Identities/MBR-006585
Gold, golden identity

Richard Luna

4 source records from 2 feeds.

MBR-006585Verified4 records

Golden record

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

First nameENR
Richard
Middle name—
—
Last nameENR
Luna
Date of birthENR
1986-01-18
GenderENR
F
Member IDENR
UHC-69234-20
SSNENR
•••-••-7373
PhoneENR
5629608204
EmailENR
richard.luna84@proton.me
AddressENR
2149 Mesa Dr # 984
CityENR
Jacksonville
StateENR
FL
ZIPENR
32267
GroupENR
GRP-0203
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
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

0.990.991.001.00CLMCLM-403238CLMCLM-403236CLMCLM-403237ENRENR-104194IDMBR-006585
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-403238CLM2026-01-22Richard Lunaflagged1986-01-18UHC-69234-20—2149 Mesa Dr, Jacksonville, FLRule0.99D1 member id + dob exact
CLM-403236CLM2026-02-06Richard Lunaflagged1986-01-18UHC-69234-20——Rule0.99D1 member id + dob exact
CLM-403237CLM2026-06-09Richard Lunaflagged1986-01-18———Scored1.00—
ENR-104194ENR2026-07-18Richard Lunaflagged1986-01-18UHC-69234-2056296082042149 Mesa Dr # 984, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-403237CLMENR-104194ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-403238CLMCLM-403236CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403238CLMENR-104194ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-403236CLMENR-104194ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-403238CLMCLM-403237CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-403236CLMCLM-403237CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403237 → UHC-69234-20 (Richard Luna)
    ACT-001920, Claims processor
  • Care coordination outreachProposed
    Richard Luna: 3 claims, no attributed provider
    ACT-018295, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically007bb0dfb3
    scoring_agent, ENR-104194, identity id MBR-006585, confidence 1, method probabilistic, matched record CLM-403237, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc0e106a9c9
    scoring_agent, CLM-403237, identity id MBR-006585, confidence 1, method probabilistic, matched record ENR-104194, policy version 1
  • 2026-10-19 19:54:38Record linked automatically059f48b7c2
    matching_agent, CLM-403236, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403238
  • 2026-10-19 19:54:38Record linked automatically64619532d0
    matching_agent, CLM-403238, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403236
  • 2026-10-19 19:52:09Record linked automatically88b6803332
    scoring_agent, ENR-104194, identity id MBR-006585, confidence 1, method probabilistic, matched record CLM-403237, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8d439b6f26
    scoring_agent, CLM-403237, identity id MBR-006585, confidence 1, method probabilistic, matched record ENR-104194, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye165ac3090
    matching_agent, CLM-403236, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403238
  • 2026-10-19 19:52:09Record linked automatically84a94f9994
    matching_agent, CLM-403238, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403236
  • 2026-10-19 19:45:42Record linked automatically41c189b014
    scoring_agent, ENR-104194, identity id MBR-006585, confidence 1, method probabilistic, matched record CLM-403237, policy version 1
  • 2026-10-19 19:45:42Record linked automatically27079a08df
    scoring_agent, CLM-403237, identity id MBR-006585, confidence 1, method probabilistic, matched record ENR-104194, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0660cb0847
    matching_agent, CLM-403236, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403238
  • 2026-10-19 19:45:42Record linked automatically80dcada747
    matching_agent, CLM-403238, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403236
  • 2026-10-19 19:32:31Record linked automatically6edc2e153f
    scoring_agent, ENR-104194, identity id MBR-006585, confidence 1, method probabilistic, matched record CLM-403237, policy version 1
  • 2026-10-19 19:32:31Record linked automatically09fa57d189
    scoring_agent, CLM-403237, identity id MBR-006585, confidence 1, method probabilistic, matched record ENR-104194, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6d3a9e443b
    matching_agent, CLM-403236, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403238
  • 2026-10-19 19:32:31Record linked automatically61cb4c1f6f
    matching_agent, CLM-403238, identity id MBR-006585, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403236
  • 2026-10-19 19:31:28Record linked automatically4a934cae0c
    matching_agent, CLM-403236, identity id MBR-023529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403235
  • 2026-10-19 19:31:28Record linked automatically81a1302cb4
    matching_agent, CLM-403237, identity id MBR-013414, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-104241
  • 2026-10-19 19:31:28Record linked automatically94d45a58ab
    matching_agent, ENR-104194, identity id MBR-013128, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104195

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0023032026-05-19Unity Bone and Joint Center
in network
73721$2,374.00$347.64ApprovedApproved
CLM-2026-0052522026-01-21Northgate Medical Group
in network
99395$244.00$111.28ApprovedApproved
CLM-2026-0020012025-10-12Mesa Internal Medicine Associates
out of network
80053$77.00—DeniedDenied