Identities/MBR-026096

Gold, golden identity

Priya Rodriguez

5 source records from 2 feeds.

MBR-026096Verified5 records

Golden record

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

First nameENR: Priya
Middle name—: —
Last nameENR: Rodriguez
Date of birthENR: 1963-11-16
GenderENR: M
Member IDENR: UHC-00786-93
SSNENR: •••-••-0896
PhoneENR: 6723806149
Email—: —
AddressCLM: 7200 Indian School Rd # 773
CityENR: Las Vegas
StateENR: NV
ZIPENR: 89154
GroupENR: GRP-6164
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×4ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-427188	CLM	2026-04-16	Priya Rodriguezflagged	1963-11-16	UHC-00786-93	—	7200 Indian School Rd, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-427187	CLM	2026-04-16	Priya Rodriguezflagged	1963-11-16	UHC-00786-93	—	7200 Indian School Rd, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
ENR-135646	ENR	2026-04-27	Priya Rodriguezflagged	1963-11-16	UHC-00786-93	6723806149	7200 Indian School Rd, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-427190	CLM	2026-05-18	Priya Rodriguezflagged	1963-11-16	UHC-00786-93	6723806149	7200 Indian School Rd, Las Vegas, NV	Rule	0.99	D1 member id + dob exact
CLM-427189	CLM	2026-06-14	Priya Rodriguezflagged	1963-11-16	UHC-00786-93	6723806149	7200 Indian School Rd # 773, Las Vegas, NV	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-427188CLMCLM-427187CLM0.99RuleD1 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

▶CLM-427188CLMCLM-427189CLM0.99RuleD1 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

▶CLM-427187CLMCLM-427189CLM0.99RuleD1 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

▶ENR-135646ENRCLM-427189CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427190CLMCLM-427189CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427188CLMCLM-427190CLM0.99RuleD1 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

▶CLM-427187CLMCLM-427190CLM0.99RuleD1 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

▶ENR-135646ENRCLM-427190CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-427188CLMENR-135646ENR0.99RuleD1 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

▶CLM-427187CLMENR-135646ENR0.99RuleD1 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

Outreach address correctedProposed
Priya Rodriguez: 7200 Indian School Rd, Las Vegas → 7200 Indian School Rd # 773, Las Vegas
ACT-012676, Outreach
Care coordination outreachProposed
Priya Rodriguez: 4 claims, no attributed provider
ACT-019320, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallydbb8c48624
matching_agent, CLM-427189, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-22 12:43:54Record linked automatically45902d5c1a
matching_agent, CLM-427190, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-22 12:43:54Record linked automatically8c44a758f1
matching_agent, ENR-135646, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-22 12:43:54Record linked automatically4221290013
matching_agent, CLM-427187, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-22 12:43:54Record linked automatically31b76a6ed8
matching_agent, CLM-427188, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427187
2026-10-19 19:54:38Record linked automatically1fdfa584d5
matching_agent, CLM-427189, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:54:38Record linked automatically5b3cee5b8e
matching_agent, CLM-427190, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:54:38Record linked automatically19d0737f5a
matching_agent, ENR-135646, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:54:38Record linked automatically1362e5d5fb
matching_agent, CLM-427187, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:54:38Record linked automaticallyd117560bca
matching_agent, CLM-427188, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427187
2026-10-19 19:52:09Record linked automatically6e09bc23c4
matching_agent, CLM-427189, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:52:09Record linked automatically797275d0ed
matching_agent, CLM-427190, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:52:09Record linked automatically492d0dd36f
matching_agent, ENR-135646, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:52:09Record linked automatically2a131508d9
matching_agent, CLM-427187, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:52:09Record linked automaticallyfe79b5902f
matching_agent, CLM-427188, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427187
2026-10-19 19:45:42Record linked automaticallyed267a459b
matching_agent, CLM-427189, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:45:42Record linked automaticallye79a28890b
matching_agent, CLM-427190, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:45:42Record linked automatically8171e02786
matching_agent, ENR-135646, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:45:42Record linked automaticallye07da24b82
matching_agent, CLM-427187, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:45:42Record linked automatically5791055175
matching_agent, CLM-427188, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427187
2026-10-19 19:32:31Record linked automatically42a8ebc293
matching_agent, CLM-427189, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:32:31Record linked automatically9863892bc6
matching_agent, CLM-427190, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:32:31Record linked automatically4b6143ac38
matching_agent, ENR-135646, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:32:31Record linked automaticallyf8e98213f9
matching_agent, CLM-427187, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427188
2026-10-19 19:32:31Record linked automatically9077b93f10
matching_agent, CLM-427188, identity id MBR-026096, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427187
2026-10-19 19:31:28Record linked automatically5e78749fb9
scoring_agent, CLM-427189, identity id MBR-037526, confidence 1, method probabilistic, matched record ENR-135974, policy version 1
2026-10-19 19:31:28Record linked automatically83250cdb07
matching_agent, CLM-427187, identity id MBR-031238, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-135968
2026-10-19 19:31:28Record linked automaticallydbcc4cf87d
matching_agent, CLM-427188, identity id MBR-018760, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27968
2026-10-19 19:31:28Record linked automatically67b796a90e
scoring_agent, CLM-427190, identity id MBR-010341, confidence 1.00, method probabilistic, matched record TPA-61956, policy version 1
2026-10-19 19:31:28Record linked automatically3c4ba5cb8f
matching_agent, ENR-135646, identity id MBR-001273, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426969

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-2026-005404	2026-05-08	Lakeside Digestive Health Center in network	88305, 43239	$2,403.00	—	Needs review	Needs review
CLM-2026-022475	2026-04-16	Unity Medical Group in network	99214, 99215, 80053	$699.00	$408.38	Approved	Approved
CLM-2026-016264	2026-03-14	Heritage Primary Care Associates in network	99395, 99214	$623.00	$361.26	Approved	Approved
CLM-2026-015911	2026-04-12	Lakeside Reference Lab in network	85025, 80061, 80053, 87086	$243.00	$0.00	Approved	Approved