Identities/MBR-018322
Gold, golden identity

Heather Rios

6 source records from 4 feeds.

MBR-018322Verified6 records

Golden record

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

First nameENR
Heather
Middle name—
—
Last nameENR
Rios
Date of birthPRV
1960-07-24
GenderPRV
F
Member IDENR
UHC-67463-23
SSNCLM
•••-••-2280
PhonePRV
6472954779
EmailTPA
heather.rios@yahoo.com
AddressENR
6475 Desert Sky Blvd
CityENR
Sacramento
StateENR
CA
ZIPENR
95827
GroupENR
GRP-0771
PlanENR
NAVIGATE-HMO
Min confidence
0.96
Sources
CLM ×2ENR ×1TPA ×2PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.961.001.001.001.00CLMCLM-426245ENRENR-134384TPATPA-61584TPATPA-61585CLMCLM-426244PRVPRV-27730IDMBR-018322
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-426245CLM2026-03-08Heather Riosflagged1960-07-24—64729547796475 Desert Sky Blvd, Sacramento, CAScored1.00—
ENR-134384ENR2026-03-13Heather Riosflagged—UHC-67463-23—6475 Desert Sky Blvd, Sacramento, CARule0.96D3 member id + name
TPA-61584TPA2026-04-25Heather Riosflagged—UHC-67463-2364729547796475 Desert Sky Blvd # 668, Sacramento, CAScored1.00—
TPA-61585TPA2026-04-25Heather Riosflagged—UHC-67463-2364729547796475 Desert Sky Blvd # 668, Sacramento, CAScored1.00—
CLM-426244CLM2026-05-04Heather Riosflagged1960-07-24UHC-67463-2364729547796475 Desert Sky Blvd, Sacramento, CAScored1.00—
PRV-27730PRV2026-06-30Heather Riosflagged1960-07-24UHC-67463-2364729547796475 Desert Sky Blvd, Sacramento, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426245CLMCLM-426244CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426245CLMPRV-27730PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426245CLMTPA-61584TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426245CLMTPA-61585TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426244CLMPRV-27730PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61584TPACLM-426244CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61585TPACLM-426244CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-134384ENRCLM-426244CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61584TPAPRV-27730PRV0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-61585TPAPRV-27730PRV0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-134384ENRPRV-27730PRV0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-134384ENRTPA-61584TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61584TPATPA-61585TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-134384ENRTPA-61585TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426245CLMENR-134384ENR0.83Scoredweighted 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-426245 → UHC-67463-23 (Heather Rios)
    ACT-008595, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyc829a55b23
    scoring_agent, PRV-27730, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya6e93f0200
    scoring_agent, CLM-426244, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb6165b7edf
    scoring_agent, TPA-61585, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:54:38Record linked automatically292d0959ab
    scoring_agent, TPA-61584, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0c2acdf9d4
    matching_agent, ENR-134384, identity id MBR-018322, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-61584
  • 2026-10-19 19:54:38Record linked automaticallycc28cc85fc
    scoring_agent, CLM-426245, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426244, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb711bbe5e7
    scoring_agent, PRV-27730, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:52:09Record linked automatically168f344738
    scoring_agent, CLM-426244, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybdab6db347
    scoring_agent, TPA-61585, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5c4e9a40e3
    scoring_agent, TPA-61584, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye4d0f5f075
    matching_agent, ENR-134384, identity id MBR-018322, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-61584
  • 2026-10-19 19:52:09Record linked automatically1e4018f421
    scoring_agent, CLM-426245, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426244, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyad2e44275a
    scoring_agent, PRV-27730, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9d5bf19a49
    scoring_agent, CLM-426244, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb13a3684f1
    scoring_agent, TPA-61585, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:45:42Record linked automatically780dd82eac
    scoring_agent, TPA-61584, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:45:42Record linked automatically962abfe33b
    matching_agent, ENR-134384, identity id MBR-018322, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-61584
  • 2026-10-19 19:45:42Record linked automatically952d9b6d98
    scoring_agent, CLM-426245, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426244, policy version 1
  • 2026-10-19 19:32:31Record linked automatically88b8e2707b
    scoring_agent, PRV-27730, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf0a7a5de8d
    scoring_agent, CLM-426244, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:32:31Record linked automatically74270ab5b6
    scoring_agent, TPA-61585, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:32:31Record linked automatically279923c524
    scoring_agent, TPA-61584, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426245, policy version 1
  • 2026-10-19 19:32:31Record linked automatically93757f157b
    matching_agent, ENR-134384, identity id MBR-018322, confidence 0.96, rule D3 member_id + name, method deterministic, matched record TPA-61584
  • 2026-10-19 19:32:31Record linked automaticallyc2bb63ebdc
    scoring_agent, CLM-426245, identity id MBR-018322, confidence 1, method probabilistic, matched record CLM-426244, policy version 1
  • 2026-10-19 19:31:28Record linked automatically543bbde481
    matching_agent, ENR-134384, identity id MBR-033690, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426021
  • 2026-10-19 19:31:28Record linked automatically51cb0c3aa6
    scoring_agent, TPA-61585, identity id MBR-025247, confidence 0.99, method probabilistic, matched record ENR-134808, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3f6747c297
    scoring_agent, TPA-61584, identity id MBR-017934, confidence 1, method probabilistic, matched record CLM-426329, policy version 1
  • 2026-10-19 19:31:28Record linked automatically66ffe3157a
    scoring_agent, CLM-426244, identity id MBR-004356, confidence 1, method probabilistic, matched record ENR-134687, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb090964fd8
    scoring_agent, CLM-426245, identity id MBR-004356, confidence 0.94, method probabilistic, matched record ENR-134687, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0093222026-03-22Lakeside Physical Therapy
in network
97110, 97140$403.00$224.86ApprovedApproved
CLM-2026-0274922026-01-29Meadow Primary Care Associates
in network
99213, 99203, 99214$610.00$353.20ApprovedApproved