Identities/MBR-014264
Gold, golden identity

Harold M Rios

4 source records from 3 feeds.

MBR-014264Verified4 records

Golden record

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

First nameENR
Harold
Middle nameENR
M
Last nameENR
Rios
Date of birthPRV
1982-09-28
GenderENR
M
Member IDENR
UHC-13868-34
SSNENR
•••-••-5497
PhoneENR
4829563325
EmailPRV
harold.rios@icloud.com
AddressENR
2214 Harbor Blvd
CityENR
Minneapolis
StateENR
MN
ZIPENR
55447
GroupENR
GRP-3579
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
PRV ×1CLM ×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

1.001.000.961.00PRVPRV-27275CLMCLM-424753ENRENR-132320CLMCLM-424752IDMBR-014264
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
PRV-27275PRV2026-02-19Harold Riosflagged1982-09-28UHC-13868-3448295633252214 Harbor Blvd, Minneapolis, MNScored1.00—
CLM-424753CLM2026-05-18Harold Riosflagged1982-09-28———Scored1.00—
ENR-132320ENR2026-05-20Harold Riosflagged—UHC-13868-3448295633252214 Harbor Blvd, Minneapolis, MNRule0.96D3 member id + name
CLM-424752CLM2026-10-18Harold Riosflagged1982-09-28UHC-13868-3448295633252214 Harbor Blvd, Minneapolis, MNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-424753CLM CLM-424752CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27275PRVCLM-424753CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-27275PRVCLM-424752CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-132320ENRCLM-424752CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-27275PRVENR-132320ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424753 → UHC-13868-34 (Harold Rios)
    ACT-009195, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0f4c7c3e11
    scoring_agent, CLM-424752, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6ef706bd7d
    matching_agent, ENR-132320, identity id MBR-014264, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27275
  • 2026-10-19 19:54:38Record linked automatically645730b439
    scoring_agent, CLM-424753, identity id MBR-014264, confidence 1, method probabilistic, matched record PRV-27275, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7c57a9a9c3
    scoring_agent, PRV-27275, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:52:09Record linked automatically68a92af6a0
    scoring_agent, CLM-424752, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye18fb2b7fc
    matching_agent, ENR-132320, identity id MBR-014264, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27275
  • 2026-10-19 19:52:09Record linked automaticallyae66ea734b
    scoring_agent, CLM-424753, identity id MBR-014264, confidence 1, method probabilistic, matched record PRV-27275, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyed6cb32945
    scoring_agent, PRV-27275, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:45:42Record linked automatically30f62f7006
    scoring_agent, CLM-424752, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:45:42Record linked automatically97ce1189bd
    matching_agent, ENR-132320, identity id MBR-014264, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27275
  • 2026-10-19 19:45:42Record linked automatically5e4bd45a01
    scoring_agent, CLM-424753, identity id MBR-014264, confidence 1, method probabilistic, matched record PRV-27275, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf93da3ee6
    scoring_agent, PRV-27275, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:32:31Record linked automatically44c8dc8012
    scoring_agent, CLM-424752, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:32:31Record linked automatically34415d024e
    matching_agent, ENR-132320, identity id MBR-014264, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27275
  • 2026-10-19 19:32:31Record linked automatically6907c7415f
    scoring_agent, CLM-424753, identity id MBR-014264, confidence 1, method probabilistic, matched record PRV-27275, policy version 1
  • 2026-10-19 19:32:31Record linked automatically03d90cc5a0
    scoring_agent, PRV-27275, identity id MBR-014264, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1f6a9d055c
    scoring_agent, PRV-27275, identity id MBR-015162, confidence 1, method probabilistic, matched record PRV-27274, policy version 1
  • 2026-10-19 19:31:28Record linked automatically41145282e3
    matching_agent, ENR-132320, identity id MBR-010987, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424548
  • 2026-10-19 19:31:28Record linked automatically56b63e177f
    scoring_agent, CLM-424752, identity id MBR-004390, confidence 1, method probabilistic, matched record CLM-424753, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9ffe2a26ca
    scoring_agent, CLM-424753, identity id MBR-004390, confidence 1, method probabilistic, matched record ENR-132558, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0159812026-09-23Lakeside Endocrine Associates
out of network
95251$183.00$22.35ApprovedApproved
CLM-2026-0298422026-04-06Pinecrest Medical Group
in network
99214$230.00—DeniedDenied
CLM-2026-0298412026-04-06Pinecrest Medical Group
in network
99214$230.00$122.60ApprovedApproved