Identities/MBR-005769
Gold, golden identity

Harold L Rivera

4 source records from 2 feeds.

MBR-005769Verified4 records

Golden record

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

First nameENR
Harold
Middle nameENR
L
Last nameENR
Rivera
Date of birthENR
1954-10-21
GenderENR
M
Member IDENR
UHC-92156-95
SSNENR
•••-••-6089
PhoneENR
6767250850
EmailENR
harold.rivera93@proton.me
AddressCLM
2011 Park Pl
CityCLM
Jacksonville
StateENR
FL
ZIPCLM
32254
GroupENR
GRP-9654
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×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

0.990.991.001.00ENRENR-128634ENRENR-128633CLMCLM-421865CLMCLM-421864IDMBR-005769
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-128634ENR2026-01-19Haroold Riveraflagged1954-10-21UHC-92156-9567672508502799 Cedar Ln # 734, Orlando, FLRule0.99D1 member id + dob exact
ENR-128633ENR2026-06-04Harold Riveraflagged1954-10-21UHC-92156-9567672508502799 Cedar Ln, Orlando, FLRule0.99D1 member id + dob exact
CLM-421865CLM2026-07-15Harold Riveraflagged1954-10-21UHC-92156-95—2011 Park Pl, Jacksonville, FLScored1.00—
CLM-421864CLM2026-08-24Harold Riveraflagged1954-10-21——2011 Park Pl, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421865 CLMCLM-421864CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-128634ENRCLM-421865 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-128633ENRCLM-421865 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-128634ENRENR-128633ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-128633ENRCLM-421864CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶ENR-128634ENRCLM-421864CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Harold Rivera: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000282, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-421864 → UHC-92156-95 (Harold Rivera)
    ACT-002335, Claims processor
  • Outreach address correctedProposed
    Harold Rivera: 2799 Cedar Ln # 734, Orlando → 2011 Park Pl, Jacksonville
    ACT-010985, Outreach
  • Duplicate member record retiredExecuted
    Harold Rivera: 2 enrollment records collapsed into UHC-92156-95
    ACT-022596, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically214250a38e
    scoring_agent, CLM-421864, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421865, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye7b5b60636
    scoring_agent, CLM-421865, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421864, policy version 1
  • 2026-10-19 19:54:38Record linked automatically73bca62936
    matching_agent, ENR-128633, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128634
  • 2026-10-19 19:54:38Record linked automatically0a8f486f6d
    matching_agent, ENR-128634, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128633
  • 2026-10-19 19:52:08Record linked automatically3415219dd8
    scoring_agent, CLM-421864, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421865, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyae7af77d22
    scoring_agent, CLM-421865, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421864, policy version 1
  • 2026-10-19 19:52:08Record linked automatically153c1a690c
    matching_agent, ENR-128633, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128634
  • 2026-10-19 19:52:08Record linked automatically60c80bba17
    matching_agent, ENR-128634, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128633
  • 2026-10-19 19:45:42Record linked automaticallyf9db590d2f
    scoring_agent, CLM-421864, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421865, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycaa2ac4d05
    scoring_agent, CLM-421865, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421864, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2a7f26d145
    matching_agent, ENR-128633, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128634
  • 2026-10-19 19:45:42Record linked automatically725859113e
    matching_agent, ENR-128634, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128633
  • 2026-10-19 19:32:31Record linked automatically6cf317375f
    scoring_agent, CLM-421864, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421865, policy version 1
  • 2026-10-19 19:32:31Record linked automatically535a4d8adb
    scoring_agent, CLM-421865, identity id MBR-005769, confidence 1, method probabilistic, matched record CLM-421864, policy version 1
  • 2026-10-19 19:32:31Record linked automatically35d03accea
    matching_agent, ENR-128633, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128634
  • 2026-10-19 19:32:31Record linked automatically301d8dfdad
    matching_agent, ENR-128634, identity id MBR-005769, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128633
  • 2026-10-19 19:31:28Record linked automatically392d5807f8
    matching_agent, CLM-421864, identity id MBR-025853, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26432
  • 2026-10-19 19:31:28Record linked automatically696791d304
    matching_agent, ENR-128633, identity id MBR-014657, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421796

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0037602026-08-02Northgate Orthopedic Specialists
in network
29881$6,604.00$2,456.34ApprovedApproved
CLM-2026-0299192026-06-16Unity Cardiovascular Associates
in network
93458$6,687.00$2,492.86ApprovedApproved