Identities/MBR-012642
Gold, golden identity

Mariana N Rios

3 source records from 3 feeds.

MBR-012642Verified3 records

Golden record

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

First nameENR
Mariana
Middle nameENR
N
Last nameENR
Rios
Date of birthENR
1939-03-01
GenderCLM
F
Member IDENR
UHC-50725-95
SSNENR
•••-••-0533
PhoneENR
4766492981
EmailENR
mariana.rios@hotmail.com
AddressENR
8891 Pine Dr
CityENR
Tampa
StateENR
FL
ZIPENR
33624
GroupENR
GRP-6505
PlanENR
MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×1TPA ×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

1.001.001.00CLMCLM-427429TPATPA-62119ENRENR-135947IDMBR-012642
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-427429CLM2026-02-13Mariana Riosflagged1939-03-01—47664929818891 Pine Dr, Tampa, FLScored1.00—
TPA-62119TPA2026-06-07Mariana Riosflagged1939-03-01—47664929818891 Pine Dr, Tampa, FLScored1.00—
ENR-135947ENR2026-06-24Mariana Riosflagged1939-03-01UHC-50725-9547664929818891 Pine Dr, Tampa, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-427429CLMENR-135947ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-62119TPAENR-135947ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427429CLMTPA-62119TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427429 → UHC-50725-95 (Mariana Rios)
    ACT-010280, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically67a3bbdd73
    scoring_agent, ENR-135947, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9a53ea2a12
    scoring_agent, TPA-62119, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:54:38Record linked automatically899145794a
    scoring_agent, CLM-427429, identity id MBR-012642, confidence 1, method probabilistic, matched record TPA-62119, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4cc8518065
    scoring_agent, ENR-135947, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc3a7672867
    scoring_agent, TPA-62119, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb43c24ceb3
    scoring_agent, CLM-427429, identity id MBR-012642, confidence 1, method probabilistic, matched record TPA-62119, policy version 1
  • 2026-10-19 19:45:42Record linked automatically15806ad0c7
    scoring_agent, ENR-135947, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:45:42Record linked automatically622aaa8071
    scoring_agent, TPA-62119, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:45:42Record linked automatically46d9741c55
    scoring_agent, CLM-427429, identity id MBR-012642, confidence 1, method probabilistic, matched record TPA-62119, policy version 1
  • 2026-10-19 19:32:31Record linked automatically691aaed4e7
    scoring_agent, ENR-135947, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya241f5139c
    scoring_agent, TPA-62119, identity id MBR-012642, confidence 1, method probabilistic, matched record CLM-427429, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0b81bc3df3
    scoring_agent, CLM-427429, identity id MBR-012642, confidence 1, method probabilistic, matched record TPA-62119, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5676ed7cd7
    matching_agent, ENR-135947, identity id MBR-011756, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-135948
  • 2026-10-19 19:31:28Record linked automatically53f63b9012
    scoring_agent, CLM-427429, identity id MBR-009582, confidence 1, method probabilistic, matched record TPA-62064, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5e8e83b0d4
    scoring_agent, TPA-62119, identity id MBR-007041, confidence 1, method probabilistic, matched record CLM-427570, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0340342026-01-02Sunrise Internal Medicine Associates
in network
80053$73.00—Needs reviewNeeds review
CLM-2026-0340332026-01-02Sunrise Internal Medicine Associates
in network
80053$73.00$5.26ApprovedApproved