Identities/MBR-016821
Gold, golden identity

Ashley Rios

4 source records from 3 feeds.

MBR-016821Verified4 records

Golden record

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

First nameENR
Ashley
Middle name—
—
Last nameENR
Rios
Date of birthENR
1975-01-01
GenderENR
F
Member IDENR
UHC-74612-63
SSNENR
•••-••-1374
PhoneENR
3532447064
EmailENR
ashley.rios@aol.com
AddressTPA
4034 Ridge Rd # 268
CityENR
San Diego
StateENR
CA
ZIPENR
92144
GroupENR
GRP-1637
PlanENR
CHOICE-PLUS-PPO
Min confidence
1.00
Sources
ENR ×2CLM ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00ENRENR-118918CLMCLM-414382ENRENR-118919TPATPA-56349IDMBR-016821
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
ENR-118918ENR2026-03-02Ashley Riosflagged1975-01-01UHC-74612-6335324470644034 Ridge Rd, San Diego, CAScored1.00—
CLM-414382CLM2026-08-09Ashley Riosflagged1975-01-01—35324470644034 Ridge Rd, San Diego, CAScored1.00—
ENR-118919ENR2026-09-27Ashley Riosflagged1975-01-01UHC-74612-6335324470644034 Ridge Rd, San Diego, CAScored1.00—
TPA-56349TPA2026-10-09Ashley Riosflagged1975-01-01——4034 Ridge Rd # 268, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-118918ENRTPA-56349TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414382CLMTPA-56349TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-118919ENRTPA-56349TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-118918ENRENR-118919ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-118918ENRCLM-414382CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-414382CLMENR-118919ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414382 → UHC-74612-63 (Ashley Rios)
    ACT-007935, Claims processor
  • Outreach address correctedProposed
    Ashley Rios: 4034 Ridge Rd, San Diego → 4034 Ridge Rd # 268, San Diego
    ACT-012014, Outreach
  • Duplicate member record retiredExecuted
    Ashley Rios: 2 enrollment records collapsed into UHC-74612-63
    ACT-024200, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallybed79dcb08
    scoring_agent, TPA-56349, identity id MBR-016821, confidence 1, method probabilistic, matched record ENR-118918, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc70f480b75
    scoring_agent, ENR-118919, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf58c88d6e5
    scoring_agent, CLM-414382, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybc9c0f81c8
    scoring_agent, ENR-118918, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd15c808b3a
    scoring_agent, TPA-56349, identity id MBR-016821, confidence 1, method probabilistic, matched record ENR-118918, policy version 1
  • 2026-10-19 19:52:09Record linked automatically54b32a0ce6
    scoring_agent, ENR-118919, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:52:09Record linked automatically500f2a671b
    scoring_agent, CLM-414382, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb9e5168c8d
    scoring_agent, ENR-118918, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:45:42Record linked automatically342313a1c7
    scoring_agent, TPA-56349, identity id MBR-016821, confidence 1, method probabilistic, matched record ENR-118918, policy version 1
  • 2026-10-19 19:45:42Record linked automatically69d4c5da7b
    scoring_agent, ENR-118919, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:45:42Record linked automatically219bed0d18
    scoring_agent, CLM-414382, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3ad3f285f4
    scoring_agent, ENR-118918, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4f66d1fc89
    scoring_agent, TPA-56349, identity id MBR-016821, confidence 1, method probabilistic, matched record ENR-118918, policy version 1
  • 2026-10-19 19:32:31Record linked automatically71edee8c93
    scoring_agent, ENR-118919, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:32:31Record linked automatically259002671d
    scoring_agent, CLM-414382, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaa7992e479
    scoring_agent, ENR-118918, identity id MBR-016821, confidence 1, method probabilistic, matched record TPA-56349, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1d2644f731
    scoring_agent, ENR-118919, identity id MBR-038712, confidence 1, method probabilistic, matched record CLM-414429, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydbb28c3d05
    scoring_agent, CLM-414382, identity id MBR-019754, confidence 1, method probabilistic, matched record ENR-118863, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd31ba1a3d3
    matching_agent, ENR-118918, identity id MBR-009074, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24237

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0250112026-06-25Lakeside Dermatology Clinic
in network
70553$2,021.00—DeniedDenied