Identities/MBR-022872
Gold, golden identity

Teresa Rivera

5 source records from 4 feeds.

MBR-022872Verified5 records

Golden record

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

First nameENR
Teresa
Middle name—
—
Last nameENR
Rivera
Date of birthENR
1967-12-18
GenderENR
F
Member IDENR
UHC-46808-74
SSNENR
•••-••-2773
PhoneENR
6133745860
EmailENR
teresa.rivera22@icloud.com
AddressPRV
9292 Forest Ave
CityPRV
Fresno
StatePRV
CA
ZIPCLM
93717
GroupENR
GRP-0339
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×2ENR ×1PRV ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.000.971.00CLMCLM-425111ENRENR-132810CLMCLM-425110PRVPRV-27376TPATPA-61066IDMBR-022872
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-425111CLM2026-03-29Teresa Riveraflagged1967-12-18——9292 Forest Ave, Fresno, CAScored1.00—
ENR-132810ENR2026-04-07Teresa Riveraflagged1967-12-18UHC-46808-746133745860—Rule0.99D1 member id + dob exact
CLM-425110CLM2026-05-27Teresa Riveraflagged1967-12-18——9292 Forest Ave, Fresno, CAScored1.00—
PRV-27376PRV2026-06-11Teresa Riveraflagged1967-12-18—61337458609292 Forest Ave, Fresno, CARule0.97D2 ssn4 + dob + last name
TPA-61066TPA2026-06-12Teresa Riveraflagged1967-12-18UHC-46808-74—9292 Forest Ave, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-425111CLMCLM-425110CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425111CLMTPA-61066TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425110CLMTPA-61066TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132810ENRTPA-61066TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132810ENRPRV-27376PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27376PRVTPA-61066TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425111CLMPRV-27376PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-425110CLMPRV-27376PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-132810ENRCLM-425110CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-425111CLMENR-132810ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425111 → UHC-46808-74 (Teresa Rivera)
    ACT-003318, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-425110 → UHC-46808-74 (Teresa Rivera)
    ACT-007689, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyee8255b5b5
    scoring_agent, TPA-61066, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye3d4ae12db
    matching_agent, PRV-27376, identity id MBR-022872, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132810
  • 2026-10-19 19:54:38Record linked automatically6e7087ea92
    scoring_agent, CLM-425110, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:54:38Record linked automatically98ea036858
    matching_agent, ENR-132810, identity id MBR-022872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61066
  • 2026-10-19 19:54:38Record linked automatically86a2016549
    scoring_agent, CLM-425111, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425110, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0a2396c02a
    scoring_agent, TPA-61066, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6e5258fc29
    matching_agent, PRV-27376, identity id MBR-022872, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132810
  • 2026-10-19 19:52:09Record linked automatically200cf4af00
    scoring_agent, CLM-425110, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya55bf78696
    matching_agent, ENR-132810, identity id MBR-022872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61066
  • 2026-10-19 19:52:09Record linked automatically31cefe4066
    scoring_agent, CLM-425111, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425110, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1f1740eedc
    scoring_agent, TPA-61066, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0d82336d30
    matching_agent, PRV-27376, identity id MBR-022872, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132810
  • 2026-10-19 19:45:42Record linked automaticallyf55100f3e7
    scoring_agent, CLM-425110, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:45:42Record linked automatically992b65073d
    matching_agent, ENR-132810, identity id MBR-022872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61066
  • 2026-10-19 19:45:42Record linked automatically429c025271
    scoring_agent, CLM-425111, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425110, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycfaa751b16
    scoring_agent, TPA-61066, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6f75934f75
    matching_agent, PRV-27376, identity id MBR-022872, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132810
  • 2026-10-19 19:32:31Record linked automaticallyd0af9a8c12
    scoring_agent, CLM-425110, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425111, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyabc40c5222
    matching_agent, ENR-132810, identity id MBR-022872, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-61066
  • 2026-10-19 19:32:31Record linked automatically60c023a57e
    scoring_agent, CLM-425111, identity id MBR-022872, confidence 1, method probabilistic, matched record CLM-425110, policy version 1
  • 2026-10-19 19:31:28Record linked automatically26dea1b9ec
    scoring_agent, TPA-61066, identity id MBR-023407, confidence 0.98, method probabilistic, matched record ENR-133131, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye1c73d6dc0
    matching_agent, PRV-27376, identity id MBR-016819, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132935

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0240942026-04-19Heritage Orthopedic Specialists
in network
99213, 20610$452.00—Needs reviewNeeds review
CLM-2026-0074982026-02-25Desert Heart Institute
in network
99214$337.00$168.94ApprovedApproved