Identities/MBR-006339
Gold, golden identity

Nathan U Riley

4 source records from 2 feeds.

MBR-006339Verified4 records

Golden record

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

First nameENR
Nathan
Middle nameENR
U
Last nameENR
Riley
Date of birthENR
1998-05-18
GenderENR
F
Member IDENR
UHC-99771-23
SSNENR
•••-••-0851
PhoneENR
4856663464
EmailENR
nathan.riley@aol.com
AddressENR
1023 River Rd
CityENR
Orlando
StateENR
FL
ZIPENR
32865
GroupENR
GRP-9938
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.99CLMCLM-423071CLMCLM-423070ENRENR-130196CLMCLM-423069IDMBR-006339
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-423071CLM2026-01-21Nathan Rileyflagged1998-05-18UHC-99771-23—1023 River Rd, Orlando, FLRule0.99D1 member id + dob exact
CLM-423070CLM2026-01-21Nathan Rileyflagged1998-05-18UHC-99771-23—1023 River Rd, Orlando, FLRule0.99D1 member id + dob exact
ENR-130196ENR2026-04-24Nathan Rileyflagged1998-05-18UHC-99771-2348566634641023 River Rd, Orlando, FLRule0.99D1 member id + dob exact
CLM-423069CLM2026-07-05Nathan Riileyflagged1998-05-18—48566634641023 River Rd, Orlando, FLScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-423071CLMCLM-423069CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423070CLMCLM-423069CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423071CLMCLM-423070CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423071CLMENR-130196ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-423070CLMENR-130196ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-130196ENRCLM-423069CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-423069 → UHC-99771-23 (Nathan Riley)
    ACT-009718, Claims processor
  • Care coordination outreachProposed
    Nathan Riley: 3 claims, no attributed provider
    ACT-018276, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automaticallyc0164486f1
    scoring_agent, CLM-423069, identity id MBR-006339, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-22 12:43:53Record linked automatically890074e279
    matching_agent, ENR-130196, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-22 12:43:53Record linked automatically164b63edf6
    matching_agent, CLM-423070, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-22 12:43:53Record linked automaticallyee1fd3d45d
    matching_agent, CLM-423071, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423070
  • 2026-10-19 19:54:38Record linked automatically9f85539d97
    scoring_agent, CLM-423069, identity id MBR-006339, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4a9ee39841
    matching_agent, ENR-130196, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:54:38Record linked automatically027e6c8f7c
    matching_agent, CLM-423070, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:54:38Record linked automatically073c73485f
    matching_agent, CLM-423071, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423070
  • 2026-10-19 19:52:09Record linked automaticallyfcd1e76a9d
    scoring_agent, CLM-423069, identity id MBR-006339, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybed0e5b4d9
    matching_agent, ENR-130196, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:52:09Record linked automatically9648c5cd1c
    matching_agent, CLM-423070, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:52:09Record linked automaticallyc7b4dad651
    matching_agent, CLM-423071, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423070
  • 2026-10-19 19:45:42Record linked automaticallya4197fae87
    scoring_agent, CLM-423069, identity id MBR-006339, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9b4f6108f8
    matching_agent, ENR-130196, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:45:42Record linked automaticallyf9e9964784
    matching_agent, CLM-423070, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:45:42Record linked automaticallyd2bfcac52c
    matching_agent, CLM-423071, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423070
  • 2026-10-19 19:32:31Record linked automatically352c2f2e0e
    scoring_agent, CLM-423069, identity id MBR-006339, confidence 0.99, method probabilistic, matched record CLM-423071, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb7367b289a
    matching_agent, ENR-130196, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:32:31Record linked automatically6191475ffa
    matching_agent, CLM-423070, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423071
  • 2026-10-19 19:32:31Record linked automaticallyf6486ad00e
    matching_agent, CLM-423071, identity id MBR-006339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423070
  • 2026-10-19 19:31:28Record linked automatically091a83fae8
    matching_agent, ENR-130196, identity id MBR-026932, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422923
  • 2026-10-19 19:31:28Record linked automatically768409a9aa
    scoring_agent, CLM-423071, identity id MBR-025827, confidence 0.99, method probabilistic, matched record CLM-423072, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyecea477dad
    matching_agent, CLM-423070, identity id MBR-004135, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-423069
  • 2026-10-19 19:31:28Record linked automatically601827f6e1
    matching_agent, CLM-423069, identity id MBR-004135, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130386

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0318902026-06-23Pinecrest GI Associates
in network
88305$196.00$0.00ApprovedApproved
CLM-2026-0219132025-12-10Canyon Internal Medicine Associates
in network
93000$69.00—Needs reviewNeeds review
CLM-2026-0219122025-12-10Canyon Internal Medicine Associates
in network
93000$69.00$2.78ApprovedApproved
CLM-2026-0170222025-12-28Sunrise Imaging Center
in network
76700$400.00$0.00ApprovedApproved