Judith Rivera

4 source records from 3 feeds.

MBR-027130Verified4 records

Golden record

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

First nameENR: Judith
Middle name—: —
Last nameENR: Rivera
Date of birthENR: 1968-04-15
GenderENR: F
Member IDENR: UHC-20415-76
SSNENR: •••-••-7313
PhoneENR: 9057262201
EmailPRV: judith.rivera@aol.com
AddressENR: 5604 Ridge Rd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90005
GroupENR: GRP-8342
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

PRV ×2CLM ×1ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
PRV-20892	PRV	2026-04-22	Judith Riveraflagged	1968-04-15	UHC-20415-76	9057262201	5604 Ridge Rd, Los Angeles, CA	Scored	1.00	—
CLM-403158	CLM	2026-07-08	Judith Riveraflagged	1968-04-15	UHC-20415-76	9057262201	5604 Ridge Rd, Los Angeles, CA	Scored	1.00	—
PRV-20891	PRV	2026-07-23	Judith Riveraflagged	1968-04-15	—	—	5604 Ridge Rd, Los Angeles, CA	Scored	1.00	—
ENR-104094	ENR	2026-08-07	Judith Riveraflagged	1968-04-15	UHC-20415-76	9057262201	5604 Ridge Rd, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-20891PRVENR-104094ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20892PRVPRV-20891PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403158CLM PRV-20891PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-20892PRVCLM-403158CLM 0.99RuleD1 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

▶PRV-20892PRVENR-104094ENR0.99RuleD1 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-403158CLM ENR-104094ENR0.99RuleD1 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Judith Rivera: 2 plan codes across sources → canonical OPTIONS-PPO
ACT-001070, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyc5c8980bc2
scoring_agent, ENR-104094, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:54:38Record linked automatically79e16d0444
scoring_agent, PRV-20891, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20892, policy version 1
2026-10-19 19:54:38Record linked automatically60299992dc
scoring_agent, CLM-403158, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:54:38Record linked automatically58b7f4e86e
scoring_agent, PRV-20892, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:52:09Record linked automaticallyf2377158fe
scoring_agent, ENR-104094, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:52:09Record linked automatically2207fbdaea
scoring_agent, PRV-20891, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20892, policy version 1
2026-10-19 19:52:09Record linked automaticallyf89d035f52
scoring_agent, CLM-403158, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:52:09Record linked automatically5ae1481673
scoring_agent, PRV-20892, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:45:42Record linked automatically906735498c
scoring_agent, ENR-104094, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:45:42Record linked automatically71e20b6b0d
scoring_agent, PRV-20891, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20892, policy version 1
2026-10-19 19:45:42Record linked automatically7a0ed82d38
scoring_agent, CLM-403158, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:45:42Record linked automatically2537d90967
scoring_agent, PRV-20892, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:32:31Record linked automatically992a337998
scoring_agent, ENR-104094, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:32:31Record linked automatically42ed316d32
scoring_agent, PRV-20891, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20892, policy version 1
2026-10-19 19:32:31Record linked automatically87deef453d
scoring_agent, CLM-403158, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:32:31Record linked automatically6f45240b08
scoring_agent, PRV-20892, identity id MBR-027130, confidence 1, method probabilistic, matched record PRV-20891, policy version 1
2026-10-19 19:31:28Record linked automaticallyee2335e2bb
matching_agent, CLM-403158, identity id MBR-031565, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104151
2026-10-19 19:31:28Record linked automaticallyb822e12459
matching_agent, PRV-20891, identity id MBR-028343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402909
2026-10-19 19:31:28Record linked automaticallyd9e45e7967
scoring_agent, PRV-20892, identity id MBR-008111, confidence 1, method probabilistic, matched record ENR-103827, policy version 1
2026-10-19 19:31:28Record linked automatically14c539ac6d
matching_agent, ENR-104094, identity id MBR-000047, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403117

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-2026-034335	2026-07-05	Heritage Medical Group out of network	90471	$45.00	$0.00	Approved	Approved