Identities/MBR-011926
Gold, golden identity

Joan R Rivera

4 source records from 2 feeds.

MBR-011926Verified4 records

Golden record

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

First nameENR
Joan
Middle nameENR
R
Last nameENR
Rivera
Date of birthENR
1988-12-18
GenderENR
M
Member IDENR
UHC-22799-76
SSNENR
•••-••-6433
PhoneENR
9143633518
EmailENR
joan.rivera@icloud.com
AddressENR
7244 Oak St
CityENR
Miami
StateENR
FL
ZIPENR
33179
GroupENR
GRP-4230
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99ENRENR-141016ENRENR-141015CLMCLM-431233CLMCLM-431232IDMBR-011926
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-141016ENR2026-02-10Joan Riveraflagged1988-12-18UHC-22799-76—5441 Ocean Ave, Gilbert, AZRule0.99D1 member id + dob exact
ENR-141015ENR2026-08-27Joan Riveraflagged1988-12-18UHC-22799-7691436335187244 Oak St, Miami, FLRule0.99D1 member id + dob exact
CLM-431233CLM2026-10-16Joan Riveraflagged1989-12-18UHC-22799-76—7244 Oak St, Miami, FLRule0.99D1 member id + dob exact
CLM-431232CLM2026-10-16Joan Riveraflagged1989-12-18UHC-22799-76—7244 Oak St, Miami, FLRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431233CLMCLM-431232CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141016ENRENR-141015ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141016ENRCLM-431232CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141015ENRCLM-431232CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141016ENRCLM-431233CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-141015ENRCLM-431233CLM0.96RuleD3 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

  • Outreach address correctedProposed
    Joan Rivera: 5441 Ocean Ave, Gilbert → 7244 Oak St, Miami
    ACT-011591, Outreach
  • Duplicate member record retiredExecuted
    Joan Rivera: 2 enrollment records collapsed into UHC-22799-76
    ACT-023513, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically180545d6e2
    matching_agent, CLM-431232, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431233
  • 2026-10-19 19:54:38Record linked automaticallyb66953fe5c
    matching_agent, CLM-431233, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431232
  • 2026-10-19 19:54:38Record linked automatically48fd11a703
    matching_agent, ENR-141015, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141016
  • 2026-10-19 19:54:38Record linked automatically724473767e
    matching_agent, ENR-141016, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141015
  • 2026-10-19 19:52:09Record linked automaticallyf5ef19e1ec
    matching_agent, CLM-431232, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431233
  • 2026-10-19 19:52:09Record linked automaticallyb27895d418
    matching_agent, CLM-431233, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431232
  • 2026-10-19 19:52:09Record linked automatically88b8afc9d7
    matching_agent, ENR-141015, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141016
  • 2026-10-19 19:52:09Record linked automatically9715abbab4
    matching_agent, ENR-141016, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141015
  • 2026-10-19 19:45:42Record linked automatically8f192afce2
    matching_agent, CLM-431232, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431233
  • 2026-10-19 19:45:42Record linked automaticallyf644bd09ae
    matching_agent, CLM-431233, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431232
  • 2026-10-19 19:45:42Record linked automaticallyb548c8866c
    matching_agent, ENR-141015, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141016
  • 2026-10-19 19:45:42Record linked automatically3bb8b0aa82
    matching_agent, ENR-141016, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141015
  • 2026-10-19 19:32:31Record linked automatically8e0ae7e9c4
    matching_agent, CLM-431232, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431233
  • 2026-10-19 19:32:31Record linked automaticallyb76e017a0d
    matching_agent, CLM-431233, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431232
  • 2026-10-19 19:32:31Record linked automatically11bb8412da
    matching_agent, ENR-141015, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141016
  • 2026-10-19 19:32:31Record linked automaticallya136481902
    matching_agent, ENR-141016, identity id MBR-011926, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141015
  • 2026-10-19 19:31:28Record linked automatically41100a2753
    matching_agent, CLM-431232, identity id MBR-011969, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141199
  • 2026-10-19 19:31:28Record linked automaticallybf9754fcef
    matching_agent, ENR-141015, identity id MBR-008639, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431092
  • 2026-10-19 19:31:28Record linked automatically981d329661
    scoring_agent, CLM-431233, identity id MBR-005241, confidence 1, method probabilistic, matched record TPA-63683, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0110972026-10-05Heritage Community Hospital
in network
99284$1,665.00—DeniedDenied
CLM-2026-0110962026-10-05Heritage Community Hospital
in network
99284$1,665.00$565.75ApprovedApproved
CLM-2026-0043852026-09-08Pinecrest Medical Group
in network
99215$347.00$175.14ApprovedApproved