Identities/MBR-021595
Gold, golden identity

Judy Rivera

4 source records from 1 feed.

MBR-021595Verified4 records

Golden record

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

First nameCLM
Judy
Middle name—
—
Last nameCLM
Rivera
Date of birthCLM
1960-05-09
GenderCLM
F
Member IDCLM
UHC-37285-52
SSNCLM
•••-••-9002
PhoneCLM
8376418707
EmailCLM
judy.rivera12@outlook.com
AddressCLM
6789 Main St
CityCLM
Charlotte
StateCLM
NC
ZIPCLM
28209
GroupCLM
GRP-8564
PlanCLM
SELECT-EPO
Min confidence
0.99
Sources
CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-411315CLMCLM-411313CLMCLM-411312CLMCLM-411314IDMBR-021595
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-411315CLM2026-03-23Judy Riveraflagged1960-05-09UHC-37285-5283764187076789 Main St, Charlotte, NCScored1.00—
CLM-411313CLM2026-05-04Judy Riveraflagged1960-05-09——6789 Main St, Charlotte, NCScored1.00—
CLM-411312CLM2026-07-11Judy Riveraflagged1960-05-09—83764187076789 Main St, Charlotte, NCScored1.00—
CLM-411314CLM2026-10-10Juy Riveraflagged1960-05-09UHC-37285-52—6789 Main St, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411315CLMCLM-411312CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411313CLMCLM-411312CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411315CLMCLM-411313CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411315CLMCLM-411314CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411313CLMCLM-411314CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411312CLMCLM-411314CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411312 → UHC-37285-52 (Judy Rivera)
    ACT-005157, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-411313 → UHC-37285-52 (Judy Rivera)
    ACT-008941, Claims processor
  • Care coordination outreachProposed
    Judy Rivera: 4 claims, no attributed provider
    ACT-019157, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyea84d66ac6
    matching_agent, CLM-411314, identity id MBR-021595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411315
  • 2026-10-19 19:54:38Record linked automaticallyd3a610405c
    scoring_agent, CLM-411312, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:54:38Record linked automatically29e8755faf
    scoring_agent, CLM-411313, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybcd3d24603
    scoring_agent, CLM-411315, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411313, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc12892fe1b
    matching_agent, CLM-411314, identity id MBR-021595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411315
  • 2026-10-19 19:52:09Record linked automatically0c517b5d3a
    scoring_agent, CLM-411312, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:52:09Record linked automatically71e555026d
    scoring_agent, CLM-411313, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyddd68e12d6
    scoring_agent, CLM-411315, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411313, policy version 1
  • 2026-10-19 19:45:42Record linked automatically246a312fdb
    matching_agent, CLM-411314, identity id MBR-021595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411315
  • 2026-10-19 19:45:42Record linked automatically37f3104db7
    scoring_agent, CLM-411312, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4e66f235b7
    scoring_agent, CLM-411313, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9112a443f7
    scoring_agent, CLM-411315, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411313, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7b06fd297b
    matching_agent, CLM-411314, identity id MBR-021595, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411315
  • 2026-10-19 19:32:31Record linked automatically8ef13d467e
    scoring_agent, CLM-411312, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfe0ff40df1
    scoring_agent, CLM-411313, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411315, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3837ebecda
    scoring_agent, CLM-411315, identity id MBR-021595, confidence 1, method probabilistic, matched record CLM-411313, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd282d3c414
    scoring_agent, CLM-411315, identity id MBR-036457, confidence 1, method probabilistic, matched record TPA-55013, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0c7bdb3b3e
    scoring_agent, CLM-411312, identity id MBR-021399, confidence 0.99, method probabilistic, matched record CLM-411310, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0044152026-09-07Summit Diagnostic Imaging
in network
71046, 74177$2,424.00$601.06ApprovedApproved
CLM-2026-0144612026-06-10Heritage Medical Group
in network
99214$294.00$142.28ApprovedApproved
CLM-2026-0287772026-04-22Valley Internal Medicine Associates
in network
99215, 80053$417.00$218.54ApprovedApproved
CLM-2026-0092792026-02-27Evergreen Medical Group
in network
99203$232.00$103.84ApprovedApproved