Identities/MBR-005876
Gold, golden identity

Gerald A Rios

3 source records from 2 feeds.

MBR-005876Verified3 records

Golden record

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

First nameENR
Gerald
Middle nameENR
A
Last nameENR
Rios
Date of birthENR
1976-08-18
GenderENR
M
Member IDENR
UHC-08945-22
SSNENR
•••-••-7514
PhoneENR
4202731541
EmailENR
gerald.rios69@outlook.com
AddressENR
8925 Market St
CityENR
Mesa
StateENR
AZ
ZIPENR
85253
GroupENR
GRP-6514
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.99CLMCLM-419463ENRENR-125640CLMCLM-419464IDMBR-005876
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
CLM-419463CLM2026-01-19Gerald Riosflagged1976-08-18UHC-08945-2242027315418925 Market St, Mesa, AZRule0.99D1 member id + dob exact
ENR-125640ENR2026-03-06Gerald Riosflagged1976-08-18UHC-08945-2242027315418925 Market St, Mesa, AZRule0.99D1 member id + dob exact
CLM-419464CLM2026-06-24Gerald Riosflagged1976-08-18UHC-08945-2242027315418925 Market St, Mesa, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419463CLMCLM-419464CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-125640ENRCLM-419464CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419463CLMENR-125640ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Gerald Rios: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000286, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically5631b0b393
    matching_agent, CLM-419464, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:54:38Record linked automaticallyb65b9993a3
    matching_agent, ENR-125640, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:54:38Record linked automatically680332b381
    matching_agent, CLM-419463, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125640
  • 2026-10-19 19:52:08Record linked automaticallybda90cfa07
    matching_agent, CLM-419464, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:52:08Record linked automaticallyf4b152d12b
    matching_agent, ENR-125640, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:52:08Record linked automatically4daa16d4c4
    matching_agent, CLM-419463, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125640
  • 2026-10-19 19:45:42Record linked automatically778d53fbd5
    matching_agent, CLM-419464, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:45:42Record linked automaticallyc0ca35ea06
    matching_agent, ENR-125640, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:45:42Record linked automaticallyc4999070d9
    matching_agent, CLM-419463, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125640
  • 2026-10-19 19:32:31Record linked automatically9a63d59d5d
    matching_agent, CLM-419464, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:32:31Record linked automatically78246f9d84
    matching_agent, ENR-125640, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419463
  • 2026-10-19 19:32:31Record linked automaticallyed02f4c5f2
    matching_agent, CLM-419463, identity id MBR-005876, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125640
  • 2026-10-19 19:31:28Record linked automatically4bd83b8e13
    matching_agent, ENR-125640, identity id MBR-023622, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125639
  • 2026-10-19 19:31:28Record linked automaticallyc18beff974
    scoring_agent, CLM-419463, identity id MBR-002679, confidence 1, method probabilistic, matched record CLM-419462, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybfdbe49c7c
    matching_agent, CLM-419464, identity id MBR-002509, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125533

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0233432026-05-18Meadow Imaging Center
in network
71046$178.00$0.00ApprovedApproved
CLM-2026-0048712025-12-05Sunrise Family Practice
in network
99213, 36415, 99395$442.00$234.04ApprovedApproved