Identities/MBR-026347
Gold, golden identity

Amy I Rice

3 source records from 1 feed.

MBR-026347Verified3 recordsOpen steward case

Golden record

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

First nameCLM
Amy
Middle nameCLM
I
Last nameCLM
Rice
Date of birthCLM
1991-06-04
GenderCLM
F
Member IDCLM
UHC-66150-22
SSNCLM
•••-••-1350
Phone—
—
EmailCLM
amy.rice11@yahoo.com
AddressCLM
7485 Highland Ave
CityCLM
Denver
StateCLM
CO
ZIPCLM
80265
GroupCLM
GRP-8122
PlanCLM
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.97CLMCLM-401785CLMCLM-401784CLMCLM-401783IDMBR-026347
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-401785CLM2026-04-17Amy Riceflagged1991-06-04UHC-66150-22—7485 Highland Ave, Denver, CORule0.99D1 member id + dob exact
CLM-401784CLM2026-04-22Amy Riceflagged1991-06-04UHC-66150-22—7485 Highland Ave, Denver, CORule0.99D1 member id + dob exact
CLM-401783CLM2026-07-19Amy Riceflagged1991-06-04———Rule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401785CLMCLM-401784CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401784CLMCLM-401783CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401785CLMCLM-401783CLM0.83Scoredweighted 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

  • Eligibility conflict resolvedProposed
    Amy Rice: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
    ACT-001052, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-401783 → UHC-66150-22 (Amy Rice)
    ACT-001676, Claims processor
  • Care coordination outreachProposed
    Amy Rice: 3 claims, no attributed provider
    ACT-019328, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically178287efd3
    matching_agent, CLM-401783, identity id MBR-026347, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401784
  • 2026-10-19 19:54:38Record linked automatically2d0fe893f3
    matching_agent, CLM-401784, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401785
  • 2026-10-19 19:54:38Record linked automatically42bf05f3f1
    matching_agent, CLM-401785, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401784
  • 2026-10-19 19:52:09Record linked automaticallya05a9a30ba
    matching_agent, CLM-401783, identity id MBR-026347, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401784
  • 2026-10-19 19:52:09Record linked automatically45a3a1b72a
    matching_agent, CLM-401784, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401785
  • 2026-10-19 19:52:09Record linked automaticallyf619d880b4
    matching_agent, CLM-401785, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401784
  • 2026-10-19 19:45:42Record linked automaticallya253281ce0
    matching_agent, CLM-401783, identity id MBR-026347, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401784
  • 2026-10-19 19:45:42Record linked automatically9495daf4f8
    matching_agent, CLM-401784, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401785
  • 2026-10-19 19:45:42Record linked automatically10d1ccfecf
    matching_agent, CLM-401785, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401784
  • 2026-10-19 19:32:31Record linked automaticallyab12e7716b
    matching_agent, CLM-401783, identity id MBR-026347, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401784
  • 2026-10-19 19:32:31Record linked automaticallye2544d3521
    matching_agent, CLM-401784, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401785
  • 2026-10-19 19:32:31Record linked automaticallyc10740c289
    matching_agent, CLM-401785, identity id MBR-026347, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401784
  • 2026-10-19 19:31:28Record linked automatically01a56c6a07
    scoring_agent, CLM-401785, identity id MBR-034771, confidence 1, method probabilistic, matched record CLM-401786, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0013522026-06-23Desert Reference Lab
in network
80061$44.00$0.00ApprovedApproved
CLM-2026-0182682026-03-13Meadow Family Practice
in network
90471$29.00$0.00ApprovedApproved
CLM-2026-0068282026-03-04Sunrise Internal Medicine Associates
in network
99232, 99215$518.00—Needs reviewNeeds review