Gold, golden identity
Virginia T Rice
5 source records from 3 feeds.
MBR-016873Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Virginia
- Middle nameENR
- T
- Last nameENR
- Rice
- Date of birthENR
- 1942-12-26
- GenderENR
- M
- Member IDENR
- UHC-60262-09
- SSNENR
- •••-••-2105
- PhoneENR
- 5794576783
- EmailENR
- virginia.rice68@aol.com
- AddressENR
- 6678 Lincoln Way
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93726
- GroupENR
- GRP-8220
- PlanENR
- NAVIGATE-HMO
Min confidence
0.89
Sources
TPA ×1ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TPA-54191 | TPA | 2026-03-02 | Virginia Riceflagged | 1942-12-26 | — | — | 6678 Lincoln Way, Fresno, CA | Rule | 0.97 | D2 ssn4 + dob + last name |
| ENR-112678 | ENR | 2026-07-05 | Virginia Riceflagged | 1942-12-26 | UHC-60262-09 | — | 6678 Lincoln Way, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-409627 | CLM | 2026-07-27 | Virginia Rieflagged | 1942-12-26 | — | 5794576783 | 6678 Lincoln Way, Fresno, CA | Scored | 0.89 | — |
| ENR-112679 | ENR | 2026-09-12 | Virginia Riceflagged | — | UHC-60262-09 | 5794576783 | 6678 Lincoln Way, Fresno, CA | Rule | 0.96 | D3 member id + name |
| CLM-409628 | CLM | 2026-09-26 | Virginia Riceflagged | 1942-12-26 | UHC-60262-09 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
7 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-112678ENRCLM-409628CLM 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-54191TPACLM-409628CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-54191TPAENR-112678ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-112679ENRCLM-409628CLM 0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-112678ENRENR-112679ENR0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-409627CLMENR-112679ENR0.89Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-54191TPAENR-112679ENR0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-409627 → UHC-60262-09 (Virginia Rice)ACT-008231, Claims processor
- Duplicate member record retiredExecutedVirginia Rice: 2 enrollment records collapsed into UHC-60262-09ACT-024209, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically25390ba411matching_agent, CLM-409628, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112678
- 2026-10-19 19:54:38Record linked automatically9e39553caamatching_agent, ENR-112679, identity id MBR-016873, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112678
- 2026-10-19 19:54:38Record linked automaticallyafa20e2d2bscoring_agent, CLM-409627, identity id MBR-016873, confidence 0.89, method probabilistic, matched record ENR-112679, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyf7794bd1f3matching_agent, ENR-112678, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409628
- 2026-10-19 19:54:38Record linked automaticallyd425eb1d25matching_agent, TPA-54191, identity id MBR-016873, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112678
- 2026-10-19 19:52:09Record linked automatically30aa1a31dematching_agent, CLM-409628, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112678
- 2026-10-19 19:52:09Record linked automatically6dd0d18be7matching_agent, ENR-112679, identity id MBR-016873, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112678
- 2026-10-19 19:52:09Record linked automatically3dac014c92scoring_agent, CLM-409627, identity id MBR-016873, confidence 0.89, method probabilistic, matched record ENR-112679, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyaa68f6d0b9matching_agent, ENR-112678, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409628
- 2026-10-19 19:52:09Record linked automatically5737d567b6matching_agent, TPA-54191, identity id MBR-016873, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112678
- 2026-10-19 19:45:42Record linked automatically744efc51dcmatching_agent, CLM-409628, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112678
- 2026-10-19 19:45:42Record linked automatically7a3a33cc2dmatching_agent, ENR-112679, identity id MBR-016873, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112678
- 2026-10-19 19:45:42Record linked automatically394ee68bbascoring_agent, CLM-409627, identity id MBR-016873, confidence 0.89, method probabilistic, matched record ENR-112679, policy version 1
- 2026-10-19 19:45:42Record linked automatically61ce074484matching_agent, ENR-112678, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409628
- 2026-10-19 19:45:42Record linked automaticallyfd530bb66amatching_agent, TPA-54191, identity id MBR-016873, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112678
- 2026-10-19 19:32:31Record linked automaticallyd13c96d31amatching_agent, CLM-409628, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112678
- 2026-10-19 19:32:31Record linked automaticallycd133b7480matching_agent, ENR-112679, identity id MBR-016873, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-112678
- 2026-10-19 19:32:31Record linked automaticallyfa9987dc2dscoring_agent, CLM-409627, identity id MBR-016873, confidence 0.89, method probabilistic, matched record ENR-112679, policy version 1
- 2026-10-19 19:32:31Record linked automatically6237a603c8matching_agent, ENR-112678, identity id MBR-016873, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409628
- 2026-10-19 19:32:31Record linked automatically006c8406f4matching_agent, TPA-54191, identity id MBR-016873, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-112678
- 2026-10-19 19:31:28Record linked automatically06987b5646matching_agent, CLM-409627, identity id MBR-036525, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112706
- 2026-10-19 19:31:28Record linked automatically7c0c2397c5matching_agent, CLM-409628, identity id MBR-012090, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112707
- 2026-10-19 19:31:28Record linked automatically093880d6b9scoring_agent, ENR-112679, identity id MBR-009038, confidence 1, method probabilistic, matched record TPA-54275, policy version 1
- 2026-10-19 19:31:28Record linked automatically8326bc5016scoring_agent, TPA-54191, identity id MBR-006361, confidence 1, method probabilistic, matched record TPA-54190, policy version 1
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-005073 | 2026-09-23 | Evergreen Counseling Center in network | 90837 | $285.00 | — | Denied | Denied |
| CLM-2026-026098 | 2026-06-23 | Harbor Primary Care Associates in network | 90471 | $29.00 | — | Denied | Denied |