Identities/MBR-012153
Gold, golden identity

Timothy Rios

4 source records from 2 feeds.

MBR-012153Verified4 records

Golden record

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

First nameENR
Timothy
Middle name—
—
Last nameENR
Rios
Date of birthCLM
1974-03-18
GenderENR
M
Member IDENR
UHC-68272-84
SSNENR
•••-••-6250
PhoneENR
4115988712
EmailENR
timothy.rios74@gmail.com
AddressENR
8728 Sage Ct Apt 36
CityENR
Miami
StateENR
FL
ZIPENR
33123
GroupENR
GRP-0521
PlanENR
CORE-HMO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.000.96CLMCLM-422645CLMCLM-422644CLMCLM-422643ENRENR-129664IDMBR-012153
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-422645CLM2026-02-11Tim Riosflagged1974-03-18UHC-68272-84—8728 Sage Ct, Miami, FLScored1.00—
CLM-422644CLM2026-07-27Timothy Roisflagged1974-03-18UHC-68272-84——Rule0.99D1 member id + dob exact
CLM-422643CLM2026-09-20Timothy Riosflagged1974-03-18——8728 Sage Ct, Miami, FLScored1.00—
ENR-129664ENR2026-10-01Timothy Riosflagged1947-03-18UHC-68272-8441159887128728 Sage Ct Apt 36, Miami, FLRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422645CLMCLM-422643CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422645CLMCLM-422644CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953nickname
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422645CLMENR-129664ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003nickname
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-422644CLM ENR-129664ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth0.603transposition
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422643CLMENR-129664ENR0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-422644CLM CLM-422643CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-422643 → UHC-68272-84 (Timothy Rios)
    ACT-010180, Claims processor
  • Care coordination outreachProposed
    Timothy Rios: 3 claims, no attributed provider
    ACT-018660, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically90da34e546
    matching_agent, ENR-129664, identity id MBR-012153, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422645
  • 2026-10-22 12:43:54Record linked automaticallydab897121c
    scoring_agent, CLM-422643, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422645, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7ec65c5c51
    matching_agent, CLM-422644, identity id MBR-012153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422645
  • 2026-10-22 12:43:54Record linked automaticallyb1fac7baae
    scoring_agent, CLM-422645, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422643, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb26ccc99de
    matching_agent, ENR-129664, identity id MBR-012153, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422645
  • 2026-10-19 19:54:38Record linked automatically190bfb3c72
    scoring_agent, CLM-422643, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422645, policy version 1
  • 2026-10-19 19:54:38Record linked automatically718573bdc3
    matching_agent, CLM-422644, identity id MBR-012153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422645
  • 2026-10-19 19:54:38Record linked automaticallyf77d19d9d1
    scoring_agent, CLM-422645, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422643, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya79f4861cb
    matching_agent, ENR-129664, identity id MBR-012153, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422645
  • 2026-10-19 19:52:09Record linked automaticallybc03362c5e
    scoring_agent, CLM-422643, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422645, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyeadfa3ba71
    matching_agent, CLM-422644, identity id MBR-012153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422645
  • 2026-10-19 19:52:09Record linked automatically108ace212d
    scoring_agent, CLM-422645, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422643, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya58b6744fe
    matching_agent, ENR-129664, identity id MBR-012153, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422645
  • 2026-10-19 19:45:42Record linked automaticallye95bb27b8c
    scoring_agent, CLM-422643, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422645, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycf60b33498
    matching_agent, CLM-422644, identity id MBR-012153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422645
  • 2026-10-19 19:45:42Record linked automatically67a81f2395
    scoring_agent, CLM-422645, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422643, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyedf726253b
    matching_agent, ENR-129664, identity id MBR-012153, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-422645
  • 2026-10-19 19:32:31Record linked automatically90aa5ea85a
    scoring_agent, CLM-422643, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422645, policy version 1
  • 2026-10-19 19:32:31Record linked automatically86452ec3a5
    matching_agent, CLM-422644, identity id MBR-012153, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422645
  • 2026-10-19 19:32:31Record linked automaticallyb4cd9c5c61
    scoring_agent, CLM-422645, identity id MBR-012153, confidence 1, method probabilistic, matched record CLM-422643, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2c2a68d115
    matching_agent, ENR-129664, identity id MBR-040616, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59907
  • 2026-10-19 19:31:28Record linked automaticallyda2a599e9f
    matching_agent, CLM-422643, identity id MBR-004851, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129814
  • 2026-10-19 19:31:28Record linked automaticallyedd63bb084
    matching_agent, CLM-422644, identity id MBR-004851, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129814
  • 2026-10-19 19:31:28Record linked automaticallyf2ba6600b0
    matching_agent, CLM-422645, identity id MBR-003124, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129815

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0336532026-09-10Unity Physical Therapy
in network
97110$158.00$67.96ApprovedApproved
CLM-2026-0045052026-07-24Heritage Family Practice
in network
99203$236.00$116.32ApprovedApproved
CLM-2026-0026172026-01-20Heritage Primary Care Associates
in network
90471$41.00$0.00ApprovedApproved