Identities/MBR-014595
Gold, golden identity

Austin G Riley

3 source records from 2 feeds.

MBR-014595Verified3 recordsOpen steward case

Golden record

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

First nameENR
Austin
Middle nameENR
G
Last nameENR
Riley
Date of birthENR
1992-12-27
GenderCLM
F
Member IDENR
UHC-82443-76
SSNENR
•••-••-1188
PhoneENR
9682588502
Email—
—
AddressENR
3160 Baseline Rd
CityENR
Los Angeles
StateENR
CA
ZIPENR
90042
GroupENR
GRP-7961
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×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

1.001.000.99ENRENR-107587CLMCLM-405769CLMCLM-405770IDMBR-014595
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-107587ENR2026-02-20Austin Rileyflagged1992-12-27UHC-82443-7696825885023160 Baseline Rd, Los Angeles, CAScored1.00—
CLM-405769CLM2026-03-30Austin Rileyflagged1992-12-27——3160 Baseline Rd, Los Angeles, CAScored1.00—
CLM-405770CLM2026-07-28Austin Rileyflagged1992-12-27UHC-82443-76——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-107587ENRCLM-405769CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-107587ENRCLM-405770CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405769CLMCLM-405770CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-405769 → UHC-82443-76 (Austin Riley)
    ACT-005263, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7cab480e81
    matching_agent, CLM-405770, identity id MBR-014595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107587
  • 2026-10-19 19:54:38Record linked automaticallydbee8c1d76
    scoring_agent, CLM-405769, identity id MBR-014595, confidence 1, method probabilistic, matched record ENR-107587, policy version 1
  • 2026-10-19 19:54:38Record linked automatically090e07d9d6
    scoring_agent, ENR-107587, identity id MBR-014595, confidence 1, method probabilistic, matched record CLM-405769, policy version 1
  • 2026-10-19 19:52:09Record linked automatically186ea13b81
    matching_agent, CLM-405770, identity id MBR-014595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107587
  • 2026-10-19 19:52:09Record linked automatically02af5e54de
    scoring_agent, CLM-405769, identity id MBR-014595, confidence 1, method probabilistic, matched record ENR-107587, policy version 1
  • 2026-10-19 19:52:09Record linked automatically17d7ab4595
    scoring_agent, ENR-107587, identity id MBR-014595, confidence 1, method probabilistic, matched record CLM-405769, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya075372a30
    matching_agent, CLM-405770, identity id MBR-014595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107587
  • 2026-10-19 19:45:42Record linked automaticallydd643874c7
    scoring_agent, CLM-405769, identity id MBR-014595, confidence 1, method probabilistic, matched record ENR-107587, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c699dcb7a
    scoring_agent, ENR-107587, identity id MBR-014595, confidence 1, method probabilistic, matched record CLM-405769, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya150b5fd15
    matching_agent, CLM-405770, identity id MBR-014595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107587
  • 2026-10-19 19:32:31Record linked automatically35fbc00634
    scoring_agent, CLM-405769, identity id MBR-014595, confidence 1, method probabilistic, matched record ENR-107587, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8d948d430a
    scoring_agent, ENR-107587, identity id MBR-014595, confidence 1, method probabilistic, matched record CLM-405769, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6cad16cdf8
    matching_agent, CLM-405770, identity id MBR-029895, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-107560
  • 2026-10-19 19:31:28Record linked automaticallya8ba8717a2
    scoring_agent, CLM-405769, identity id MBR-021603, confidence 1, method probabilistic, matched record PRV-21733, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0176462026-06-18Pinecrest Medical Group
in network
99232$180.00—DeniedDenied
CLM-2026-0148982026-03-25Pinecrest Regional Medical Center
out of network
99283, 96374$936.00$271.20ApprovedApproved