Identities/MBR-008859
Gold, golden identity

Justin I Rios

2 source records from 2 feeds.

MBR-008859Verified2 records

Golden record

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

First nameENR
Justin
Middle nameENR
I
Last nameENR
Rios
Date of birthENR
1941-03-24
GenderENR
F
Member IDENR
UHC-51097-31
SSNENR
•••-••-4609
PhoneENR
8944618988
EmailENR
justin.rios@hotmail.com
AddressENR
3324 Jefferson Ave
CityENR
Sacramento
StateENR
CA
ZIPENR
95878
GroupENR
GRP-5027
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.960.96CLMCLM-426834ENRENR-135196IDMBR-008859
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-426834CLM2026-01-30Justin Riosflagged1940-03-24UHC-51097-31—3324 Jefferson Ave, Sacramento, CARule0.96D3 member id + name
ENR-135196ENR2026-05-08Justin Riosflagged1941-03-24UHC-51097-3189446189883324 Jefferson Ave, Sacramento, CARule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426834CLMENR-135196ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Justin Rios: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-000406, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd3079a69d6
    matching_agent, ENR-135196, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426834
  • 2026-10-19 19:54:38Record linked automaticallya5084652bc
    matching_agent, CLM-426834, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135196
  • 2026-10-19 19:52:09Record linked automaticallydf47f7fc23
    matching_agent, ENR-135196, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426834
  • 2026-10-19 19:52:09Record linked automatically38f01d5e40
    matching_agent, CLM-426834, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135196
  • 2026-10-19 19:45:42Record linked automaticallyb6d6f41ae2
    matching_agent, ENR-135196, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426834
  • 2026-10-19 19:45:42Record linked automatically950e0bc864
    matching_agent, CLM-426834, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135196
  • 2026-10-19 19:32:31Record linked automaticallyfdd207d789
    matching_agent, ENR-135196, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426834
  • 2026-10-19 19:32:31Record linked automatically816ad0b657
    matching_agent, CLM-426834, identity id MBR-008859, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-135196
  • 2026-10-19 19:31:28Record linked automatically6ebce8121c
    matching_agent, ENR-135196, identity id MBR-027300, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426602
  • 2026-10-19 19:31:28Record linked automatically5c449db86a
    scoring_agent, CLM-426834, identity id MBR-012421, confidence 1, method probabilistic, matched record TPA-61814, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0323162025-08-24Desert Rehabilitation Center
in network
97110, 97014, 97161$588.00—DeniedDenied