Identities/MBR-015117
Gold, golden identity

Paul Riley

6 source records from 3 feeds.

MBR-015117Verified6 records

Golden record

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

First nameENR
Paul
Middle name—
—
Last nameENR
Riley
Date of birthENR
1973-02-14
GenderENR
F
Member IDENR
UHC-16469-58
SSNENR
•••-••-7463
PhonePRV
2275951424
EmailENR
paul.riley3@yahoo.com
AddressCLM
6781 Ocean Ave
CityCLM
Houston
StateENR
TX
ZIPCLM
77037
GroupENR
GRP-5564
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×4ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.990.990.99CLMCLM-420274CLMCLM-420272CLMCLM-420273ENRENR-126646CLMCLM-420271PRVPRV-26011IDMBR-015117
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-420274CLM2026-02-22Paul Rieyflagged1973-02-14UHC-16469-58——Rule0.99D1 member id + dob exact
CLM-420272CLM2026-03-03Paul Rilayflagged1973-02-14UHC-16469-58——Rule0.99D1 member id + dob exact
CLM-420273CLM2026-03-09Riley Paulflagged1973-02-14UHC-16469-58—5013 River Rd, Plano, TXRule0.99D1 member id + dob exact
ENR-126646ENR2026-04-27Paul Rileyflagged1973-02-14UHC-16469-58—5013 River Rd, Plano, TXRule0.99D1 member id + dob exact
CLM-420271CLM2026-05-22Paul Rileyflagged1973-02-14UHC-16469-58—6781 Ocean Ave, Houston, TXRule0.99D1 member id + dob exact
PRV-26011PRV2026-10-05Paul Rilyeflagged1973-02-14—2275951424—Scored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-420272CLMCLM-420271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-126646 ENRCLM-420271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420274CLM CLM-420271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420273CLMCLM-420271CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420274CLM CLM-420272CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.903
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420274CLM CLM-420273CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.923swapped
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420272CLMCLM-420273CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.903swapped
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420272CLMENR-126646 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420274CLM ENR-126646 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420273CLMENR-126646 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126646 ENRPRV-26011PRV0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420274CLM PRV-26011PRV0.96Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.903
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-420272CLMPRV-26011PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.943
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-420271CLMPRV-26011PRV0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Paul Riley: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000647, Eligibility engine
  • Outreach address correctedProposed
    Paul Riley: 5013 River Rd, Plano → 6781 Ocean Ave, Houston
    ACT-011865, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyacedd5a648
    scoring_agent, PRV-26011, identity id MBR-015117, confidence 0.99, method probabilistic, matched record ENR-126646, policy version 1
  • 2026-10-19 19:54:38Record linked automatically826f4a9816
    matching_agent, CLM-420271, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:54:38Record linked automatically862951e6ad
    matching_agent, ENR-126646, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:54:38Record linked automaticallydd5844667d
    matching_agent, CLM-420273, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420274
  • 2026-10-19 19:54:38Record linked automatically983b0ade33
    matching_agent, CLM-420272, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126646
  • 2026-10-19 19:54:38Record linked automatically3ea7b65e9e
    matching_agent, CLM-420274, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:52:09Record linked automaticallye33398cde4
    scoring_agent, PRV-26011, identity id MBR-015117, confidence 0.99, method probabilistic, matched record ENR-126646, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2a87c7e991
    matching_agent, CLM-420271, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:52:09Record linked automatically07b5bea67d
    matching_agent, ENR-126646, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:52:09Record linked automatically7697711119
    matching_agent, CLM-420273, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420274
  • 2026-10-19 19:52:09Record linked automaticallye1557319c6
    matching_agent, CLM-420272, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126646
  • 2026-10-19 19:52:09Record linked automatically486343a95d
    matching_agent, CLM-420274, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:45:42Record linked automatically1afc8eaee1
    scoring_agent, PRV-26011, identity id MBR-015117, confidence 0.99, method probabilistic, matched record ENR-126646, policy version 1
  • 2026-10-19 19:45:42Record linked automatically72eed6f2b0
    matching_agent, CLM-420271, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:45:42Record linked automatically079d40fb62
    matching_agent, ENR-126646, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:45:42Record linked automaticallyf2ea8a0f50
    matching_agent, CLM-420273, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420274
  • 2026-10-19 19:45:42Record linked automatically5f0cf6fa61
    matching_agent, CLM-420272, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126646
  • 2026-10-19 19:45:42Record linked automatically7de51a10fe
    matching_agent, CLM-420274, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:32:31Record linked automaticallye5146b0ffd
    scoring_agent, PRV-26011, identity id MBR-015117, confidence 0.99, method probabilistic, matched record ENR-126646, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya0082fbef0
    matching_agent, CLM-420271, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:32:31Record linked automatically690247f848
    matching_agent, ENR-126646, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:32:31Record linked automatically69769a9661
    matching_agent, CLM-420273, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420274
  • 2026-10-19 19:32:31Record linked automatically1ad1b4f00f
    matching_agent, CLM-420272, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126646
  • 2026-10-19 19:32:31Record linked automatically65cda0c7ae
    matching_agent, CLM-420274, identity id MBR-015117, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420272
  • 2026-10-19 19:31:28Record linked automaticallybfeda95696
    scoring_agent, PRV-26011, identity id MBR-018328, confidence 0.99, method probabilistic, matched record CLM-420528, policy version 1
  • 2026-10-19 19:31:28Record linked automatically543fc59a7e
    scoring_agent, ENR-126646, identity id MBR-004113, confidence 0.98, method probabilistic, matched record CLM-420305, policy version 1
  • 2026-10-19 19:31:28Record linked automatically67e662f9df
    matching_agent, CLM-420272, identity id MBR-002801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420271
  • 2026-10-19 19:31:28Record linked automatically51f6f8bb27
    matching_agent, CLM-420273, identity id MBR-002801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420271
  • 2026-10-19 19:31:28Record linked automatically24d2aa792d
    matching_agent, CLM-420274, identity id MBR-002801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420271
  • 2026-10-19 19:31:28Record linked automaticallyff80b7ba35
    matching_agent, CLM-420271, identity id MBR-002801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-126600

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0162222026-05-14Pinecrest Medical Group
in network
99232$187.00$0.00ApprovedApproved
CLM-2026-0238762026-02-27Mesa Bone and Joint Center
in network
29881$8,006.00$2,832.00ApprovedApproved
CLM-2026-0334852026-03-01Sunrise Cardiovascular Associates
out of network
93224$383.00$97.35ApprovedApproved
CLM-2026-0084372026-02-01Meadow Physical Therapy
out of network
70553$5,036.00—Needs reviewNeeds review