Identities/MBR-015701
Gold, golden identity

Theresa U Richards

4 source records from 2 feeds.

MBR-015701Verified4 records

Golden record

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

First namePRV
Theresa
Middle namePRV
U
Last namePRV
Richards
Date of birthPRV
1968-04-08
GenderPRV
M
Member IDCLM
UHC-25205-29
SSNCLM
•••-••-4014
PhonePRV
4569637577
EmailCLM
theresa.richards@outlook.com
AddressPRV
5657 Ridge Rd
CityPRV
Las Vegas
StatePRV
NV
ZIPPRV
89140
GroupCLM
GRP-4702
PlanCLM
OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×3PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.000.991.00CLMCLM-411839PRVPRV-23412CLMCLM-411841CLMCLM-411840IDMBR-015701
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-411839CLM2026-02-25Theresa Richardsflagged1968-04-08UHC-25205-294569637577—Scored1.00—
PRV-23412PRV2026-04-12Theresa Richardsflagged1968-04-08—45696375775657 Ridge Rd, Las Vegas, NVScored1.00—
CLM-411841CLM2026-04-24Richards Theresaflagged1968-04-08UHC-25205-2945696375775657 Ridge Rd, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-411840CLM2026-05-24Theresa Richardsflagged1968-04-08—45696375775657 Ridge Rd, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411839CLMCLM-411840CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-23412PRVCLM-411840CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411839CLMPRV-23412PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411839CLMCLM-411841CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411841CLMCLM-411840CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-23412PRVCLM-411841CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411840 → UHC-25205-29 (Theresa Richards)
    ACT-007443, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically193e8a2962
    scoring_agent, CLM-411840, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-22 12:43:54Record linked automatically204d9eed7e
    matching_agent, CLM-411841, identity id MBR-015701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411839
  • 2026-10-22 12:43:54Record linked automaticallyf88cad92ac
    scoring_agent, PRV-23412, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-22 12:43:54Record linked automatically78d6a6ba40
    scoring_agent, CLM-411839, identity id MBR-015701, confidence 1, method probabilistic, matched record PRV-23412, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf29bd44b9b
    scoring_agent, CLM-411840, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6a2df6cff7
    matching_agent, CLM-411841, identity id MBR-015701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411839
  • 2026-10-19 19:54:38Record linked automatically63b5ac2413
    scoring_agent, PRV-23412, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:54:38Record linked automatically33c52afac1
    scoring_agent, CLM-411839, identity id MBR-015701, confidence 1, method probabilistic, matched record PRV-23412, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb19d1a45b8
    scoring_agent, CLM-411840, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0d122d5eb4
    matching_agent, CLM-411841, identity id MBR-015701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411839
  • 2026-10-19 19:52:09Record linked automatically1d694071ff
    scoring_agent, PRV-23412, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:52:09Record linked automatically63bc5d1f02
    scoring_agent, CLM-411839, identity id MBR-015701, confidence 1, method probabilistic, matched record PRV-23412, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5dc6f4d054
    scoring_agent, CLM-411840, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaaa84729bd
    matching_agent, CLM-411841, identity id MBR-015701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411839
  • 2026-10-19 19:45:42Record linked automaticallyf1c0fcce9a
    scoring_agent, PRV-23412, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyba39b19bed
    scoring_agent, CLM-411839, identity id MBR-015701, confidence 1, method probabilistic, matched record PRV-23412, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya6e57f3d97
    scoring_agent, CLM-411840, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1d3d5bf81e
    matching_agent, CLM-411841, identity id MBR-015701, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411839
  • 2026-10-19 19:32:31Record linked automatically8e748f6162
    scoring_agent, PRV-23412, identity id MBR-015701, confidence 1, method probabilistic, matched record CLM-411839, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfa22560d8b
    scoring_agent, CLM-411839, identity id MBR-015701, confidence 1, method probabilistic, matched record PRV-23412, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya6287b65b5
    scoring_agent, PRV-23412, identity id MBR-038182, confidence 1, method probabilistic, matched record TPA-55095, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c593ad2fe
    matching_agent, CLM-411841, identity id MBR-037032, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115709
  • 2026-10-19 19:31:28Record linked automatically8bb0efbc53
    scoring_agent, CLM-411839, identity id MBR-010869, confidence 0.98, method probabilistic, matched record CLM-411838, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0230912026-05-07Mesa Internal Medicine Associates
in network
80053$50.00$6.00ApprovedApproved
CLM-2026-0188962026-04-17Meadow Physical Therapy
out of network
97110, 97140$284.00—Needs reviewNeeds review
CLM-2026-0188952026-04-17Evergreen Rehabilitation Center
in network
97110, 97140$284.00$151.08ApprovedApproved
CLM-2026-0253192026-01-14Unity Clinical Laboratories
in network
80053$87.00$0.00ApprovedApproved