Gold, golden identity
John L Rivera
2 source records from 2 feeds.
MBR-019479Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- John
- Middle nameCLM
- L
- Last nameCLM
- Rivera
- Date of birthCLM
- 2006-11-10
- GenderTPA
- F
- Member IDCLM
- UHC-71931-15
- SSNTPA
- •••-••-1719
- PhoneCLM
- 9295847598
- Email—
- —
- AddressTPA
- 1199 Sage Ct
- CityTPA
- San Diego
- StateTPA
- CA
- ZIPTPA
- 92126
- GroupCLM
- GRP-2603
- PlanCLM
- MEDICARE-ADV-B
Min confidence
1.00
Sources
CLM ×1TPA ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-411527 | CLM | 2026-03-13 | John Riveraflagged | 2006-11-10 | UHC-71931-15 | 9295847598 | — | Scored | 1.00 | — |
| TPA-55090 | TPA | 2026-03-17 | John Riveraflagged | 2006-11-10 | — | 9295847598 | 1199 Sage Ct, San Diego, CA | Scored | 1.00 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411527CLMTPA-55090TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically7210f5db83scoring_agent, TPA-55090, identity id MBR-019479, confidence 1, method probabilistic, matched record CLM-411527, policy version 1
- 2026-10-22 12:43:54Record linked automatically46e1945018scoring_agent, CLM-411527, identity id MBR-019479, confidence 1, method probabilistic, matched record TPA-55090, policy version 1
- 2026-10-19 19:54:38Record linked automatically881e139e3dscoring_agent, TPA-55090, identity id MBR-019479, confidence 1, method probabilistic, matched record CLM-411527, policy version 1
- 2026-10-19 19:54:38Record linked automatically7176df6c7escoring_agent, CLM-411527, identity id MBR-019479, confidence 1, method probabilistic, matched record TPA-55090, policy version 1
- 2026-10-19 19:52:09Record linked automatically024c9003fescoring_agent, TPA-55090, identity id MBR-019479, confidence 1, method probabilistic, matched record CLM-411527, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyfdb5fcaaa8scoring_agent, CLM-411527, identity id MBR-019479, confidence 1, method probabilistic, matched record TPA-55090, policy version 1
- 2026-10-19 19:45:42Record linked automatically3e4b9f5616scoring_agent, TPA-55090, identity id MBR-019479, confidence 1, method probabilistic, matched record CLM-411527, policy version 1
- 2026-10-19 19:45:42Record linked automatically640a5a9ad3scoring_agent, CLM-411527, identity id MBR-019479, confidence 1, method probabilistic, matched record TPA-55090, policy version 1
- 2026-10-19 19:32:31Record linked automatically31fcdc16f6scoring_agent, TPA-55090, identity id MBR-019479, confidence 1, method probabilistic, matched record CLM-411527, policy version 1
- 2026-10-19 19:32:31Record linked automatically6efcf43a8cscoring_agent, CLM-411527, identity id MBR-019479, confidence 1, method probabilistic, matched record TPA-55090, policy version 1
- 2026-10-19 19:31:28Record linked automatically2f370c57ecmatching_agent, CLM-411527, identity id MBR-032847, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115300
- 2026-10-19 19:31:28Record linked automatically213b8dc26escoring_agent, TPA-55090, identity id MBR-020923, confidence 1, method probabilistic, matched record ENR-115222, 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-2026-029246 | 2026-02-07 | Heritage Community Hospital in network | 99285, 99284 | $4,220.00 | $1,971.00 | Approved | Approved |