Identities/MBR-007018
Gold, golden identity

William W Rivera

6 source records from 3 feeds.

MBR-007018Verified6 records

Golden record

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

First nameENR
William
Middle nameENR
W
Last nameENR
Rivera
Date of birthENR
1971-03-13
GenderENR
F
Member IDENR
UHC-47674-88
SSNCLM
•••-••-1710
PhoneENR
5122810729
EmailENR
william.rivera@yahoo.com
AddressENR
3566 Willow Ct
CityENR
San Diego
StateENR
CA
ZIPENR
92191
GroupENR
GRP-4792
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3PRV ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.001.001.00CLMCLM-424683CLMCLM-424682PRVPRV-27261PRVPRV-27260ENRENR-132249CLMCLM-424684IDMBR-007018
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-424683CLM2026-01-23William Riveraflagged1971-03-13UHC-47674-885122810729—Scored1.00—
CLM-424682CLM2026-02-22William Riveraflagged1971-03-13UHC-47674-88—3566 Willow Ct, San Diego, CARule0.99D1 member id + dob exact
PRV-27261PRV2026-03-24William Riveraflagged1971-03-13UHC-47674-885122810729—Scored1.00—
PRV-27260PRV2026-03-24William Riveraflagged1971-03-13UHC-47674-885122810729—Scored1.00—
ENR-132249ENR2026-04-25William Riveraflagged1971-03-13UHC-47674-8851228107293566 Willow Ct, San Diego, CAScored1.00—
CLM-424684CLM2026-05-17William Riveraflagged1971-03-13—51228107293566 Willow Ct, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424683CLMCLM-424684CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27261PRVCLM-424684CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27260PRVCLM-424684CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132249ENRCLM-424684CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424683CLMCLM-424682CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424683CLMENR-132249ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424682CLMENR-132249ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27261PRVENR-132249ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27260PRVENR-132249ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424683CLMPRV-27260PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424682CLMPRV-27260PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27261PRVPRV-27260PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424683CLMPRV-27261PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-424682CLMPRV-27261PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424682CLMCLM-424684CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424684 → UHC-47674-88 (William Rivera)
    ACT-008926, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically92288e38e2
    scoring_agent, CLM-424684, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424683, policy version 1
  • 2026-10-22 12:43:53Record linked automatically1475576205
    scoring_agent, ENR-132249, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallybe2f85130f
    scoring_agent, PRV-27260, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-22 12:43:53Record linked automatically9369bc1ef6
    scoring_agent, PRV-27261, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallya3f5f77517
    matching_agent, CLM-424682, identity id MBR-007018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424683
  • 2026-10-22 12:43:53Record linked automaticallyb83a4932d1
    scoring_agent, CLM-424683, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyacf12b0cfd
    scoring_agent, CLM-424684, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424683, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya97dc5bae3
    scoring_agent, ENR-132249, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8098cd411b
    scoring_agent, PRV-27260, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:54:38Record linked automatically70b287c367
    scoring_agent, PRV-27261, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyed69956b1d
    matching_agent, CLM-424682, identity id MBR-007018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424683
  • 2026-10-19 19:54:38Record linked automatically1a07b0d953
    scoring_agent, CLM-424683, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7b0c0c4429
    scoring_agent, CLM-424684, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424683, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1c6c6b2308
    scoring_agent, ENR-132249, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb25b8fdae6
    scoring_agent, PRV-27260, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb8dc5cfd27
    scoring_agent, PRV-27261, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7de98d11c8
    matching_agent, CLM-424682, identity id MBR-007018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424683
  • 2026-10-19 19:52:09Record linked automatically67e2a8b3c3
    scoring_agent, CLM-424683, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7b497f2ee0
    scoring_agent, CLM-424684, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424683, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5dd6772e5c
    scoring_agent, ENR-132249, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:45:42Record linked automatically16a82eb9d1
    scoring_agent, PRV-27260, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4d7ed9415f
    scoring_agent, PRV-27261, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3fee87278a
    matching_agent, CLM-424682, identity id MBR-007018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424683
  • 2026-10-19 19:45:42Record linked automaticallyd9018f7bfb
    scoring_agent, CLM-424683, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:32:31Record linked automatically21e7cae9d0
    scoring_agent, CLM-424684, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424683, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya24ff30a85
    scoring_agent, ENR-132249, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2f33e12129
    scoring_agent, PRV-27260, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:32:31Record linked automatically58ec2da0aa
    scoring_agent, PRV-27261, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye3d9c27250
    matching_agent, CLM-424682, identity id MBR-007018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424683
  • 2026-10-19 19:32:31Record linked automaticallyd44bd88644
    scoring_agent, CLM-424683, identity id MBR-007018, confidence 1, method probabilistic, matched record CLM-424684, policy version 1
  • 2026-10-19 19:31:28Record linked automatically56f2774396
    scoring_agent, PRV-27261, identity id MBR-033076, confidence 1, method probabilistic, matched record CLM-424630, policy version 1
  • 2026-10-19 19:31:28Record linked automatically95892c1240
    scoring_agent, CLM-424684, identity id MBR-020628, confidence 1, method probabilistic, matched record TPA-60863, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycce8cb990f
    matching_agent, CLM-424682, identity id MBR-018936, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132472
  • 2026-10-19 19:31:28Record linked automatically26ae178ef2
    scoring_agent, CLM-424683, identity id MBR-007701, confidence 1, method probabilistic, matched record PRV-27273, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc24d6f6e54
    matching_agent, PRV-27260, identity id MBR-006929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132414

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0287122026-04-16Northgate Orthopedic Specialists
in network
99213$207.00$88.34ApprovedApproved
CLM-2026-0307222026-01-22Valley Heart Institute
in network
93015, 93458$7,363.00$1,677.96ApprovedApproved
CLM-2026-0108322026-01-03Unity Medical Group
in network
36415$22.00$0.00ApprovedApproved