Identities/MBR-006861
Gold, golden identity

Luis Richards

2 source records from 1 feed.

MBR-006861Verified2 records

Golden record

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

First nameCLM
Luis
Middle name—
—
Last nameCLM
Richards
Date of birthCLM
1960-12-26
GenderCLM
F
Member IDCLM
UHC-82338-95
SSN—
—
PhoneCLM
4119719559
Email—
—
AddressCLM
810 Jefferson Ave # 824
CityCLM
Orlando
StateCLM
FL
ZIPCLM
32859
GroupCLM
GRP-0726
PlanCLM
OPTIONS-PPO
Min confidence
0.85
Sources
CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.850.85CLMCLM-403518CLMCLM-403517IDMBR-006861
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-403518CLM2026-01-23Luis Richardsflagged1961-02-26——810 Jefferson Ave, Orlando, FLScored0.85—
CLM-403517CLM2026-02-13Luis Richardsflagged1960-12-26UHC-82338-954119719559810 Jefferson Ave # 824, Orlando, FLScored0.85—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-403518CLMCLM-403517 CLM0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-403518 → UHC-82338-95 (Luis Richards)
    ACT-003545, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically97e556be87
    scoring_agent, CLM-403517, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403518, policy version 1
  • 2026-10-19 19:54:38Record linked automatically76052de1ac
    scoring_agent, CLM-403518, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403517, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyde12fbed32
    scoring_agent, CLM-403517, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403518, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb80da38bf4
    scoring_agent, CLM-403518, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403517, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8b5b30af61
    scoring_agent, CLM-403517, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403518, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6c54a16a77
    scoring_agent, CLM-403518, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403517, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya48f380f33
    scoring_agent, CLM-403517, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403518, policy version 1
  • 2026-10-19 19:32:31Record linked automatically436bca47aa
    scoring_agent, CLM-403518, identity id MBR-006861, confidence 0.85, method probabilistic, matched record CLM-403517, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyea777afbc8
    scoring_agent, CLM-403518, identity id MBR-023012, confidence 1, method probabilistic, matched record PRV-21080, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye10707d9f2
    matching_agent, CLM-403517, identity id MBR-023012, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104563

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0337032026-02-02Sunrise Digestive Health Center
out of network
43239, 88305$1,938.00—DeniedDenied
CLM-2026-0337022026-02-02Sunrise Digestive Health Center
out of network
43239, 88305$1,938.00$0.00ApprovedApproved
CLM-2026-0083652026-01-13Lakeside Medical Group
out of network
99214, 90471, 36415$300.00$115.00ApprovedApproved