Identities/MBR-019101
Gold, golden identity

Nancy Z Rios

3 source records from 2 feeds.

MBR-019101Verified3 records

Golden record

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

First nameENR
Nancy
Middle nameENR
Z
Last nameENR
Rios
Date of birthENR
1978-08-03
GenderENR
M
Member IDENR
UHC-35917-23
SSNENR
•••-••-3518
PhoneENR
6233587537
EmailENR
nancy.rios12@yahoo.com
AddressENR
5048 Hillcrest Rd
CityENR
Jacksonville
StateENR
FL
ZIP—
—
GroupENR
GRP-7919
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
ENR ×2CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.970.970.96ENRENR-132620CLMCLM-424954ENRENR-132619IDMBR-019101
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
ENR-132620ENR2026-03-12Nancy Riosflagged1978-08-03UHC-35917-2362335875375048 Hillcrest Rd, Jacksonville, FLRule0.97D2 ssn4 + dob + last name
CLM-424954CLM2026-03-28Nancy Riosflagged1978-08-03—62335875375048 Hillcrest Rd, Jacksonville, FLRule0.97D2 ssn4 + dob + last name
ENR-132619ENR2026-07-05Nancy Riosflagged1977-08-03UHC-35917-2362335875375048 Hillcrest Rd, Jacksonville, FLRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-132620ENRCLM-424954CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-132620ENRENR-132619ENR 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-424954CLMENR-132619ENR 0.82Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424954 → UHC-35917-23 (Nancy Rios)
    ACT-006640, Claims processor
  • Duplicate member record retiredExecuted
    Nancy Rios: 2 enrollment records collapsed into UHC-35917-23
    ACT-024507, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydaf6360b4c
    matching_agent, ENR-132619, identity id MBR-019101, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:54:38Record linked automatically2e039820b0
    matching_agent, CLM-424954, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:54:38Record linked automatically9c01e5cfb8
    matching_agent, ENR-132620, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-424954
  • 2026-10-19 19:52:09Record linked automaticallydba6ef0373
    matching_agent, ENR-132619, identity id MBR-019101, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:52:09Record linked automatically9312f0359d
    matching_agent, CLM-424954, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:52:09Record linked automatically634c2e5606
    matching_agent, ENR-132620, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-424954
  • 2026-10-19 19:45:42Record linked automaticallyc1be436941
    matching_agent, ENR-132619, identity id MBR-019101, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:45:42Record linked automaticallyf7244511f2
    matching_agent, CLM-424954, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:45:42Record linked automaticallyd9123ff327
    matching_agent, ENR-132620, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-424954
  • 2026-10-19 19:32:31Record linked automatically9891daa59c
    matching_agent, ENR-132619, identity id MBR-019101, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:32:31Record linked automaticallyfd71aa60ac
    matching_agent, CLM-424954, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132620
  • 2026-10-19 19:32:31Record linked automaticallyd859f6ceba
    matching_agent, ENR-132620, identity id MBR-019101, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-424954
  • 2026-10-19 19:31:28Record linked automaticallye0485fe94c
    matching_agent, ENR-132620, identity id MBR-009598, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424793
  • 2026-10-19 19:31:28Record linked automaticallybdd7ae5b07
    scoring_agent, CLM-424954, identity id MBR-004990, confidence 1, method probabilistic, matched record CLM-424952, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0199572026-03-22Sunrise Internal Medicine Associates
in network
99232$188.00$0.00ApprovedApproved