Identities/MBR-024158
Gold, golden identity

Helen T Rivera

4 source records from 3 feeds.

MBR-024158Verified4 records

Golden record

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

First nameENR
Helen
Middle nameCLM
T
Last nameENR
Rivera
Date of birthENR
1960-06-28
GenderENR
M
Member IDENR
UHC-98891-36
SSNENR
•••-••-0789
PhoneENR
9249898584
EmailENR
helen.rivera@proton.me
AddressENR
2648 Sunset Blvd
CityENR
Mesa
StateENR
AZ
ZIPENR
85267
GroupENR
GRP-2098
PlanENR
MEDICARE-ADV-B
Min confidence
1.00
Sources
TPA ×1CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.001.00TPATPA-64152CLMCLM-432071ENRENR-142097CLMCLM-432072IDMBR-024158
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
TPA-64152TPA2026-04-05Helen Riveraflagged1960-06-28—92498985842648 Sunset Blvd, Mesa, AZScored1.00—
CLM-432071CLM2026-05-26Helen Riveraflagged1960-06-28UHC-98891-3692498985842648 Sunset Blvd, Mesa, AZScored1.00—
ENR-142097ENR2026-09-21Helen Riveraflagged1960-06-28UHC-98891-3692498985842648 Sunset Blvd, Mesa, AZScored1.00—
CLM-432072CLM2026-09-23Helen Riveraflagged1960-06-28—92498985842648 Sunset Blvd, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-64152TPACLM-432071CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-64152TPACLM-432072CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432071CLMCLM-432072CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-64152TPAENR-142097ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432071CLMENR-142097ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-142097ENRCLM-432072CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-432072 → UHC-98891-36 (Helen Rivera)
    ACT-008270, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically8d557fffe3
    scoring_agent, CLM-432072, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3a641c5ad5
    scoring_agent, ENR-142097, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf21243862c
    scoring_agent, CLM-432071, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3fc3dbb3fb
    scoring_agent, TPA-64152, identity id MBR-024158, confidence 1, method probabilistic, matched record CLM-432071, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf84e173cb9
    scoring_agent, CLM-432072, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:52:09Record linked automatically125ae488a8
    scoring_agent, ENR-142097, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyecd50dbc1a
    scoring_agent, CLM-432071, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf76f87cd8a
    scoring_agent, TPA-64152, identity id MBR-024158, confidence 1, method probabilistic, matched record CLM-432071, policy version 1
  • 2026-10-19 19:45:42Record linked automatically05bf37e8f2
    scoring_agent, CLM-432072, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:45:42Record linked automatically29fc334b19
    scoring_agent, ENR-142097, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:45:42Record linked automatically06feb6db3c
    scoring_agent, CLM-432071, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7cbe88173d
    scoring_agent, TPA-64152, identity id MBR-024158, confidence 1, method probabilistic, matched record CLM-432071, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfa20869e93
    scoring_agent, CLM-432072, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya6a5893f0a
    scoring_agent, ENR-142097, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2972a38bc9
    scoring_agent, CLM-432071, identity id MBR-024158, confidence 1, method probabilistic, matched record TPA-64152, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2b11300201
    scoring_agent, TPA-64152, identity id MBR-024158, confidence 1, method probabilistic, matched record CLM-432071, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc952f8c3ef
    scoring_agent, TPA-64152, identity id MBR-026575, confidence 1, method probabilistic, matched record ENR-142643, policy version 1
  • 2026-10-19 19:31:28Record linked automatically99a307af1d
    matching_agent, CLM-432072, identity id MBR-012126, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432073
  • 2026-10-19 19:31:28Record linked automatically142b299cb7
    matching_agent, CLM-432071, identity id MBR-010161, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142311
  • 2026-10-19 19:31:28Record linked automatically60cd48e015
    matching_agent, ENR-142097, identity id MBR-005955, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431888

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0262412026-09-09Sunrise Cardiovascular Associates
out of network
93224$465.00$149.25ApprovedApproved
CLM-2026-0266632026-05-16Lakeside Endocrine Associates
out of network
83036, 95251$248.00$92.70ApprovedApproved