Identities/MBR-006697

Gold, golden identity

Judith H Rivera

5 source records from 3 feeds.

MBR-006697Verified5 records

Golden record

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

First nameENR: Judith
Middle nameENR: H
Last nameCLM: Rivera
Date of birthCLM: 1953-09-08
GenderENR: M
Member IDENR: UHC-82345-54
SSNENR: •••-••-9083
PhoneENR: 7208860022
EmailENR: judith.rivera95@outlook.com
AddressENR: 7771 Lake View Rd
CityENR: Nashville
StateENR: TN
ZIPCLM: 37239
GroupENR: GRP-6781
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

CLM ×3ENR ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-406121	CLM	2026-01-22	Judiht Riveraflagged	1953-09-08	UHC-82345-54	—	7771 Lake View Rd, Nashville, TN	Scored	0.99	—
CLM-406119	CLM	2026-03-28	Judith Riveraflagged	1953-09-08	UHC-82345-54	—	—	Rule	0.99	D1 member id + dob exact
CLM-406120	CLM	2026-05-18	Judith Riveraflagged	1953-09-08	UHC-82345-54	—	7771 Lake View Rd, Nashville, TN	Scored	1.00	—
ENR-108034	ENR	2026-09-06	Judith Rivaraflagged	1954-09-08	UHC-82345-54	7208860022	7771 Lake View Rd, Nashville, TN	Rule	0.96	D3 member id + name
TPA-52713	TPA	2026-10-16	Judith Riveraflagged	1953-09-08	—	—	7771 Lake View Rd, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-406120CLMTPA-52713TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406121CLMTPA-52713TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406121CLMCLM-406119CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406121CLMCLM-406120CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406119CLMCLM-406120CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406121CLMENR-108034ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.91	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406119CLMENR-108034ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406120CLMENR-108034ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406119CLMTPA-52713TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-108034ENRTPA-52713TPA0.76Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.93	3
Date of birth	0.50	3	one_digit
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Judith Rivera: 3 claims, no attributed provider
ACT-018305, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyb30ff8561b
scoring_agent, TPA-52713, identity id MBR-006697, confidence 1, method probabilistic, matched record CLM-406120, policy version 1
2026-10-22 12:43:53Record linked automatically63c707ee1f
matching_agent, ENR-108034, identity id MBR-006697, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406121
2026-10-22 12:43:53Record linked automatically8214a4a1a6
scoring_agent, CLM-406120, identity id MBR-006697, confidence 1, method probabilistic, matched record TPA-52713, policy version 1
2026-10-22 12:43:53Record linked automatically6778fcbcf1
matching_agent, CLM-406119, identity id MBR-006697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406121
2026-10-22 12:43:53Record linked automaticallya349f9def8
scoring_agent, CLM-406121, identity id MBR-006697, confidence 0.99, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:54:38Record linked automaticallybc9da94598
scoring_agent, TPA-52713, identity id MBR-006697, confidence 1, method probabilistic, matched record CLM-406120, policy version 1
2026-10-19 19:54:38Record linked automatically11f6d17bac
matching_agent, ENR-108034, identity id MBR-006697, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406121
2026-10-19 19:54:38Record linked automaticallyebaaf4dad4
scoring_agent, CLM-406120, identity id MBR-006697, confidence 1, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:54:38Record linked automaticallyca81a06e9b
matching_agent, CLM-406119, identity id MBR-006697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406121
2026-10-19 19:54:38Record linked automatically11e3822361
scoring_agent, CLM-406121, identity id MBR-006697, confidence 0.99, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:52:09Record linked automatically7c82d54e83
scoring_agent, TPA-52713, identity id MBR-006697, confidence 1, method probabilistic, matched record CLM-406120, policy version 1
2026-10-19 19:52:09Record linked automatically2551d23ae5
matching_agent, ENR-108034, identity id MBR-006697, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406121
2026-10-19 19:52:09Record linked automaticallyda91da5907
scoring_agent, CLM-406120, identity id MBR-006697, confidence 1, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:52:09Record linked automatically4a81dbfd91
matching_agent, CLM-406119, identity id MBR-006697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406121
2026-10-19 19:52:09Record linked automaticallyd414b30853
scoring_agent, CLM-406121, identity id MBR-006697, confidence 0.99, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:45:42Record linked automatically570fbfd7c7
scoring_agent, TPA-52713, identity id MBR-006697, confidence 1, method probabilistic, matched record CLM-406120, policy version 1
2026-10-19 19:45:42Record linked automatically518648e608
matching_agent, ENR-108034, identity id MBR-006697, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406121
2026-10-19 19:45:42Record linked automaticallyd3524e99f9
scoring_agent, CLM-406120, identity id MBR-006697, confidence 1, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:45:42Record linked automatically0d62893cc4
matching_agent, CLM-406119, identity id MBR-006697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406121
2026-10-19 19:45:42Record linked automatically60e79b7524
scoring_agent, CLM-406121, identity id MBR-006697, confidence 0.99, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:32:31Record linked automatically62c09083e0
scoring_agent, TPA-52713, identity id MBR-006697, confidence 1, method probabilistic, matched record CLM-406120, policy version 1
2026-10-19 19:32:31Record linked automaticallybb40e4c195
matching_agent, ENR-108034, identity id MBR-006697, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-406121
2026-10-19 19:32:31Record linked automaticallyf259b7b1ae
scoring_agent, CLM-406120, identity id MBR-006697, confidence 1, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:32:31Record linked automaticallyaec5d2ba7a
matching_agent, CLM-406119, identity id MBR-006697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406121
2026-10-19 19:32:31Record linked automatically7bbe20273b
scoring_agent, CLM-406121, identity id MBR-006697, confidence 0.99, method probabilistic, matched record TPA-52713, policy version 1
2026-10-19 19:31:28Record linked automatically596bf5c423
matching_agent, TPA-52713, identity id MBR-034097, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-52712
2026-10-19 19:31:28Record linked automatically674a799a3a
matching_agent, CLM-406119, identity id MBR-028153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108009
2026-10-19 19:31:28Record linked automatically6a0df7d287
matching_agent, CLM-406120, identity id MBR-028153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108009
2026-10-19 19:31:28Record linked automatically700411ffdd
matching_agent, CLM-406121, identity id MBR-020704, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108011
2026-10-19 19:31:28Record linked automaticallyd636f76eba
matching_agent, ENR-108034, identity id MBR-019212, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406143

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-010459	2026-05-04	Meadow Family Practice in network	90471	$36.00	$0.00	Approved	Approved
CLM-2026-019667	2026-02-28	Pinecrest Regional Medical Center in network	99285, 99283	$3,649.00	$1,856.95	Approved	Approved
CLM-2026-030075	2026-01-01	Meadow Clinical Laboratories in network	83036	$38.00	$0.00	Approved	Approved