Identities/MBR-013839
Gold, golden identity

Carl G Rios

4 source records from 3 feeds.

MBR-013839Verified4 records

Golden record

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

First nameENR
Carl
Middle nameENR
G
Last nameENR
Rios
Date of birthENR
2007-05-20
GenderPRV
M
Member IDENR
UHC-20090-95
SSNENR
•••-••-3199
PhoneENR
6892764410
EmailENR
carl.rios@hotmail.com
AddressENR
180 Meadow Ln
CityENR
Tucson
StateENR
AZ
ZIPENR
85762
GroupENR
GRP-9649
PlanENR
CORE-HMO
Min confidence
0.99
Sources
ENR ×1PRV ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.991.00ENRENR-142076PRVPRV-29373CLMCLM-432062CLMCLM-432061IDMBR-013839
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-142076ENR2026-02-17Carl Riosflagged2007-05-20UHC-20090-956892764410180 Meadow Ln, Tucson, AZScored1.00—
PRV-29373PRV2026-03-20Carl Riosflagged2007-05-20UHC-20090-95—180 Meadow Ln, Tucson, AZRule0.99D1 member id + dob exact
CLM-432062CLM2026-06-22Carl Riosflagged2007-05-20UHC-20090-95—180 Meadow Ln, Tucson, AZRule0.99D1 member id + dob exact
CLM-432061CLM2026-07-28Carl Riosflagged——6892764410180 Meadow Ln, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-142076ENRCLM-432061CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-142076ENRCLM-432062CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-29373PRVCLM-432062CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-142076ENRPRV-29373PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-29373PRVCLM-432061CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-432062CLMCLM-432061CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-432061 → UHC-20090-95 (Carl Rios)
    ACT-010000, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6c4a279201
    scoring_agent, CLM-432061, identity id MBR-013839, confidence 1, method probabilistic, matched record ENR-142076, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd1ea7c4c3e
    matching_agent, CLM-432062, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:54:38Record linked automaticallye568840f2d
    matching_agent, PRV-29373, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:54:38Record linked automatically453bbd4c81
    scoring_agent, ENR-142076, identity id MBR-013839, confidence 1, method probabilistic, matched record CLM-432061, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye0960e6769
    scoring_agent, CLM-432061, identity id MBR-013839, confidence 1, method probabilistic, matched record ENR-142076, policy version 1
  • 2026-10-19 19:52:09Record linked automatically12c3b687ce
    matching_agent, CLM-432062, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:52:09Record linked automatically1871dc7c6d
    matching_agent, PRV-29373, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:52:09Record linked automatically080e8d2a40
    scoring_agent, ENR-142076, identity id MBR-013839, confidence 1, method probabilistic, matched record CLM-432061, policy version 1
  • 2026-10-19 19:45:42Record linked automatically59942319ae
    scoring_agent, CLM-432061, identity id MBR-013839, confidence 1, method probabilistic, matched record ENR-142076, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0576263edb
    matching_agent, CLM-432062, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:45:42Record linked automaticallye30c93b895
    matching_agent, PRV-29373, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:45:42Record linked automatically010d9bcbd1
    scoring_agent, ENR-142076, identity id MBR-013839, confidence 1, method probabilistic, matched record CLM-432061, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc947e2ce02
    scoring_agent, CLM-432061, identity id MBR-013839, confidence 1, method probabilistic, matched record ENR-142076, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya7d7827046
    matching_agent, CLM-432062, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:32:31Record linked automatically79b3d50b5f
    matching_agent, PRV-29373, identity id MBR-013839, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142076
  • 2026-10-19 19:32:31Record linked automatically70c67ee4dd
    scoring_agent, ENR-142076, identity id MBR-013839, confidence 1, method probabilistic, matched record CLM-432061, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2659c7be19
    matching_agent, PRV-29373, identity id MBR-027782, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29374
  • 2026-10-19 19:31:28Record linked automatically7c21e0f15b
    scoring_agent, ENR-142076, identity id MBR-016552, confidence 1, method probabilistic, matched record TPA-63959, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0329732026-07-24Heritage Medical Group
in network
99213$200.00—DeniedDenied
CLM-2026-0329722026-07-24Heritage Medical Group
in network
99213$200.00$94.00ApprovedApproved
CLM-2026-0309842026-06-06Desert Regional Medical Center
in network
99285, 71046$2,653.00$1,309.15ApprovedApproved