Identities/MBR-006680
Gold, golden identity

Lucia M Rios

7 source records from 2 feeds.

MBR-006680Verified7 records

Golden record

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

First nameENR
Lucia
Middle nameENR
M
Last nameENR
Rios
Date of birthENR
1939-04-02
GenderENR
M
Member IDENR
UHC-92720-51
SSNENR
•••-••-0982
PhoneENR
5095694502
EmailENR
lucia.rios@aol.com
AddressENR
5436 Camelback Rd
CityENR
Denver
StateENR
CO
ZIPENR
80248
GroupENR
GRP-8351
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
ENR ×2CLM ×5
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.961.001.000.99ENRENR-137641CLMCLM-428692CLMCLM-428694CLMCLM-428693CLMCLM-428690CLMCLM-428691ENRENR-137640IDMBR-006680
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
ENR-137641ENR2026-01-22Luciia Riosflagged1939-04-02UHC-92720-5150956945025436 Camelback Rd, Denver, COScored1.00—
CLM-428692CLM2026-03-18Lucia Riosflagged1939-04-02UHC-92720-51—5436 Camelback Rd, Denver, COScored1.00—
CLM-428694CLM2026-05-19Lucia Riosflagged1939-04-02—50956945025436 Camelback Rd, Denver, COScored1.00—
CLM-428693CLM2026-07-15Lucia Riosflagged1938-04-02UHC-92720-51—5436 Camelback Rd # 958, Denver, CORule0.96D3 member id + name
CLM-428690CLM2026-08-08Lucia Riosflagged1939-04-02——5436 Camelback Rd, Denver, COScored1.00—
CLM-428691CLM2026-08-08Lucia Riosflagged1939-04-02——5436 Camelback Rd, Denver, COScored1.00—
ENR-137640ENR2026-09-08Lucia Risflagged1939-04-02UHC-92720-5150956945025436 Camelback Rd, Denver, CORule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-428692CLMCLM-428690CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428694CLMCLM-428690CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428692CLMCLM-428691CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428694CLMCLM-428691CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428690CLMCLM-428691CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428692CLMCLM-428694CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-137641ENRCLM-428690CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137641ENRCLM-428691CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137641ENRCLM-428694CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137641ENRCLM-428692CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137641ENRENR-137640ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-428692CLMENR-137640ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428694CLMENR-137640ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428690CLMENR-137640ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428691CLMENR-137640ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-137641ENRCLM-428693CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428692CLMCLM-428693CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428693CLMENR-137640ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-428693CLMCLM-428690CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428693CLMCLM-428691CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-428694CLMCLM-428693CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-428690 → UHC-92720-51 (Lucia Rios)
    ACT-001514, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-428691 → UHC-92720-51 (Lucia Rios)
    ACT-004619, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-428694 → UHC-92720-51 (Lucia Rios)
    ACT-009660, Claims processor
  • Care coordination outreachProposed
    Lucia Rios: 5 claims, no attributed provider
    ACT-018301, Next-best-action
  • Duplicate member record retiredExecuted
    Lucia Rios: 2 enrollment records collapsed into UHC-92720-51
    ACT-022719, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd01bd955a8
    matching_agent, ENR-137640, identity id MBR-006680, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137641
  • 2026-10-19 19:54:38Record linked automaticallyd3fa945a8e
    scoring_agent, CLM-428691, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3c5ea79ea8
    scoring_agent, CLM-428690, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4024923b2d
    matching_agent, CLM-428693, identity id MBR-006680, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137641
  • 2026-10-19 19:54:38Record linked automatically75a1c24077
    scoring_agent, CLM-428694, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:54:38Record linked automatically140b3d2837
    scoring_agent, CLM-428692, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3d6416d04d
    scoring_agent, ENR-137641, identity id MBR-006680, confidence 1.00, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:52:09Record linked automatically954a6e824e
    matching_agent, ENR-137640, identity id MBR-006680, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137641
  • 2026-10-19 19:52:09Record linked automatically35502d1b7e
    scoring_agent, CLM-428691, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc210da4ee5
    scoring_agent, CLM-428690, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:52:09Record linked automatically155471f372
    matching_agent, CLM-428693, identity id MBR-006680, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137641
  • 2026-10-19 19:52:09Record linked automaticallye71deec567
    scoring_agent, CLM-428694, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3250ff9930
    scoring_agent, CLM-428692, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1d6faeb8c2
    scoring_agent, ENR-137641, identity id MBR-006680, confidence 1.00, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:45:42Record linked automatically44b4caae91
    matching_agent, ENR-137640, identity id MBR-006680, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137641
  • 2026-10-19 19:45:42Record linked automatically0eaa2bca22
    scoring_agent, CLM-428691, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya90a2da7f9
    scoring_agent, CLM-428690, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:45:42Record linked automatically52fe4a87f1
    matching_agent, CLM-428693, identity id MBR-006680, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137641
  • 2026-10-19 19:45:42Record linked automaticallyc6a2fe0835
    scoring_agent, CLM-428694, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:45:42Record linked automatically11b8ff7265
    scoring_agent, CLM-428692, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf9109327c9
    scoring_agent, ENR-137641, identity id MBR-006680, confidence 1.00, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2c7252ca3f
    matching_agent, ENR-137640, identity id MBR-006680, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-137641
  • 2026-10-19 19:32:31Record linked automaticallyb6a22f7113
    scoring_agent, CLM-428691, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye8e8994cf4
    scoring_agent, CLM-428690, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyefa9b6ef02
    matching_agent, CLM-428693, identity id MBR-006680, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137641
  • 2026-10-19 19:32:31Record linked automatically647fab6c5d
    scoring_agent, CLM-428694, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428692, policy version 1
  • 2026-10-19 19:32:31Record linked automatically611f811b60
    scoring_agent, CLM-428692, identity id MBR-006680, confidence 1, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:32:31Record linked automatically466c45e04e
    scoring_agent, ENR-137641, identity id MBR-006680, confidence 1.00, method probabilistic, matched record CLM-428694, policy version 1
  • 2026-10-19 19:31:28Record linked automatically70ea8976e0
    matching_agent, ENR-137641, identity id MBR-041368, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-137642
  • 2026-10-19 19:31:28Record linked automatically7deca815bf
    scoring_agent, CLM-428690, identity id MBR-033632, confidence 1, method probabilistic, matched record CLM-428691, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1e168d78b7
    scoring_agent, CLM-428691, identity id MBR-033632, confidence 1, method probabilistic, matched record ENR-137902, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8e9fe95d7d
    matching_agent, CLM-428692, identity id MBR-028296, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428693
  • 2026-10-19 19:31:28Record linked automaticallyeaacfa1294
    matching_agent, CLM-428694, identity id MBR-028296, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428693
  • 2026-10-19 19:31:28Record linked automatically73244f2576
    matching_agent, CLM-428693, identity id MBR-028296, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428694

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0124602026-07-26Valley Skin Care Associates
out of network
11102, 17110$520.00—Needs reviewNeeds review
CLM-2026-0007692026-08-03Mesa Medical Group
in network
99213, 99395$442.00$234.04ApprovedApproved
CLM-2026-0059892026-06-15Canyon Clinical Laboratories
in network
87086$59.00$0.00ApprovedApproved
CLM-2026-0316722026-04-12Mesa Family Practice
in network
99214, 90471$278.00—DeniedDenied
CLM-2026-0316712026-04-12Mesa Family Practice
in network
99214, 90471$278.00$132.36ApprovedApproved
CLM-2026-0071082026-02-26Mesa Clinical Laboratories
in network
80061, 87086$128.00$0.00ApprovedApproved