Identities/MBR-006113

Gold, golden identity

Luis Richards

5 source records from 2 feeds.

MBR-006113Verified5 records

Golden record

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

First nameCLM: Luis
Middle name—: —
Last nameCLM: Richards
Date of birthCLM: 1969-08-21
GenderCLM: F
Member IDCLM: UHC-28814-43
SSNCLM: •••-••-7294
PhoneCLM: 9204617339
Email—: —
AddressCLM: 6338 Indian School Rd # 705
CityCLM: Gilbert
StateCLM: AZ
ZIPCLM: 85225
GroupCLM: GRP-8626
PlanTPA: MEDICARE-ADV-B

Min confidence

0.99

Sources

TPA ×3CLM ×2

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-54085	TPA	2026-01-20	Luis Richardsflagged	1969-08-21	—	9204617339	—	Scored	1.00	—
TPA-54087	TPA	2026-06-05	Luis Richardsflagged	1969-08-21	—	9204617339	6338 Indian School Rd, Gilbert, AZ	Scored	1.00	—
TPA-54086	TPA	2026-06-05	Luis Richardsflagged	1969-08-21	—	9204617339	6338 Indian School Rd, Gilbert, AZ	Scored	1.00	—
CLM-409421	CLM	2026-07-15	Luis Richardsflagged	1969-08-21	UHC-28814-43	—	6338 Indian School Rd, Gilbert, AZ	Scored	1.00	—
CLM-409420	CLM	2026-08-16	Richards Luisflagged	1969-08-21	UHC-28814-43	9204617339	6338 Indian School Rd # 705, Gilbert, AZ	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-54087TPACLM-409421CLM 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-54086TPACLM-409421CLM 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-54085TPA TPA-54086TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54087TPATPA-54086TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54085TPA TPA-54087TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-409421CLM CLM-409420CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54087TPACLM-409420CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54086TPACLM-409420CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-54085TPA CLM-409420CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3	swapped
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-54085TPA CLM-409421CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

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

2026-10-19 19:54:38Record linked automatically970e5859dd
matching_agent, CLM-409420, identity id MBR-006113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409421
2026-10-19 19:54:38Record linked automatically24e2bad3d7
scoring_agent, CLM-409421, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:54:38Record linked automatically0b309e9209
scoring_agent, TPA-54086, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:54:38Record linked automatically6fdd3db364
scoring_agent, TPA-54087, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:54:38Record linked automatically2628c73068
scoring_agent, TPA-54085, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:52:08Record linked automatically0173c9c1fa
matching_agent, CLM-409420, identity id MBR-006113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409421
2026-10-19 19:52:08Record linked automatically4077118c44
scoring_agent, CLM-409421, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:52:08Record linked automatically2a823100ff
scoring_agent, TPA-54086, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:52:08Record linked automaticallye3493db189
scoring_agent, TPA-54087, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:52:08Record linked automatically490fb715ce
scoring_agent, TPA-54085, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:45:42Record linked automatically146efa0c2d
matching_agent, CLM-409420, identity id MBR-006113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409421
2026-10-19 19:45:42Record linked automaticallyc8ccb156cd
scoring_agent, CLM-409421, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:45:42Record linked automaticallycda0b4da3d
scoring_agent, TPA-54086, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:45:42Record linked automaticallyccc86b6e7a
scoring_agent, TPA-54087, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:45:42Record linked automaticallyeaedb93900
scoring_agent, TPA-54085, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:32:31Record linked automatically0852ab7bd4
matching_agent, CLM-409420, identity id MBR-006113, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409421
2026-10-19 19:32:31Record linked automatically6d72f35169
scoring_agent, CLM-409421, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:32:31Record linked automaticallye490a6db23
scoring_agent, TPA-54086, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:32:31Record linked automaticallydb3a99b87c
scoring_agent, TPA-54087, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54085, policy version 1
2026-10-19 19:32:31Record linked automaticallyef92fa7854
scoring_agent, TPA-54085, identity id MBR-006113, confidence 1, method probabilistic, matched record TPA-54087, policy version 1
2026-10-19 19:31:28Record linked automatically204477dc2c
scoring_agent, TPA-54087, identity id MBR-022713, confidence 1, method probabilistic, matched record PRV-22731, policy version 1
2026-10-19 19:31:28Record linked automatically1b8bef922a
scoring_agent, CLM-409420, identity id MBR-009693, confidence 1, method probabilistic, matched record TPA-54197, policy version 1
2026-10-19 19:31:28Record linked automatically7e71dde85d
scoring_agent, CLM-409421, identity id MBR-003877, confidence 1, method probabilistic, matched record TPA-54199, 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-2026-018222	2026-07-28	Meadow GI Associates in network	99214	$301.00	—	Denied	Denied
CLM-2026-014375	2026-06-04	Meadow Clinical Laboratories in network	85025, 83036, 80053	$216.00	—	Denied	Denied