Identities/MBR-006319
Gold, golden identity

Don J Richardson

3 source records from 1 feed.

MBR-006319Verified3 records

Golden record

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

First nameCLM
Don
Middle nameCLM
J
Last nameCLM
Richardson
Date of birthCLM
2000-06-11
GenderCLM
F
Member IDCLM
UHC-97967-62
SSN—
—
PhoneCLM
8257048794
Email—
—
AddressCLM
3305 Valley View Dr
CityCLM
Tampa
StateCLM
FL
ZIPCLM
33682
GroupCLM
GRP-6833
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.00CLMCLM-417566CLMCLM-417567CLMCLM-417568IDMBR-006319
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-417566CLM2026-01-21Donald Richardsonflagged2000-06-11——3305 Valley View Dr, Tampa, FLScored1.00—
CLM-417567CLM2026-06-16Richardson Donaldflagged2000-06-11UHC-97967-62——Rule0.99D1 member id + dob exact
CLM-417568CLM2026-09-08Don Richardsonflagged2000-06-11UHC-97967-6282570487943305 Valley View Dr, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-417566CLMCLM-417568CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417567CLMCLM-417568CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417566 → UHC-97967-62 (Don Richardson)
    ACT-002379, Claims processor
  • Care coordination outreachProposed
    Don Richardson: 3 claims, no attributed provider
    ACT-018272, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallycb7c72e1d5
    scoring_agent, CLM-417568, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:54:38Record linked automatically84a43b3a40
    matching_agent, CLM-417567, identity id MBR-006319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417568
  • 2026-10-19 19:54:38Record linked automatically546ab03736
    scoring_agent, CLM-417566, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417568, policy version 1
  • 2026-10-19 19:52:09Record linked automatically06a415e881
    scoring_agent, CLM-417568, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydab6915795
    matching_agent, CLM-417567, identity id MBR-006319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417568
  • 2026-10-19 19:52:09Record linked automatically98ece9d365
    scoring_agent, CLM-417566, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417568, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd87bbfb32e
    scoring_agent, CLM-417568, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a06173632
    matching_agent, CLM-417567, identity id MBR-006319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417568
  • 2026-10-19 19:45:42Record linked automaticallybbf991f053
    scoring_agent, CLM-417566, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417568, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyccf3b37bb9
    scoring_agent, CLM-417568, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyea6158148e
    matching_agent, CLM-417567, identity id MBR-006319, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417568
  • 2026-10-19 19:32:31Record linked automatically21623dfcfb
    scoring_agent, CLM-417566, identity id MBR-006319, confidence 1, method probabilistic, matched record CLM-417568, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyab8fe1a91d
    scoring_agent, CLM-417568, identity id MBR-015803, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:31:28Record linked automatically25c7cb5572
    scoring_agent, CLM-417567, identity id MBR-015803, confidence 1, method probabilistic, matched record CLM-417566, policy version 1
  • 2026-10-19 19:31:28Record linked automatically98c8d2b246
    scoring_agent, CLM-417566, identity id MBR-015803, confidence 1, method probabilistic, matched record ENR-122994, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0215582026-08-11Harbor Primary Care Associates
out of network
99203$260.00—DeniedDenied
CLM-2026-0215572026-08-11Harbor Primary Care Associates
out of network
99203$260.00$97.00ApprovedApproved
CLM-2026-0100702026-05-13Riverside Bone and Joint Center
in network
20610, 99213$526.00$286.12ApprovedApproved
CLM-2026-0039012026-01-14Sunrise Cardiovascular Associates
in network
93458, 93015$7,889.00$2,392.38ApprovedApproved