Terry E Rivera

4 source records from 3 feeds.

MBR-016143Verified4 records

Golden record

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

First nameENR: Terry
Middle nameENR: E
Last nameENR: Rivera
Date of birthENR: 1993-04-10
GenderENR: M
Member IDENR: UHC-56476-05
SSNENR: •••-••-7486
PhoneENR: 2339455683
EmailENR: terry.rivera@gmail.com
AddressENR: 4242 Hillcrest Rd
CityENR: Miami
StateENR: FL
ZIPENR: 33159
GroupENR: GRP-2471
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×1PRV ×2ENR ×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
CLM-409262	CLM	2026-02-26	Terry Riveraflagged	1993-04-10	UHC-56476-05	2339455683	4242 Hillcrest Rd, Miami, FL	Scored	1.00	—
PRV-22706	PRV	2026-06-29	Terry Riveraflagged	1993-04-10	—	2339455683	4242 Hillcrest Rd, Miami, FL	Scored	1.00	—
PRV-22707	PRV	2026-08-28	Terry Rveraflagged	1993-04-10	UHC-56476-05	2339455683	4242 Hillcrest Rd, Miami, FL	Scored	0.99	—
ENR-112196	ENR	2026-09-08	Terry Riveraflagged	1993-04-10	UHC-56476-05	2339455683	4242 Hillcrest Rd, Miami, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-22706PRVENR-112196ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409262CLMPRV-22706PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22706PRVPRV-22707PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409262CLMENR-112196ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶PRV-22707PRVENR-112196ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-409262CLMPRV-22707PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically1dbb9d6e54
scoring_agent, ENR-112196, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-22 12:43:54Record linked automatically5683bd53f9
scoring_agent, PRV-22707, identity id MBR-016143, confidence 0.99, method probabilistic, matched record PRV-22706, policy version 1
2026-10-22 12:43:54Record linked automatically431418f559
scoring_agent, PRV-22706, identity id MBR-016143, confidence 1, method probabilistic, matched record CLM-409262, policy version 1
2026-10-22 12:43:54Record linked automaticallyae7f715787
scoring_agent, CLM-409262, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:54:38Record linked automatically536b500942
scoring_agent, ENR-112196, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:54:38Record linked automaticallyde7462441b
scoring_agent, PRV-22707, identity id MBR-016143, confidence 0.99, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:54:38Record linked automatically54c35200f8
scoring_agent, PRV-22706, identity id MBR-016143, confidence 1, method probabilistic, matched record CLM-409262, policy version 1
2026-10-19 19:54:38Record linked automaticallyf6ff267ebc
scoring_agent, CLM-409262, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:52:09Record linked automaticallye552aa1f24
scoring_agent, ENR-112196, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:52:09Record linked automatically9fde6d1266
scoring_agent, PRV-22707, identity id MBR-016143, confidence 0.99, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:52:09Record linked automaticallya492f708c1
scoring_agent, PRV-22706, identity id MBR-016143, confidence 1, method probabilistic, matched record CLM-409262, policy version 1
2026-10-19 19:52:09Record linked automatically33bd343ed5
scoring_agent, CLM-409262, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:45:42Record linked automatically6d2e22f9e3
scoring_agent, ENR-112196, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:45:42Record linked automaticallybcd0bbcb7c
scoring_agent, PRV-22707, identity id MBR-016143, confidence 0.99, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:45:42Record linked automatically779846325b
scoring_agent, PRV-22706, identity id MBR-016143, confidence 1, method probabilistic, matched record CLM-409262, policy version 1
2026-10-19 19:45:42Record linked automaticallyf24bee27fa
scoring_agent, CLM-409262, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:32:31Record linked automatically8d2d093f49
scoring_agent, ENR-112196, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:32:31Record linked automatically62e254cd3d
scoring_agent, PRV-22707, identity id MBR-016143, confidence 0.99, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:32:31Record linked automaticallyaf9700d1cf
scoring_agent, PRV-22706, identity id MBR-016143, confidence 1, method probabilistic, matched record CLM-409262, policy version 1
2026-10-19 19:32:31Record linked automatically56c4f38f45
scoring_agent, CLM-409262, identity id MBR-016143, confidence 1, method probabilistic, matched record PRV-22706, policy version 1
2026-10-19 19:31:28Record linked automatically99a68fb2dc
matching_agent, PRV-22706, identity id MBR-040113, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-111969
2026-10-19 19:31:28Record linked automatically57056ffa9c
matching_agent, CLM-409262, identity id MBR-037879, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112208
2026-10-19 19:31:28Record linked automatically5de97921ff
scoring_agent, PRV-22707, identity id MBR-031121, confidence 1, method probabilistic, matched record ENR-111972, 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-2026-030903	2026-02-20	Meadow Primary Care Associates in network	36415, 99214	$304.00	$172.98	Approved	Approved