Identities/MBR-020039

Gold, golden identity

Megan I Richardson

6 source records from 2 feeds.

MBR-020039Verified6 records

Golden record

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

First nameENR: Megan
Middle nameCLM: I
Last nameENR: Richardson
Date of birthENR: 1959-05-13
GenderENR: F
Member IDENR: UHC-31006-11
SSNENR: •••-••-0447
PhoneENR: 9409138587
EmailENR: megan.richardson88@proton.me
AddressENR: 2569 Indian School Rd
CityENR: Orlando
StateENR: FL
ZIPENR: 32855
GroupENR: GRP-4625
PlanENR: MEDICARE-ADV-B

Min confidence

0.97

Sources

CLM ×4ENR ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-429181	CLM	2026-03-16	Megan Richardsonflagged	1959-05-13	UHC-31006-11	9409138587	2569 Indian School Rd, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-429180	CLM	2026-04-13	Megan Richardsonflagged	1959-05-13	UHC-31006-11	—	2569 Indian School Rd, Orlando, FL	Rule	0.99	D1 member id + dob exact
ENR-138283	ENR	2026-07-07	Megan Richardsonflagged	1959-05-13	UHC-31006-11	9409138587	2569 Indian School Rd, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-429179	CLM	2026-08-29	Megan Richardsonflagged	1959-05-13	—	—	2569 Indian School Rd, Orlando, FL	Rule	0.97	D2 ssn4 + dob + last name
ENR-138284	ENR	2026-10-13	Megan Richardsonflagged	1959-05-13	UHC-31006-11	9409138587	2569 Indian School Rd, Orlando, FL	Rule	0.99	D1 member id + dob exact
CLM-429182	CLM	2026-10-17	Megan Richardsonflagged	1959-05-13	—	9409138587	2569 Indian School Rd, Orlando, FL	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-429181 CLMCLM-429180 CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429181 CLMENR-138283ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-429180 CLMENR-138283ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429181 CLMENR-138284ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-429180 CLMENR-138284ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-138283ENRENR-138284ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-429181 CLMCLM-429179CLM0.97RuleD2 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
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429180 CLMCLM-429179CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138283ENRCLM-429179CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-429181 CLMCLM-429182CLM0.97RuleD2 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

▶CLM-429180 CLMCLM-429182CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138283ENRCLM-429182CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429179CLMCLM-429182CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-138284ENRCLM-429182CLM0.97RuleD2 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	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-429179CLMENR-138284ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-429182 → UHC-31006-11 (Megan Richardson)
ACT-003634, Claims processor
Orphan claim re-pointedExecuted
CLM-429179 → UHC-31006-11 (Megan Richardson)
ACT-006339, Claims processor
Care coordination outreachProposed
Megan Richardson: 4 claims, no attributed provider
ACT-019089, Next-best-action
Duplicate member record retiredExecuted
Megan Richardson: 2 enrollment records collapsed into UHC-31006-11
ACT-024638, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyeb4ea1dbf8
matching_agent, CLM-429182, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:54:38Record linked automatically19b1debe1f
matching_agent, ENR-138284, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:54:38Record linked automatically5f83f70111
matching_agent, CLM-429179, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:54:38Record linked automatically820e7aec29
matching_agent, ENR-138283, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:54:38Record linked automaticallye996f8bb3e
matching_agent, CLM-429180, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:54:38Record linked automatically1413d4a1be
matching_agent, CLM-429181, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429180
2026-10-19 19:52:09Record linked automatically4f7923bc38
matching_agent, CLM-429182, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:52:09Record linked automatically17f13888c3
matching_agent, ENR-138284, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:52:09Record linked automatically81712df2df
matching_agent, CLM-429179, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:52:09Record linked automatically1a5be0e1b9
matching_agent, ENR-138283, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:52:09Record linked automatically8076b2cc11
matching_agent, CLM-429180, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:52:09Record linked automatically7520d85a0b
matching_agent, CLM-429181, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429180
2026-10-19 19:45:42Record linked automaticallyc69a76ae34
matching_agent, CLM-429182, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:45:42Record linked automatically785325ac6d
matching_agent, ENR-138284, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:45:42Record linked automatically653fc6d118
matching_agent, CLM-429179, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:45:42Record linked automaticallyb482386c1f
matching_agent, ENR-138283, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:45:42Record linked automatically43b301a93f
matching_agent, CLM-429180, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:45:42Record linked automatically9eef9d2c89
matching_agent, CLM-429181, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429180
2026-10-19 19:32:31Record linked automatically9d24a85aea
matching_agent, CLM-429182, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:32:31Record linked automatically2275b8bce7
matching_agent, ENR-138284, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:32:31Record linked automatically1838adce88
matching_agent, CLM-429179, identity id MBR-020039, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-429181
2026-10-19 19:32:31Record linked automatically2347e13a94
matching_agent, ENR-138283, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:32:31Record linked automatically463cfd79d7
matching_agent, CLM-429180, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429181
2026-10-19 19:32:31Record linked automaticallyd95fe5fb17
matching_agent, CLM-429181, identity id MBR-020039, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429180
2026-10-19 19:31:28Record linked automatically85214152c7
matching_agent, ENR-138283, identity id MBR-025981, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428969
2026-10-19 19:31:28Record linked automatically9294b617d0
matching_agent, CLM-429180, identity id MBR-021054, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62818
2026-10-19 19:31:28Record linked automatically398af2a26c
scoring_agent, CLM-429179, identity id MBR-014423, confidence 1, method probabilistic, matched record PRV-28573, policy version 1
2026-10-19 19:31:28Record linked automatically950af553eb
matching_agent, ENR-138284, identity id MBR-011842, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428970
2026-10-19 19:31:28Record linked automaticallyc05d0f4d58
scoring_agent, CLM-429182, identity id MBR-002285, confidence 1, method probabilistic, matched record TPA-62819, policy version 1
2026-10-19 19:31:28Record linked automatically7e6b7d3514
scoring_agent, CLM-429181, identity id MBR-002285, confidence 0.98, method probabilistic, matched record CLM-429182, policy version 1

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-2026-008649	2026-09-21	Harbor Family Practice in network	99203	$184.00	$94.08	Approved	Approved
CLM-2026-018830	2026-08-23	Meadow Internal Medicine Associates in network	80053	$76.00	$27.12	Approved	Approved
CLM-2026-024988	2026-04-02	Desert Primary Care Associates in network	90471, 99213, 99214	$468.00	$270.94	Approved	Approved
CLM-2026-009077	2026-02-10	Valley Community Hospital out of network	99285	$2,268.00	$670.60	Approved	Approved