Identities/MBR-010027
Gold, golden identity

Jacob Riley

4 source records from 2 feeds.

MBR-010027Verified4 records

Golden record

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

First nameENR
Jacob
Middle name—
—
Last nameENR
Riley
Date of birthENR
1943-04-26
GenderENR
M
Member IDENR
UHC-23169-11
SSNENR
•••-••-5436
PhoneCLM
4226796102
EmailCLM
jacob.riley39@yahoo.com
AddressENR
1862 Hillcrest Rd
CityENR
Seattle
StateENR
WA
ZIPENR
98179
GroupENR
GRP-8544
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-425101CLMCLM-425100ENRENR-132796CLMCLM-425099IDMBR-010027
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-425101CLM2026-02-03Jacob Rileyflagged1943-04-26UHC-23169-11—1862 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
CLM-425100CLM2026-06-19Jacob Rileyflagged1943-04-26UHC-23169-1142267961021862 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
ENR-132796ENR2026-08-24Jacob Rileyflagged1943-04-26UHC-23169-11—1862 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact
CLM-425099CLM2026-08-26Jacob Rileyflagged1943-04-26UHC-23169-11—1862 Hillcrest Rd, Seattle, WARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425101CLMCLM-425099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425100CLMCLM-425099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132796ENRCLM-425099CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425101CLMCLM-425100CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425101CLMENR-132796ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425100CLMENR-132796ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Jacob Riley: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000453, Eligibility engine
  • Care coordination outreachProposed
    Jacob Riley: 3 claims, no attributed provider
    ACT-018541, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6d9976b9f6
    matching_agent, CLM-425099, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:54:38Record linked automaticallyb82785986c
    matching_agent, ENR-132796, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:54:38Record linked automatically6778b4d11c
    matching_agent, CLM-425100, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:54:38Record linked automatically83f3e691b9
    matching_agent, CLM-425101, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425100
  • 2026-10-19 19:52:09Record linked automaticallyd381ca8b7c
    matching_agent, CLM-425099, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:52:09Record linked automaticallydb35346453
    matching_agent, ENR-132796, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:52:09Record linked automaticallya31954f83e
    matching_agent, CLM-425100, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:52:09Record linked automaticallyb8b1ed6be7
    matching_agent, CLM-425101, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425100
  • 2026-10-19 19:45:42Record linked automaticallyde65d3cc83
    matching_agent, CLM-425099, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:45:42Record linked automaticallyea1cdc4580
    matching_agent, ENR-132796, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:45:42Record linked automatically4a75e20784
    matching_agent, CLM-425100, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:45:42Record linked automatically8651b82c7a
    matching_agent, CLM-425101, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425100
  • 2026-10-19 19:32:31Record linked automatically35c5bd3163
    matching_agent, CLM-425099, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:32:31Record linked automatically108e6c074d
    matching_agent, ENR-132796, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:32:31Record linked automatically69d637ddc0
    matching_agent, CLM-425100, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425101
  • 2026-10-19 19:32:31Record linked automatically4dcf322ebb
    matching_agent, CLM-425101, identity id MBR-010027, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425100
  • 2026-10-19 19:31:28Record linked automatically7a307d6f1e
    scoring_agent, CLM-425100, identity id MBR-013667, confidence 1, method probabilistic, matched record CLM-425099, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7c9b85f443
    scoring_agent, CLM-425101, identity id MBR-013667, confidence 1, method probabilistic, matched record CLM-425099, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2365a8e441
    scoring_agent, CLM-425099, identity id MBR-013667, confidence 1, method probabilistic, matched record CLM-425101, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0143932026-08-24Pinecrest Primary Care Associates
in network
99214$207.00$98.34ApprovedApproved
CLM-2026-0281732026-05-10Northgate Cardiovascular Associates
in network
93306, 93015$2,063.00$670.70ApprovedApproved
CLM-2026-0062092026-01-20Unity Internal Medicine Associates
out of network
93000$86.00$8.70ApprovedApproved