Identities/MBR-020287
Gold, golden identity

Rachel X Richardson

4 source records from 2 feeds.

MBR-020287Verified4 records

Golden record

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

First nameENR
Rachel
Middle nameENR
X
Last nameENR
Richardson
Date of birthENR
1991-01-22
GenderENR
F
Member IDENR
UHC-46841-03
SSN—
—
PhoneENR
3307611178
EmailENR
rachel.richardson@icloud.com
AddressCLM
2199 Hillcrest Rd
CityENR
Denver
StateENR
CO
ZIPENR
80255
GroupENR
GRP-7290
PlanENR
CORE-HMO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00CLMCLM-413550CLMCLM-413549ENRENR-117764CLMCLM-413551IDMBR-020287
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-413550CLM2026-03-17Rahcel Richardsonflagged1991-01-22UHC-46841-03——Rule0.99D1 member id + dob exact
CLM-413549CLM2026-03-29Rachel Richardsonflagged1991-01-22——2199 Hillcrest Rd # 533, Denver, COScored1.00—
ENR-117764ENR2026-07-23Rachel Richardsonflagged1991-01-22UHC-46841-0333076111782199 Hillcrest Rd Apt 6, Denver, COScored1.00—
CLM-413551CLM2026-08-29Rachel Richardsonflagged1991-01-22—33076111782199 Hillcrest Rd, Denver, COScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413549 CLMCLM-413551CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117764ENRCLM-413551CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413549 CLMENR-117764ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413550CLMENR-117764ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413550CLMCLM-413549 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-413550CLMCLM-413551CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-413549 → UHC-46841-03 (Rachel Richardson)
    ACT-006653, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-413551 → UHC-46841-03 (Rachel Richardson)
    ACT-009677, Claims processor
  • Outreach address correctedProposed
    Rachel Richardson: 2199 Hillcrest Rd Apt 6, Denver → 2199 Hillcrest Rd, Denver
    ACT-012281, Outreach
  • Care coordination outreachProposed
    Rachel Richardson: 3 claims, no attributed provider
    ACT-019100, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydc66ef604b
    scoring_agent, CLM-413551, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:54:38Record linked automatically841f682098
    scoring_agent, ENR-117764, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd7652a67d8
    scoring_agent, CLM-413549, identity id MBR-020287, confidence 1, method probabilistic, matched record ENR-117764, policy version 1
  • 2026-10-19 19:54:38Record linked automatically17856b3b75
    matching_agent, CLM-413550, identity id MBR-020287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117764
  • 2026-10-19 19:52:09Record linked automatically3fee73cffa
    scoring_agent, CLM-413551, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye136948b30
    scoring_agent, ENR-117764, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye8f28fcfff
    scoring_agent, CLM-413549, identity id MBR-020287, confidence 1, method probabilistic, matched record ENR-117764, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya5e296fb18
    matching_agent, CLM-413550, identity id MBR-020287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117764
  • 2026-10-19 19:45:42Record linked automatically3023871c3f
    scoring_agent, CLM-413551, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6b753f5a88
    scoring_agent, ENR-117764, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:45:42Record linked automatically38d0cac9d6
    scoring_agent, CLM-413549, identity id MBR-020287, confidence 1, method probabilistic, matched record ENR-117764, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9328653ddc
    matching_agent, CLM-413550, identity id MBR-020287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117764
  • 2026-10-19 19:32:31Record linked automatically04d8a44aea
    scoring_agent, CLM-413551, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc57ba33ab4
    scoring_agent, ENR-117764, identity id MBR-020287, confidence 1, method probabilistic, matched record CLM-413549, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5c267406e2
    scoring_agent, CLM-413549, identity id MBR-020287, confidence 1, method probabilistic, matched record ENR-117764, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6d542a8013
    matching_agent, CLM-413550, identity id MBR-020287, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117764
  • 2026-10-19 19:31:28Record linked automatically86eaa1b136
    scoring_agent, CLM-413549, identity id MBR-021663, confidence 1, method probabilistic, matched record PRV-23992, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8bb3573a2e
    scoring_agent, ENR-117764, identity id MBR-015189, confidence 1, method probabilistic, matched record PRV-23965, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybd14d25df5
    scoring_agent, CLM-413550, identity id MBR-002131, confidence 1, method probabilistic, matched record ENR-117843, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0317372026-07-30Sunrise Community Hospital
in network
99283$952.00$173.60ApprovedApproved
CLM-2026-0200002026-03-19Heritage Internal Medicine Associates
in network
80053, 99215$464.00$267.68ApprovedApproved
CLM-2026-0199282026-03-04Riverside Bone and Joint Center
in network
20610$191.00$68.42ApprovedApproved