Identities/MBR-017092
Gold, golden identity

Richard Miller

2 source records from 1 feed.

MBR-017092Verified2 records

Golden record

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

First nameCLM
Richard
Middle name—
—
Last nameCLM
Miller
Date of birthCLM
1966-07-22
GenderCLM
F
Member IDCLM
UHC-60998-16
SSNCLM
•••-••-0635
PhoneCLM
3298377603
Email—
—
AddressCLM
1979 Hillcrest Rd
CityCLM
Miami
StateCLM
FL
ZIPCLM
33154
GroupCLM
GRP-2761
PlanCLM
NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.00CLMCLM-431580CLMCLM-431579IDMBR-017092
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
CLM-431580CLM2026-03-03Richard Millerflagged1966-07-22——1979 Hillcrest Rd, Miami, FLScored1.00—
CLM-431579CLM2026-08-21Richard Millerflagged1966-07-22UHC-60998-1632983776031979 Hillcrest Rd, Miami, FLScored1.00—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-431580CLMCLM-431579CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431580 → UHC-60998-16 (Richard Miller)
    ACT-003109, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically1a69eb6593
    scoring_agent, CLM-431579, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431580, policy version 1
  • 2026-10-22 12:43:54Record linked automatically01c66b8ed5
    scoring_agent, CLM-431580, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431579, policy version 1
  • 2026-10-19 19:54:38Record linked automatically059b3a3fff
    scoring_agent, CLM-431579, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431580, policy version 1
  • 2026-10-19 19:54:38Record linked automatically02512b8922
    scoring_agent, CLM-431580, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431579, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye9020c3bc6
    scoring_agent, CLM-431579, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431580, policy version 1
  • 2026-10-19 19:52:09Record linked automatically90af84ef99
    scoring_agent, CLM-431580, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431579, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc20664c7ae
    scoring_agent, CLM-431579, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431580, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycf42721e04
    scoring_agent, CLM-431580, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431579, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0a7114c9a7
    scoring_agent, CLM-431579, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431580, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye664e3cf0a
    scoring_agent, CLM-431580, identity id MBR-017092, confidence 1, method probabilistic, matched record CLM-431579, policy version 1
  • 2026-10-19 19:31:28Record linked automatically231d9fe657
    matching_agent, CLM-431580, identity id MBR-000743, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141687

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0090342026-07-19Unity Counseling Center
in network
99214$227.00$80.74ApprovedApproved
CLM-2026-0067392026-02-02Meadow Medical Group
in network
90471, 99213$205.00—DeniedDenied
CLM-2026-0067382026-02-02Meadow Medical Group
in network
90471, 99213$205.00$107.10ApprovedApproved