Identities/MBR-016872
Gold, golden identity

Beverly L Rios

4 source records from 3 feeds.

MBR-016872Verified4 records

Golden record

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

First nameENR
Beverly
Middle nameENR
L
Last nameENR
Rios
Date of birthENR
1945-10-15
GenderENR
F
Member IDENR
UHC-66895-93
SSNENR
•••-••-7259
PhoneENR
8228619627
Email—
—
AddressENR
5655 Park Pl
CityENR
Columbus
StateENR
OH
ZIPENR
43210
GroupENR
GRP-6271
PlanENR
NAVIGATE-HMO
Min confidence
0.94
Sources
TPA ×1CLM ×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

0.940.991.001.00TPATPA-53536CLMCLM-408018ENRENR-110582CLMCLM-408017IDMBR-016872
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
TPA-53536TPA2026-03-02Beverly Riosflagged1945-10-15—82286196275655 Park Pl, Columbus, OHScored0.94—
CLM-408018CLM2026-04-29Beverly Riosflagged1945-10-15UHC-66895-93—5655 Park Pl, Columbus, OHRule0.99D1 member id + dob exact
ENR-110582ENR2026-07-21Beverly Riosflagged1945-10-15UHC-66895-9382286196275655 Park Pl, Columbus, OHScored1.00—
CLM-408017CLM2026-08-07Beverly Riosflagged——82286196275655 Park Pl, Columbus, OHScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-110582ENRCLM-408017CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408018CLMENR-110582ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53536TPAENR-110582ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53536TPACLM-408018CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53536TPACLM-408017CLM0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-408018CLMCLM-408017CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408017 → UHC-66895-93 (Beverly Rios)
    ACT-009257, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically3bac251853
    scoring_agent, CLM-408017, identity id MBR-016872, confidence 1, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-22 12:43:54Record linked automatically385577265e
    scoring_agent, ENR-110582, identity id MBR-016872, confidence 1, method probabilistic, matched record CLM-408017, policy version 1
  • 2026-10-22 12:43:54Record linked automatically9dd4aa6366
    matching_agent, CLM-408018, identity id MBR-016872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110582
  • 2026-10-22 12:43:54Record linked automatically4006ac71d7
    scoring_agent, TPA-53536, identity id MBR-016872, confidence 0.94, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf051ec8ea5
    scoring_agent, CLM-408017, identity id MBR-016872, confidence 1, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycbe0c0bb19
    scoring_agent, ENR-110582, identity id MBR-016872, confidence 1, method probabilistic, matched record CLM-408017, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf1dc722671
    matching_agent, CLM-408018, identity id MBR-016872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110582
  • 2026-10-19 19:54:38Record linked automaticallyedf583ccee
    scoring_agent, TPA-53536, identity id MBR-016872, confidence 0.94, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:52:09Record linked automatically22f8ea76d0
    scoring_agent, CLM-408017, identity id MBR-016872, confidence 1, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5bc21f9fae
    scoring_agent, ENR-110582, identity id MBR-016872, confidence 1, method probabilistic, matched record CLM-408017, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9db6ede34e
    matching_agent, CLM-408018, identity id MBR-016872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110582
  • 2026-10-19 19:52:09Record linked automatically6043e854ba
    scoring_agent, TPA-53536, identity id MBR-016872, confidence 0.94, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyba49650ba9
    scoring_agent, CLM-408017, identity id MBR-016872, confidence 1, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0d76a26a21
    scoring_agent, ENR-110582, identity id MBR-016872, confidence 1, method probabilistic, matched record CLM-408017, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye56d51bec6
    matching_agent, CLM-408018, identity id MBR-016872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110582
  • 2026-10-19 19:45:42Record linked automatically9029afd640
    scoring_agent, TPA-53536, identity id MBR-016872, confidence 0.94, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:32:31Record linked automatically50e650e239
    scoring_agent, CLM-408017, identity id MBR-016872, confidence 1, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1f7f9583fa
    scoring_agent, ENR-110582, identity id MBR-016872, confidence 1, method probabilistic, matched record CLM-408017, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6edfbbc689
    matching_agent, CLM-408018, identity id MBR-016872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110582
  • 2026-10-19 19:32:31Record linked automatically1b1433dada
    scoring_agent, TPA-53536, identity id MBR-016872, confidence 0.94, method probabilistic, matched record ENR-110582, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4504e6ee90
    matching_agent, CLM-408017, identity id MBR-026568, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110496
  • 2026-10-19 19:31:28Record linked automatically9d7a3913cd
    matching_agent, CLM-408018, identity id MBR-000479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110498

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0301482026-07-28Evergreen Primary Care Associates
in network
99214, 99395$506.00$283.72ApprovedApproved
CLM-2026-0315412026-04-25Heritage Imaging Center
in network
70553, 71046$3,493.00—Needs reviewNeeds review