Identities/MBR-013940
Gold, golden identity

James Rice

3 source records from 2 feeds.

MBR-013940Verified3 records

Golden record

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

First nameENR
James
Middle name—
—
Last nameENR
Rice
Date of birthENR
1971-06-19
GenderENR
M
Member IDENR
UHC-34084-45
SSNENR
•••-••-4519
PhoneENR
2452263434
EmailCLM
james.rice43@icloud.com
AddressENR
4780 Mountain View Dr
CityENR
Charlotte
StateENR
NC
ZIPENR
28209
GroupENR
GRP-7530
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.00CLMCLM-421787ENRENR-128514CLMCLM-421788IDMBR-013940
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-421787CLM2026-02-18James Riceflagged1971-06-19UHC-34084-4524522634344780 Mountain View Dr, Charlotte, NCScored1.00—
ENR-128514ENR2026-02-27James Riceflagged1971-06-19UHC-34084-4524522634344780 Mountain View Dr, Charlotte, NCRule0.99D1 member id + dob exact
CLM-421788CLM2026-06-12James Riceflagged1971-06-19——4780 Mountain View Dr, Charlotte, NCScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421787CLMCLM-421788 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-421787CLMENR-128514ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-128514ENRCLM-421788 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    James Rice: 2 plan codes across sources → canonical CORE-HMO
    ACT-000615, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-421788 → UHC-34084-45 (James Rice)
    ACT-010261, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyf14e2a1f4e
    scoring_agent, CLM-421788, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421787, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7d834afe2f
    matching_agent, ENR-128514, identity id MBR-013940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421787
  • 2026-10-19 19:54:38Record linked automatically3d155ca250
    scoring_agent, CLM-421787, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421788, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya49e600d30
    scoring_agent, CLM-421788, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421787, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3a99497ffd
    matching_agent, ENR-128514, identity id MBR-013940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421787
  • 2026-10-19 19:52:09Record linked automaticallyb6a714aa6c
    scoring_agent, CLM-421787, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421788, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5a3d494291
    scoring_agent, CLM-421788, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421787, policy version 1
  • 2026-10-19 19:45:42Record linked automatically80a3c7f232
    matching_agent, ENR-128514, identity id MBR-013940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421787
  • 2026-10-19 19:45:42Record linked automatically7b18b6ef6d
    scoring_agent, CLM-421787, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421788, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab34ad9b76
    scoring_agent, CLM-421788, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421787, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1c0d564921
    matching_agent, ENR-128514, identity id MBR-013940, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421787
  • 2026-10-19 19:32:31Record linked automatically14e807e828
    scoring_agent, CLM-421787, identity id MBR-013940, confidence 1, method probabilistic, matched record CLM-421788, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb58959ae40
    matching_agent, CLM-421788, identity id MBR-026758, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26401
  • 2026-10-19 19:31:28Record linked automatically4afb4725ea
    scoring_agent, CLM-421787, identity id MBR-011166, confidence 1, method probabilistic, matched record TPA-59516, policy version 1
  • 2026-10-19 19:31:28Record linked automatically975b560900
    matching_agent, ENR-128514, identity id MBR-008037, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26372

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0339672026-05-31Riverside GI Associates
in network
45378$1,460.00—DeniedDenied
CLM-2026-0254692026-01-30Mesa Orthopedic Specialists
out of network
20610$212.00—DeniedDenied