Identities/MBR-015193
Gold, golden identity

Richard Z Herrera

5 source records from 3 feeds.

MBR-015193Verified5 records

Golden record

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

First nameENR
Richard
Middle nameENR
Z
Last nameENR
Herrera
Date of birthENR
1984-08-28
GenderENR
M
Member IDENR
UHC-90195-39
SSNENR
•••-••-4560
PhoneENR
8183153334
EmailENR
richard.herrera@aol.com
AddressENR
9847 Maple Ave
CityENR
Tucson
StateENR
AZ
ZIPENR
85755
GroupENR
GRP-1064
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×1ENR ×2TPA ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.971.00CLMCLM-407981ENRENR-110539ENRENR-110540TPATPA-53520TPATPA-53521IDMBR-015193
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-407981CLM2026-02-22Richard Hereraflagged1984-08-28—81831533349847 Maple Ave, Tucson, AZScored1.00—
ENR-110539ENR2026-04-01Richard Herreraflagged1984-08-28UHC-90195-3981831533349847 Maple Ave, Tucson, AZScored1.00—
ENR-110540ENR2026-06-03Richard Hereraflagged1984-08-28UHC-90195-3981831533349847 Maple Ave, Tucson, AZScored1.00—
TPA-53520TPA2026-07-29Richard Herreraflagged1984-08-28———Rule0.97D2 ssn4 + dob + last name
TPA-53521TPA2026-08-16Richard Herreraflagged1984-08-28——9847 Maple Ave, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407981CLMENR-110540ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110539 ENRTPA-53521TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110539 ENRENR-110540ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-407981CLMENR-110539 ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407981CLMTPA-53521TPA0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110540ENRTPA-53521TPA0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110539 ENRTPA-53520TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110540ENRTPA-53520TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407981CLMTPA-53520TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-53520TPATPA-53521TPA0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Richard Herrera: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-000650, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-407981 → UHC-90195-39 (Richard Herrera)
    ACT-008624, Claims processor
  • Duplicate member record retiredExecuted
    Richard Herrera: 2 enrollment records collapsed into UHC-90195-39
    ACT-023972, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically567166152c
    scoring_agent, TPA-53521, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110539, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8c28483e5e
    matching_agent, TPA-53520, identity id MBR-015193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110539
  • 2026-10-19 19:54:38Record linked automatically8f5d5c8480
    scoring_agent, ENR-110540, identity id MBR-015193, confidence 1, method probabilistic, matched record CLM-407981, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0ac038e369
    scoring_agent, ENR-110539, identity id MBR-015193, confidence 1, method probabilistic, matched record TPA-53521, policy version 1
  • 2026-10-19 19:54:38Record linked automatically105bbce595
    scoring_agent, CLM-407981, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110540, policy version 1
  • 2026-10-19 19:52:09Record linked automatically226455fb00
    scoring_agent, TPA-53521, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110539, policy version 1
  • 2026-10-19 19:52:09Record linked automatically33977c94b1
    matching_agent, TPA-53520, identity id MBR-015193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110539
  • 2026-10-19 19:52:09Record linked automatically97eaba11c0
    scoring_agent, ENR-110540, identity id MBR-015193, confidence 1, method probabilistic, matched record CLM-407981, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6f5c04d9ba
    scoring_agent, ENR-110539, identity id MBR-015193, confidence 1, method probabilistic, matched record TPA-53521, policy version 1
  • 2026-10-19 19:52:09Record linked automatically64f222e25e
    scoring_agent, CLM-407981, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110540, policy version 1
  • 2026-10-19 19:45:42Record linked automatically144981a211
    scoring_agent, TPA-53521, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110539, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2a73b86ebe
    matching_agent, TPA-53520, identity id MBR-015193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110539
  • 2026-10-19 19:45:42Record linked automaticallyf30692d579
    scoring_agent, ENR-110540, identity id MBR-015193, confidence 1, method probabilistic, matched record CLM-407981, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0f425568d6
    scoring_agent, ENR-110539, identity id MBR-015193, confidence 1, method probabilistic, matched record TPA-53521, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc0441e9664
    scoring_agent, CLM-407981, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110540, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6fd383ae53
    scoring_agent, TPA-53521, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110539, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2e6d5a2753
    matching_agent, TPA-53520, identity id MBR-015193, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110539
  • 2026-10-19 19:32:31Record linked automatically888c0423c1
    scoring_agent, ENR-110540, identity id MBR-015193, confidence 1, method probabilistic, matched record CLM-407981, policy version 1
  • 2026-10-19 19:32:31Record linked automatically68536040fe
    scoring_agent, ENR-110539, identity id MBR-015193, confidence 1, method probabilistic, matched record TPA-53521, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4fa1af0e71
    scoring_agent, CLM-407981, identity id MBR-015193, confidence 1, method probabilistic, matched record ENR-110540, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyde75f1376f
    matching_agent, ENR-110539, identity id MBR-026421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408048
  • 2026-10-19 19:31:28Record linked automatically833c2bc3af
    scoring_agent, TPA-53521, identity id MBR-024683, confidence 0.99, method probabilistic, matched record ENR-110538, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf6866e90c1
    matching_agent, CLM-407981, identity id MBR-013235, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-110440

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0275972026-02-17Northgate Reference Lab
in network
80053, 83036, 87086$186.00—DeniedDenied
CLM-2026-0275962026-02-17Northgate Reference Lab
in network
80053, 83036, 87086$186.00$0.00ApprovedApproved