2026-10-19 19:54:38Record linked automatically36c53ff2a0matching_agent, CLM-412173, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116045
- 2026-10-19 19:52:08Record linked automatically0296f95a9dmatching_agent, ENR-116045, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412173
- 2026-10-19 19:52:08Record linked automatically89f6072adamatching_agent, CLM-412173, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116045
- 2026-10-19 19:45:42Record linked automaticallyadb1cdf004matching_agent, ENR-116045, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412173
- 2026-10-19 19:45:42Record linked automaticallyf41ea632admatching_agent, CLM-412173, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116045
- 2026-10-19 19:32:31Record linked automaticallya532a327dfmatching_agent, ENR-116045, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412173
- 2026-10-19 19:32:31Record linked automatically099d8e4c37matching_agent, CLM-412173, identity id MBR-005535, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116045
- 2026-10-19 19:31:28Record linked automatically1b124251d8matching_agent, CLM-412173, identity id MBR-024412, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-412172
- 2026-10-19 19:31:28Record linked automatically87e8d4677fscoring_agent, ENR-116045, identity id MBR-014933, confidence 1, method probabilistic, matched record CLM-412132, 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-2026-032905 | 2026-01-07 | Heritage Community Hospital in network | 99285, 96374 | $3,018.00 | — | Denied | Denied |
| CLM-2026-032904 | 2026-01-07 | Heritage Community Hospital in network | 99285, 96374 | $3,018.00 | $1,509.90 | Approved | Approved |