Identities/MBR-013365

Gold, golden identity

Denise J Richardson

5 source records from 3 feeds.

MBR-013365Verified5 records

Golden record

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

First namePRV: Denise
Middle namePRV: J
Last namePRV: Richardson
Date of birthPRV: 2002-10-07
GenderPRV: F
Member IDCLM: UHC-40221-43
SSNCLM: •••-••-5184
PhonePRV: 5933811522
Email—: —
AddressPRV: 6090 Spring St
CityPRV: Chandler
StatePRV: AZ
ZIPPRV: 85253
GroupCLM: GRP-2041
PlanTPA: MEDICARE-ADV-B

Min confidence

1.00

Sources

CLM ×3PRV ×1TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-415067	CLM	2026-02-15	Denise Richardsonflagged	2002-10-07	UHC-40221-43	5933811522	—	Scored	1.00	—
PRV-24425	PRV	2026-02-24	Denise Richardsonflagged	2002-10-07	—	5933811522	6090 Spring St, Chandler, AZ	Scored	1.00	—
CLM-415068	CLM	2026-07-13	Denise Richardsonflagged	2002-10-07	UHC-40221-43	—	6090 Spring St, Chandler, AZ	Scored	1.00	—
CLM-415069	CLM	2026-07-13	Denise Richardsonflagged	2002-10-07	UHC-40221-43	—	6090 Spring St, Chandler, AZ	Scored	1.00	—
TPA-56642	TPA	2026-09-15	Denise Richardsonflagged	2002-10-07	—	5933811522	6090 Spring St, Chandler, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-24425PRVCLM-415068CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-24425PRVCLM-415069CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415067CLMPRV-24425PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415067CLMTPA-56642TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-24425PRVTPA-56642TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415067CLMCLM-415068CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415067CLMCLM-415069CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415068CLMCLM-415069CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-415068CLMTPA-56642TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-415069CLMTPA-56642TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically1a33c3116c
scoring_agent, TPA-56642, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-22 12:43:54Record linked automaticallyf9e3161600
scoring_agent, CLM-415069, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-22 12:43:54Record linked automaticallycf5959dfb7
scoring_agent, CLM-415068, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-22 12:43:54Record linked automatically9c6da3b16a
scoring_agent, PRV-24425, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-22 12:43:54Record linked automaticallyeed0a6f7b0
scoring_agent, CLM-415067, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:54:38Record linked automaticallye161115f12
scoring_agent, TPA-56642, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:54:38Record linked automaticallyccdacb9a9a
scoring_agent, CLM-415069, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:54:38Record linked automatically60e4ede6e1
scoring_agent, CLM-415068, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:54:38Record linked automatically7e6f912950
scoring_agent, PRV-24425, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:54:38Record linked automaticallyb3c317d12e
scoring_agent, CLM-415067, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:52:09Record linked automaticallyd5924da032
scoring_agent, TPA-56642, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:52:09Record linked automatically5b52202052
scoring_agent, CLM-415069, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:52:09Record linked automaticallyfb6b420ea0
scoring_agent, CLM-415068, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:52:09Record linked automatically15668412d0
scoring_agent, PRV-24425, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:52:09Record linked automaticallye9037c8e43
scoring_agent, CLM-415067, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:45:42Record linked automaticallybef85a7644
scoring_agent, TPA-56642, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:45:42Record linked automatically16ea4a670d
scoring_agent, CLM-415069, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:45:42Record linked automatically98b237d784
scoring_agent, CLM-415068, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:45:42Record linked automatically92938738b7
scoring_agent, PRV-24425, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:45:42Record linked automaticallyd9082c8363
scoring_agent, CLM-415067, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:32:31Record linked automatically50a0340d1a
scoring_agent, TPA-56642, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:32:31Record linked automatically24cf6b18e4
scoring_agent, CLM-415069, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:32:31Record linked automatically68000500e7
scoring_agent, CLM-415068, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:32:31Record linked automaticallyfaa6872145
scoring_agent, PRV-24425, identity id MBR-013365, confidence 1, method probabilistic, matched record CLM-415067, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5eccc58ba
scoring_agent, CLM-415067, identity id MBR-013365, confidence 1, method probabilistic, matched record PRV-24425, policy version 1
2026-10-19 19:31:28Record linked automaticallyd3a469bb15
matching_agent, CLM-415067, identity id MBR-030376, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119733
2026-10-19 19:31:28Record linked automaticallycb224add5f
matching_agent, CLM-415069, identity id MBR-028128, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-415071
2026-10-19 19:31:28Record linked automatically9b74de8131
matching_agent, CLM-415068, identity id MBR-012327, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119735
2026-10-19 19:31:28Record linked automaticallybe599cfdab
scoring_agent, PRV-24425, identity id MBR-000520, confidence 1, method probabilistic, matched record CLM-415079, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-033376	2026-06-15	Canyon Community Hospital out of network	71046, 96374	$463.00	$94.50	Approved	Approved
CLM-2026-012154	2026-07-11	Northgate Internal Medicine Associates in network	99215	$390.00	$221.80	Approved	Approved
CLM-2026-004400	2026-02-09	Riverside Primary Care Associates in network	99395	$261.00	$141.82	Approved	Approved