Nancy N Rios

4 source records from 4 feeds.

MBR-021513Verified4 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: N
Last nameENR: Rios
Date of birthENR: 1945-11-03
GenderENR: F
Member IDENR: UHC-06953-52
SSNENR: •••-••-8241
PhoneENR: 3529819484
EmailPRV: nancy.rios19@outlook.com
AddressENR: 7547 Highland Ave
CityENR: Columbus
StateENR: OH
ZIPENR: 43286
GroupENR: GRP-1357
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

TPA ×1PRV ×1ENR ×1CLM ×1

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
TPA-53988	TPA	2026-03-23	Nancy Riosflagged	1945-11-03	—	3529819484	7547 Highland Ave, Columbus, OH	Scored	1.00	—
PRV-22685	PRV	2026-04-04	Nancy Riosflagged	1945-11-03	—	—	7547 Highland Ave Apt 19, Columbus, OH	Scored	1.00	—
ENR-112080	ENR	2026-05-02	Nancy Riosflagged	1945-11-03	UHC-06953-52	3529819484	7547 Highland Ave, Columbus, OH	Scored	1.00	—
CLM-409151	CLM	2026-09-10	Nancy Riosflagged	1945-11-03	UHC-06953-52	—	7547 Highland Ave, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-53988TPACLM-409151CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22685PRVCLM-409151CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53988TPAENR-112080ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22685PRVENR-112080ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-53988TPAPRV-22685PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-112080ENRCLM-409151CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: 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

2026-10-19 19:54:38Record linked automatically2f5227909f
scoring_agent, CLM-409151, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:54:38Record linked automatically896440f9be
scoring_agent, ENR-112080, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:54:38Record linked automaticallybad55b97c5
scoring_agent, PRV-22685, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:54:38Record linked automaticallye3ab01efb1
scoring_agent, TPA-53988, identity id MBR-021513, confidence 1, method probabilistic, matched record PRV-22685, policy version 1
2026-10-19 19:52:09Record linked automatically9d4dd265d4
scoring_agent, CLM-409151, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:52:09Record linked automatically05fb8892f9
scoring_agent, ENR-112080, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:52:09Record linked automatically66a8ee3956
scoring_agent, PRV-22685, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:52:09Record linked automatically01df1ee186
scoring_agent, TPA-53988, identity id MBR-021513, confidence 1, method probabilistic, matched record PRV-22685, policy version 1
2026-10-19 19:45:42Record linked automatically92cdaa1af8
scoring_agent, CLM-409151, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:45:42Record linked automaticallybccae342af
scoring_agent, ENR-112080, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:45:42Record linked automatically7e5ca96097
scoring_agent, PRV-22685, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:45:42Record linked automatically0c562e5132
scoring_agent, TPA-53988, identity id MBR-021513, confidence 1, method probabilistic, matched record PRV-22685, policy version 1
2026-10-19 19:32:31Record linked automatically78197e0a46
scoring_agent, CLM-409151, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:32:31Record linked automatically5d07c6f9f5
scoring_agent, ENR-112080, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:32:31Record linked automaticallyb32f21ea27
scoring_agent, PRV-22685, identity id MBR-021513, confidence 1, method probabilistic, matched record TPA-53988, policy version 1
2026-10-19 19:32:31Record linked automaticallydf9c2a0d61
scoring_agent, TPA-53988, identity id MBR-021513, confidence 1, method probabilistic, matched record PRV-22685, policy version 1
2026-10-19 19:31:28Record linked automatically9504ad1aa5
matching_agent, CLM-409151, identity id MBR-033728, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409152
2026-10-19 19:31:28Record linked automatically5ab931b32c
matching_agent, ENR-112080, identity id MBR-024989, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-409172
2026-10-19 19:31:28Record linked automaticallyfbc12c8aad
matching_agent, PRV-22685, identity id MBR-005889, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-111866

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-2026-029356	2026-08-20	Canyon Clinical Laboratories in network	80053, 83036	$122.00	—	Needs review	Needs review
CLM-2026-029355	2026-08-20	Canyon Clinical Laboratories in network	80053, 83036	$122.00	$0.00	Approved	Approved