Identities/MBR-008413
Gold, golden identity

Nicole D Rios

3 source records from 2 feeds.

MBR-008413Verified3 records

Golden record

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

First nameENR
Nicole
Middle nameCLM
D
Last nameENR
Rios
Date of birthENR
1979-03-27
GenderENR
F
Member IDENR
UHC-09755-63
SSNENR
•••-••-1957
PhoneENR
7924875265
Email—
—
AddressENR
5521 Hillcrest Rd
CityENR
Fresno
StateENR
CA
ZIPENR
93726
GroupENR
GRP-6804
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.97ENRENR-102188CLMCLM-401679CLMCLM-401678IDMBR-008413
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-102188ENR2026-01-28Nicole Riosflagged1979-03-27UHC-09755-6379248752655521 Hillcrest Rd, Fresno, CARule0.99D1 member id + dob exact
CLM-401679CLM2026-08-10Nicole Riosflagged1979-03-27UHC-09755-63—5521 Hillcrest Rd, Fresno, CARule0.99D1 member id + dob exact
CLM-401678CLM2026-09-14Nicole Ryosflagged1979-03-27—79248752655521 Hillcrest Rd, Fresno, CAScored0.97—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-102188ENRCLM-401679CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102188ENRCLM-401678CLM0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401679CLMCLM-401678CLM0.97Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.913
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401678 → UHC-09755-63 (Nicole Rios)
    ACT-004933, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically6f3a47bb2e
    scoring_agent, CLM-401678, identity id MBR-008413, confidence 0.97, method probabilistic, matched record ENR-102188, policy version 1
  • 2026-10-22 12:43:54Record linked automatically67a3a1e961
    matching_agent, CLM-401679, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102188
  • 2026-10-22 12:43:54Record linked automatically98ab80cd38
    matching_agent, ENR-102188, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401679
  • 2026-10-19 19:54:38Record linked automaticallya7cd28d8fd
    scoring_agent, CLM-401678, identity id MBR-008413, confidence 0.97, method probabilistic, matched record ENR-102188, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye7f4815af7
    matching_agent, CLM-401679, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102188
  • 2026-10-19 19:54:38Record linked automatically188077b482
    matching_agent, ENR-102188, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401679
  • 2026-10-19 19:52:09Record linked automatically43f9d7dca1
    scoring_agent, CLM-401678, identity id MBR-008413, confidence 0.97, method probabilistic, matched record ENR-102188, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye867201c04
    matching_agent, CLM-401679, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102188
  • 2026-10-19 19:52:09Record linked automaticallya393e1cd1e
    matching_agent, ENR-102188, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401679
  • 2026-10-19 19:45:42Record linked automaticallye4c16723a7
    scoring_agent, CLM-401678, identity id MBR-008413, confidence 0.97, method probabilistic, matched record ENR-102188, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8690d21b00
    matching_agent, CLM-401679, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102188
  • 2026-10-19 19:45:42Record linked automaticallycb69a436ea
    matching_agent, ENR-102188, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401679
  • 2026-10-19 19:32:31Record linked automaticallydfc0e8a985
    scoring_agent, CLM-401678, identity id MBR-008413, confidence 0.97, method probabilistic, matched record ENR-102188, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyed0f7959d1
    matching_agent, CLM-401679, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102188
  • 2026-10-19 19:32:31Record linked automatically8f0e1237bf
    matching_agent, ENR-102188, identity id MBR-008413, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401679
  • 2026-10-19 19:31:28Record linked automatically26bf74be3d
    matching_agent, CLM-401679, identity id MBR-007221, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20511
  • 2026-10-19 19:31:28Record linked automatically3e9f16386f
    matching_agent, CLM-401678, identity id MBR-002586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401677

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0136372026-09-09Riverside Digestive Health Center
in network
99214$256.00$83.72ApprovedApproved
CLM-2026-0105482026-07-30Northgate Medical Group
in network
99395, 90471$292.00$141.04ApprovedApproved