Identities/MBR-005726
Gold, golden identity

Timothy J Rios

4 source records from 2 feeds.

MBR-005726Verified4 records

Golden record

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

First nameENR
Timothy
Middle nameENR
J
Last nameENR
Rios
Date of birthCLM
1981-09-26
GenderENR
M
Member IDENR
UHC-27057-19
SSNENR
•••-••-7695
PhoneENR
2285992592
EmailENR
timothy.rios21@outlook.com
AddressENR
2391 Desert Sky Blvd
CityENR
Fresno
StateENR
CA
ZIPENR
93766
GroupENR
GRP-7410
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.991.00ENRENR-136188CLMCLM-427601CLMCLM-427602CLMCLM-427600IDMBR-005726
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
ENR-136188ENR2026-01-19Timothy Riosflagged—UHC-27057-1922859925922391 Desert Sky Blvd, Fresno, CAScored1.00—
CLM-427601CLM2026-05-05Timothy Riosflagged1981-09-26UHC-27057-1922859925922391 Desert Sky Blvd, Fresno, CAScored1.00—
CLM-427602CLM2026-05-07Timothy Riosflagged1981-09-26UHC-27057-19—2391 Desert Sky Blvd, Fresno, CARule0.99D1 member id + dob exact
CLM-427600CLM2026-08-26Timothy Riosflagged1981-09-26—2285992592—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427601CLMCLM-427600CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-136188ENRCLM-427600CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427601CLMCLM-427602CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-136188ENRCLM-427601CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-136188ENRCLM-427602CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427602CLMCLM-427600CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427600 → UHC-27057-19 (Timothy Rios)
    ACT-005031, Claims processor
  • Care coordination outreachProposed
    Timothy Rios: 3 claims, no attributed provider
    ACT-018224, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallycc33ba3d12
    scoring_agent, CLM-427600, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427601, policy version 1
  • 2026-10-22 12:43:53Record linked automatically2971a7e132
    matching_agent, CLM-427602, identity id MBR-005726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427601
  • 2026-10-22 12:43:53Record linked automatically3b928a982e
    scoring_agent, CLM-427601, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-22 12:43:53Record linked automatically61f948427c
    scoring_agent, ENR-136188, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7243224944
    scoring_agent, CLM-427600, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427601, policy version 1
  • 2026-10-19 19:54:38Record linked automatically120ad30bb9
    matching_agent, CLM-427602, identity id MBR-005726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427601
  • 2026-10-19 19:54:38Record linked automatically37d5634c68
    scoring_agent, CLM-427601, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8ecc665964
    scoring_agent, ENR-136188, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallydebe7e32a1
    scoring_agent, CLM-427600, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427601, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallybb19428f64
    matching_agent, CLM-427602, identity id MBR-005726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427601
  • 2026-10-19 19:52:08Record linked automatically6f0d22464a
    scoring_agent, CLM-427601, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2097ab8091
    scoring_agent, ENR-136188, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6337faba7b
    scoring_agent, CLM-427600, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427601, policy version 1
  • 2026-10-19 19:45:42Record linked automatically616db3d740
    matching_agent, CLM-427602, identity id MBR-005726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427601
  • 2026-10-19 19:45:42Record linked automatically5982a9eec1
    scoring_agent, CLM-427601, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc41b3c0d0a
    scoring_agent, ENR-136188, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7ee204a818
    scoring_agent, CLM-427600, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427601, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyec439aabd5
    matching_agent, CLM-427602, identity id MBR-005726, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427601
  • 2026-10-19 19:32:31Record linked automaticallybfa98f8664
    scoring_agent, CLM-427601, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5dc55e6daf
    scoring_agent, ENR-136188, identity id MBR-005726, confidence 1, method probabilistic, matched record CLM-427600, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6d5fd55b13
    matching_agent, CLM-427601, identity id MBR-031820, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136527
  • 2026-10-19 19:31:28Record linked automatically2c3a1b6f32
    matching_agent, ENR-136188, identity id MBR-013648, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427341
  • 2026-10-19 19:31:28Record linked automatically7737232d55
    matching_agent, CLM-427602, identity id MBR-009150, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136528
  • 2026-10-19 19:31:28Record linked automaticallyab59340bb7
    matching_agent, CLM-427600, identity id MBR-006391, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136523

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0139722026-08-22Meadow Medical Group
in network
90471, 36415$67.00$15.50ApprovedApproved
CLM-2026-0077662026-04-14Desert Medical Group
in network
93000$118.00$33.16ApprovedApproved
CLM-2026-0056122026-04-21Pinecrest Regional Medical Center
out of network
99284$1,690.00$410.50ApprovedApproved