Identities/MBR-027357
Gold, golden identity

Bradley Rice

5 source records from 3 feeds.

MBR-027357Verified5 records

Golden record

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

First nameENR
Bradley
Middle name—
—
Last nameENR
Rice
Date of birthENR
1983-03-12
GenderENR
F
Member IDENR
UHC-06356-65
SSNENR
•••-••-0054
PhoneENR
2807381003
EmailTPA
bradley.rice@gmail.com
AddressENR
4855 Bayshore Dr
CityENR
Atlanta
StateENR
GA
ZIP—
—
GroupENR
GRP-8433
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
CLM ×3TPA ×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

0.971.001.001.000.99CLMCLM-401746CLMCLM-401744TPATPA-50767CLMCLM-401745ENRENR-102294IDMBR-027357
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-401746CLM2026-04-23Bradlley Riceflagged1983-03-12—2807381003—Rule0.97D2 ssn4 + dob + last name
CLM-401744CLM2026-04-26Bradley Riceflagged1983-03-12—28073810034855 Bayshore Dr, Atlanta, GAScored1.00—
TPA-50767TPA2026-05-24Bradley Riceflagged1983-03-12—28073810034855 Bayshore Dr, Atlanta, GAScored1.00—
CLM-401745CLM2026-08-15Bradley Riceflagged1983-03-12UHC-06356-65—4855 Bayshore Dr, Atlanta, GAScored1.00—
ENR-102294ENR2026-09-05Bradley Riceflagged1983-03-12UHC-06356-6528073810034855 Bayshore Dr, Atlanta, GARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-401744CLMCLM-401745CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50767TPACLM-401745CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-401745CLMENR-102294ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401746CLMCLM-401744CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401746CLMENR-102294ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401744CLMENR-102294ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-50767TPAENR-102294ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-401746CLMTPA-50767TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401744CLMTPA-50767TPA0.97RuleD2 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
▶CLM-401746CLMCLM-401745CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-401744 → UHC-06356-65 (Bradley Rice)
    ACT-002315, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-401746 → UHC-06356-65 (Bradley Rice)
    ACT-002665, Claims processor
  • Care coordination outreachProposed
    Bradley Rice: 3 claims, no attributed provider
    ACT-019369, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyedf9d28098
    matching_agent, ENR-102294, identity id MBR-027357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401745
  • 2026-10-19 19:54:38Record linked automatically91bec4a91b
    scoring_agent, CLM-401745, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401744, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycb64a1c40d
    scoring_agent, TPA-50767, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycc5c7492b7
    scoring_agent, CLM-401744, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9ab03dc751
    matching_agent, CLM-401746, identity id MBR-027357, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401744
  • 2026-10-19 19:52:09Record linked automaticallyfdfa350092
    matching_agent, ENR-102294, identity id MBR-027357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401745
  • 2026-10-19 19:52:09Record linked automatically8483a37913
    scoring_agent, CLM-401745, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401744, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6b312d56b7
    scoring_agent, TPA-50767, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya44f911216
    scoring_agent, CLM-401744, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:52:09Record linked automatically31dfd41839
    matching_agent, CLM-401746, identity id MBR-027357, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401744
  • 2026-10-19 19:45:42Record linked automatically05f0121660
    matching_agent, ENR-102294, identity id MBR-027357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401745
  • 2026-10-19 19:45:42Record linked automatically00a09b0a27
    scoring_agent, CLM-401745, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401744, policy version 1
  • 2026-10-19 19:45:42Record linked automatically110011a2f0
    scoring_agent, TPA-50767, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfe707779df
    scoring_agent, CLM-401744, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:45:42Record linked automatically435ad21f13
    matching_agent, CLM-401746, identity id MBR-027357, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401744
  • 2026-10-19 19:32:31Record linked automatically324b699e17
    matching_agent, ENR-102294, identity id MBR-027357, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401745
  • 2026-10-19 19:32:31Record linked automatically281024fa0f
    scoring_agent, CLM-401745, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401744, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfaf5b71ef7
    scoring_agent, TPA-50767, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8fd5b0c950
    scoring_agent, CLM-401744, identity id MBR-027357, confidence 1, method probabilistic, matched record CLM-401745, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3ce8c22419
    matching_agent, CLM-401746, identity id MBR-027357, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401744
  • 2026-10-19 19:31:28Record linked automatically6ecc310ed4
    scoring_agent, TPA-50767, identity id MBR-030887, confidence 0.99, method probabilistic, matched record TPA-50768, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6602ae09c3
    scoring_agent, CLM-401746, identity id MBR-027140, confidence 1, method probabilistic, matched record ENR-102274, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0fb97f855e
    matching_agent, CLM-401745, identity id MBR-024118, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102273
  • 2026-10-19 19:31:28Record linked automatically15800d8540
    matching_agent, ENR-102294, identity id MBR-022480, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102295

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0002932026-08-05Pinecrest Medical Group
in network
90471, 99214, 36415$263.00$147.56ApprovedApproved
CLM-2026-0036662026-03-27Lakeside Clinical Laboratories
in network
80053, 87086$115.00—DeniedDenied
CLM-2026-0036652026-03-27Lakeside Clinical Laboratories
in network
80053, 87086$115.00$0.00ApprovedApproved
CLM-2026-0050162026-03-13Harbor Medical Group
out of network
80053$50.00—DeniedDenied