Linda V Riley

4 source records from 4 feeds.

MBR-017708Verified4 records

Golden record

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

First nameENR: Linda
Middle nameENR: V
Last nameENR: Riley
Date of birthENR: 1982-07-15
GenderENR: F
Member IDENR: UHC-36896-26
SSNPRV: •••-••-6965
PhoneENR: 7425941177
EmailENR: linda.riley@aol.com
AddressENR: 1557 Central Ave
CityENR: Seattle
StateENR: WA
ZIP—: —
GroupENR: GRP-5107
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1PRV ×1CLM ×1ENR ×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
TPA-50537	TPA	2026-03-06	Linda Rileyflagged	1982-07-15	—	7425941177	1557 Central Ave, Seattle, WA	Scored	0.99	—
PRV-20395	PRV	2026-03-12	Linda Rileyflagged	1982-07-15	UHC-36896-26	7425941177	1557 Central Ave, Seattle, WA	Rule	0.99	D1 member id + dob exact
CLM-401241	CLM	2026-04-05	Lina Rileyflagged	1982-07-15	—	7425941177	1557 Central Ave, Seattle, WA	Scored	0.99	—
ENR-101599	ENR	2026-06-01	Linda Rileyflagged	1982-07-15	UHC-36896-26	7425941177	1557 Central Ave, Seattle, WA	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶TPA-50537TPACLM-401241CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20395PRVENR-101599ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50537TPAPRV-20395PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50537TPAENR-101599ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20395PRVCLM-401241CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-401241CLMENR-101599ENR0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401241 → UHC-36896-26 (Linda Riley)
ACT-003108, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically7d4d54f9b6
matching_agent, ENR-101599, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20395
2026-10-22 12:43:54Record linked automatically949a3e0cf4
scoring_agent, CLM-401241, identity id MBR-017708, confidence 0.99, method probabilistic, matched record TPA-50537, policy version 1
2026-10-22 12:43:54Record linked automatically83bd876921
matching_agent, PRV-20395, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101599
2026-10-22 12:43:54Record linked automatically15b539f472
scoring_agent, TPA-50537, identity id MBR-017708, confidence 0.99, method probabilistic, matched record CLM-401241, policy version 1
2026-10-19 19:54:38Record linked automatically97d78f456a
matching_agent, ENR-101599, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20395
2026-10-19 19:54:38Record linked automatically4393fe8eda
scoring_agent, CLM-401241, identity id MBR-017708, confidence 0.99, method probabilistic, matched record TPA-50537, policy version 1
2026-10-19 19:54:38Record linked automaticallyb3bf7764f1
matching_agent, PRV-20395, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101599
2026-10-19 19:54:38Record linked automatically2389b95e50
scoring_agent, TPA-50537, identity id MBR-017708, confidence 0.99, method probabilistic, matched record CLM-401241, policy version 1
2026-10-19 19:52:09Record linked automatically128a1702ce
matching_agent, ENR-101599, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20395
2026-10-19 19:52:09Record linked automatically576eb47928
scoring_agent, CLM-401241, identity id MBR-017708, confidence 0.99, method probabilistic, matched record TPA-50537, policy version 1
2026-10-19 19:52:09Record linked automatically1f49e3079c
matching_agent, PRV-20395, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101599
2026-10-19 19:52:09Record linked automatically694b664c46
scoring_agent, TPA-50537, identity id MBR-017708, confidence 0.99, method probabilistic, matched record CLM-401241, policy version 1
2026-10-19 19:45:42Record linked automatically32f31ca08e
matching_agent, ENR-101599, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20395
2026-10-19 19:45:42Record linked automaticallyf5859e61c4
scoring_agent, CLM-401241, identity id MBR-017708, confidence 0.99, method probabilistic, matched record TPA-50537, policy version 1
2026-10-19 19:45:42Record linked automatically014720dfbb
matching_agent, PRV-20395, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101599
2026-10-19 19:45:42Record linked automaticallyc4f92c6f68
scoring_agent, TPA-50537, identity id MBR-017708, confidence 0.99, method probabilistic, matched record CLM-401241, policy version 1
2026-10-19 19:32:31Record linked automatically4ab9390967
matching_agent, ENR-101599, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20395
2026-10-19 19:32:31Record linked automatically440e838897
scoring_agent, CLM-401241, identity id MBR-017708, confidence 0.99, method probabilistic, matched record TPA-50537, policy version 1
2026-10-19 19:32:31Record linked automatically78a6c9f63f
matching_agent, PRV-20395, identity id MBR-017708, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101599
2026-10-19 19:32:31Record linked automaticallyaa047d0e0f
scoring_agent, TPA-50537, identity id MBR-017708, confidence 0.99, method probabilistic, matched record CLM-401241, policy version 1
2026-10-19 19:31:28Record linked automaticallyd9c06d3bae
matching_agent, ENR-101599, identity id MBR-036237, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401166
2026-10-19 19:31:28Record linked automatically86ca9449bc
scoring_agent, TPA-50537, identity id MBR-019275, confidence 1.00, method probabilistic, matched record TPA-50536, policy version 1
2026-10-19 19:31:28Record linked automaticallyaba9dfb05f
matching_agent, CLM-401241, identity id MBR-000073, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401239

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-2026-006733	2026-03-11	Sunrise Digestive Health Center in network	99214	$323.00	$150.26	Approved	Approved