Identities/MBR-015705

Gold, golden identity

Elizabeth S Reyes

5 source records from 3 feeds.

MBR-015705Verified5 records

Golden record

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

First nameCLM: Elizabeth
Middle nameENR: S
Last nameENR: Reyes
Date of birthENR: 1944-11-12
GenderCLM: F
Member IDENR: UHC-73785-46
SSNENR: •••-••-7361
PhoneENR: 3417211908
EmailENR: elizabeth.reyes@icloud.com
AddressENR: 6171 Spring St
CityENR: Fresno
StateENR: CA
ZIPCLM: 93733
GroupENR: GRP-2349
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

ENR ×1CLM ×3TPA ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
ENR-129779	ENR	2026-02-25	Beth Reyesflagged	1944-11-12	UHC-73785-46	3417211908	6171 Spring St, Fresno, CA	Rule	0.99	D1 member id + dob exact
CLM-422747	CLM	2026-04-24	Elizabeth Reeyesflagged	1944-11-12	—	—	6171 Spring St, Fresno, CA	Scored	0.98	—
CLM-422746	CLM	2026-09-05	Elizabeth Reyesflagged	1944-11-12	—	3417211908	6171 Spring St, Fresno, CA	Scored	1.00	—
TPA-59995	TPA	2026-09-18	Bath Reyesflagged	1944-11-12	—	3417211908	6171 Spring St, Fresno, CA	Scored	0.93	—
CLM-422748	CLM	2026-09-24	Elizabeth Reyesflagged	1944-11-12	UHC-73785-46	—	6171 Spring St, Fresno, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-422746CLMCLM-422748 CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-129779ENRCLM-422748 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422747CLMCLM-422746CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422747CLMCLM-422748 CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-129779ENRCLM-422746CLM0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3	nickname
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-422746CLMTPA-59995TPA0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.78	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59995TPACLM-422748 CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.78	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-129779ENRCLM-422747CLM0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3	nickname
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422747CLMTPA-59995TPA0.90Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.72	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-129779ENRTPA-59995TPA0.87Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.78	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422747 → UHC-73785-46 (Elizabeth Reyes)
ACT-006460, Claims processor
Orphan claim re-pointedExecuted
CLM-422746 → UHC-73785-46 (Elizabeth Reyes)
ACT-008342, Claims processor
Care coordination outreachProposed
Elizabeth Reyes: 3 claims, no attributed provider
ACT-018872, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyc7ab2a2cb2
scoring_agent, CLM-422748, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422746, policy version 1
2026-10-22 12:43:54Record linked automaticallyd56a9c5548
scoring_agent, TPA-59995, identity id MBR-015705, confidence 0.93, method probabilistic, matched record CLM-422746, policy version 1
2026-10-22 12:43:54Record linked automatically5123fccd95
scoring_agent, CLM-422746, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422748, policy version 1
2026-10-22 12:43:54Record linked automatically6e873e9961
scoring_agent, CLM-422747, identity id MBR-015705, confidence 0.98, method probabilistic, matched record CLM-422746, policy version 1
2026-10-22 12:43:54Record linked automatically4b01bd8239
matching_agent, ENR-129779, identity id MBR-015705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422748
2026-10-19 19:54:38Record linked automaticallyab25df879c
scoring_agent, CLM-422748, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:54:38Record linked automatically91e2192e34
scoring_agent, TPA-59995, identity id MBR-015705, confidence 0.93, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:54:38Record linked automatically4b240ef877
scoring_agent, CLM-422746, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422748, policy version 1
2026-10-19 19:54:38Record linked automatically20955adced
scoring_agent, CLM-422747, identity id MBR-015705, confidence 0.98, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:54:38Record linked automatically174f2f40f4
matching_agent, ENR-129779, identity id MBR-015705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422748
2026-10-19 19:52:09Record linked automatically3d7e53ca97
scoring_agent, CLM-422748, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:52:09Record linked automatically390eab0588
scoring_agent, TPA-59995, identity id MBR-015705, confidence 0.93, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:52:09Record linked automaticallybb6b278675
scoring_agent, CLM-422746, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422748, policy version 1
2026-10-19 19:52:09Record linked automatically4eba60e8a5
scoring_agent, CLM-422747, identity id MBR-015705, confidence 0.98, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:52:09Record linked automatically4502a2f398
matching_agent, ENR-129779, identity id MBR-015705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422748
2026-10-19 19:45:42Record linked automaticallyabc3fcd00c
scoring_agent, CLM-422748, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:45:42Record linked automatically5cfaae8e93
scoring_agent, TPA-59995, identity id MBR-015705, confidence 0.93, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:45:42Record linked automaticallyffa54a166c
scoring_agent, CLM-422746, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422748, policy version 1
2026-10-19 19:45:42Record linked automatically0b9b3b918c
scoring_agent, CLM-422747, identity id MBR-015705, confidence 0.98, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:45:42Record linked automaticallyf75d37e5fc
matching_agent, ENR-129779, identity id MBR-015705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422748
2026-10-19 19:32:31Record linked automatically6bfa506b4f
scoring_agent, CLM-422748, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:32:31Record linked automatically8868a73932
scoring_agent, TPA-59995, identity id MBR-015705, confidence 0.93, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:32:31Record linked automatically4c1ca158e4
scoring_agent, CLM-422746, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-422748, policy version 1
2026-10-19 19:32:31Record linked automatically77348b7d4d
scoring_agent, CLM-422747, identity id MBR-015705, confidence 0.98, method probabilistic, matched record CLM-422746, policy version 1
2026-10-19 19:32:31Record linked automaticallyc79714c8cf
matching_agent, ENR-129779, identity id MBR-015705, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422748
2026-10-19 19:31:28Record linked automatically587342c76a
matching_agent, ENR-129779, identity id MBR-031002, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-422611
2026-10-19 19:31:28Record linked automatically70d725e682
scoring_agent, CLM-422748, identity id MBR-020035, confidence 1, method probabilistic, matched record ENR-129946, policy version 1
2026-10-19 19:31:28Record linked automaticallye0a07ed24c
scoring_agent, CLM-422746, identity id MBR-017307, confidence 1, method probabilistic, matched record TPA-59995, policy version 1
2026-10-19 19:31:28Record linked automatically0ca6ff1591
scoring_agent, CLM-422747, identity id MBR-017307, confidence 1, method probabilistic, matched record TPA-59995, policy version 1
2026-10-19 19:31:28Record linked automaticallycba828e867
scoring_agent, TPA-59995, identity id MBR-017307, confidence 1, method probabilistic, matched record CLM-422747, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-025742	2026-08-19	Riverside Community Hospital in network	99284, 99283, 96374	$2,660.00	—	Denied	Denied
CLM-2026-026538	2026-08-31	Evergreen Primary Care Associates in network	99395	$306.00	—	Denied	Denied
CLM-2026-019331	2026-04-05	Riverside Primary Care Associates in network	99214	$274.00	—	Denied	Denied