Identities/MBR-011198
Gold, golden identity

Jennifer Riley

3 source records from 1 feed.

MBR-011198Verified3 records

Golden record

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

First nameCLM
Jennifer
Middle name—
—
Last nameCLM
Riley
Date of birthCLM
1988-04-14
GenderCLM
F
Member IDCLM
UHC-53110-32
SSNCLM
•••-••-0570
PhoneCLM
6197331987
Email—
—
AddressCLM
4639 Baseline Rd
CityCLM
Jacksonville
StateCLM
FL
ZIPCLM
32286
GroupCLM
GRP-6173
PlanCLM
MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.00CLMCLM-409582CLMCLM-409583CLMCLM-409584IDMBR-011198
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-409582CLM2026-02-07Jennifer Rileyflagged1988-04-14——4639 Baseline Rd, Jacksonville, FLScored1.00—
CLM-409583CLM2026-04-19Jennifer Rileyflagged1988-04-14—61973319874639 Baseline Rd, Jacksonville, FLScored1.00—
CLM-409584CLM2026-06-14Jennifer Rileyflagged1988-04-14UHC-53110-3261973319874639 Baseline Rd, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409582CLMCLM-409583CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409582CLMCLM-409584CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409583CLMCLM-409584CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-409582 → UHC-53110-32 (Jennifer Riley)
    ACT-001925, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-409583 → UHC-53110-32 (Jennifer Riley)
    ACT-006007, Claims processor
  • Care coordination outreachProposed
    Jennifer Riley: 3 claims, no attributed provider
    ACT-018603, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyeaf7e184ed
    scoring_agent, CLM-409584, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydbe749b2d2
    scoring_agent, CLM-409583, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7ebb6fd1cc
    scoring_agent, CLM-409582, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409583, policy version 1
  • 2026-10-19 19:52:09Record linked automatically221d0b90cc
    scoring_agent, CLM-409584, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1414c3f933
    scoring_agent, CLM-409583, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf6875a488b
    scoring_agent, CLM-409582, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409583, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf884dcb3c8
    scoring_agent, CLM-409584, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd85df8dead
    scoring_agent, CLM-409583, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya411eb6ca0
    scoring_agent, CLM-409582, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409583, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0b9f9d3771
    scoring_agent, CLM-409584, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8729933488
    scoring_agent, CLM-409583, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409582, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf433ddabdd
    scoring_agent, CLM-409582, identity id MBR-011198, confidence 1, method probabilistic, matched record CLM-409583, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8452e76d51
    scoring_agent, CLM-409583, identity id MBR-020633, confidence 1, method probabilistic, matched record ENR-112647, policy version 1
  • 2026-10-19 19:31:28Record linked automatically04b9ccec2e
    scoring_agent, CLM-409584, identity id MBR-020633, confidence 1, method probabilistic, matched record CLM-409585, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybe8071ebee
    matching_agent, CLM-409582, identity id MBR-010835, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112644

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0298842026-05-19Riverside Internal Medicine Associates
in network
99232$212.00—DeniedDenied
CLM-2026-0175772026-04-02Unity Reference Lab
in network
85025, 87086$99.00$0.00ApprovedApproved
CLM-2026-0023332025-12-25Lakeside Dermatology Clinic
in network
11403, 99213$936.00$530.32ApprovedApproved