Identities/MBR-006583
Gold, golden identity

Julie R Rios

4 source records from 2 feeds.

MBR-006583Verified4 records

Golden record

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

First nameENR
Julie
Middle nameENR
R
Last nameENR
Rios
Date of birthCLM
1994-08-06
GenderENR
F
Member IDENR
UHC-27625-41
SSNENR
•••-••-8365
PhoneENR
8954299276
EmailENR
julie.rios@aol.com
AddressENR
5635 Lincoln Way
CityENR
Los Angeles
StateENR
CA
ZIPENR
90002
GroupENR
GRP-5825
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.961.00CLMCLM-415916CLMCLM-415914ENRENR-120973CLMCLM-415915IDMBR-006583
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-415916CLM2026-01-22Julie Riosflagged1994-08-06UHC-27625-4189542992765635 Lincoln Way, Los Angeles, CAScored1.00—
CLM-415914CLM2026-03-23Julie Riosflagged1994-08-06UHC-27625-4189542992765635 Lincoln Way, Los Angeles, CAScored1.00—
ENR-120973ENR2026-06-08Julie Riosflagged—UHC-27625-4189542992765635 Lincoln Way, Los Angeles, CARule0.96D3 member id + name
CLM-415915CLM2026-07-02Julie Riosflagged1994-08-06—8954299276—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-415916CLMCLM-415915CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415914CLMCLM-415915CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-415916CLMCLM-415914CLM0.99RuleD1 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-415916CLMENR-120973ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-415914CLMENR-120973ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-120973ENRCLM-415915CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-415915 → UHC-27625-41 (Julie Rios)
    ACT-008259, Claims processor
  • Care coordination outreachProposed
    Julie Rios: 3 claims, no attributed provider
    ACT-018293, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically64aec55b06
    scoring_agent, CLM-415915, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415916, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc7a573eefc
    matching_agent, ENR-120973, identity id MBR-006583, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415916
  • 2026-10-19 19:54:38Record linked automaticallyb0622ec187
    scoring_agent, CLM-415914, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2a5e5cead2
    scoring_agent, CLM-415916, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:52:09Record linked automatically16991f9bf9
    scoring_agent, CLM-415915, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415916, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8d96dd6eaa
    matching_agent, ENR-120973, identity id MBR-006583, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415916
  • 2026-10-19 19:52:09Record linked automaticallyfb375b07f6
    scoring_agent, CLM-415914, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:52:09Record linked automatically66969f668a
    scoring_agent, CLM-415916, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:45:42Record linked automatically78335af54f
    scoring_agent, CLM-415915, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415916, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd18e503cb0
    matching_agent, ENR-120973, identity id MBR-006583, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415916
  • 2026-10-19 19:45:42Record linked automatically124284bbf9
    scoring_agent, CLM-415914, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf877b628f7
    scoring_agent, CLM-415916, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:32:31Record linked automatically905f27eb08
    scoring_agent, CLM-415915, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415916, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0889708a26
    matching_agent, ENR-120973, identity id MBR-006583, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415916
  • 2026-10-19 19:32:31Record linked automatically6eb81e8d71
    scoring_agent, CLM-415914, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:32:31Record linked automatically25eee5252e
    scoring_agent, CLM-415916, identity id MBR-006583, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6974f45ef3
    scoring_agent, CLM-415916, identity id MBR-024821, confidence 1, method probabilistic, matched record CLM-415915, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf73b71fa36
    scoring_agent, CLM-415915, identity id MBR-024821, confidence 1, method probabilistic, matched record TPA-56909, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye91b4af818
    scoring_agent, CLM-415914, identity id MBR-008871, confidence 1, method probabilistic, matched record CLM-415912, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0262002026-05-28Harbor Primary Care Associates
out of network
99213, 99214, 36415$457.00—DeniedDenied
CLM-2026-0136842025-12-15Sunrise Community Hospital
out of network
99283$1,073.00—DeniedDenied
CLM-2026-0320862025-12-13Riverside Bone and Joint Center
out of network
99213, 20610$436.00—DeniedDenied