Identities/MBR-028577
Gold, golden identity

Ryan Riley

3 source records from 2 feeds.

MBR-028577Verified3 records

Golden record

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

First nameENR
Ryan
Middle name—
—
Last nameENR
Riley
Date of birthENR
1987-02-22
GenderCLM
F
Member IDENR
UHC-78345-09
SSNENR
•••-••-3911
PhoneENR
5577288089
EmailENR
ryan.riley63@aol.com
AddressENR
592 Sage Ct
CityENR
Nashville
StateENR
TN
ZIPENR
37212
GroupENR
GRP-3532
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.00ENRENR-115421CLMCLM-411705CLMCLM-411706IDMBR-028577
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
ENR-115421ENR2026-05-01Ryan Rileyflagged1987-02-22UHC-78345-095577288089592 Sage Ct, Nashville, TNRule0.99D1 member id + dob exact
CLM-411705CLM2026-05-27Ryan Rileyflagged1987-02-22—5577288089592 Sage Ct, Nashville, TNScored1.00—
CLM-411706CLM2026-09-11Ryan Rileyflagged1987-02-22UHC-78345-095577288089592 Sage Ct, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411705CLMCLM-411706CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-115421ENRCLM-411706CLM0.99RuleD1 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-115421ENRCLM-411705CLM0.97RuleD2 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-411705 → UHC-78345-09 (Ryan Riley)
    ACT-006739, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyd6e91ed1d9
    scoring_agent, CLM-411706, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411705, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2d7181d6b1
    scoring_agent, CLM-411705, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411706, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycc08676db3
    matching_agent, ENR-115421, identity id MBR-028577, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411706
  • 2026-10-19 19:52:09Record linked automatically71dbdac372
    scoring_agent, CLM-411706, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411705, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc88920844c
    scoring_agent, CLM-411705, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411706, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybc03b4bf2f
    matching_agent, ENR-115421, identity id MBR-028577, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411706
  • 2026-10-19 19:45:42Record linked automatically1a6de44ae6
    scoring_agent, CLM-411706, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411705, policy version 1
  • 2026-10-19 19:45:42Record linked automatically89f3fff080
    scoring_agent, CLM-411705, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411706, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1522b9573b
    matching_agent, ENR-115421, identity id MBR-028577, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411706
  • 2026-10-19 19:32:31Record linked automaticallyeb533d6018
    scoring_agent, CLM-411706, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411705, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyce9f0869fe
    scoring_agent, CLM-411705, identity id MBR-028577, confidence 1, method probabilistic, matched record CLM-411706, policy version 1
  • 2026-10-19 19:32:31Record linked automatically880aa29d6c
    matching_agent, ENR-115421, identity id MBR-028577, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411706
  • 2026-10-19 19:31:28Record linked automatically97cc7511db
    scoring_agent, CLM-411705, identity id MBR-033679, confidence 1, method probabilistic, matched record PRV-23475, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf63862f17e
    scoring_agent, CLM-411706, identity id MBR-015706, confidence 1, method probabilistic, matched record CLM-411707, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0326592026-08-03Pinecrest Heart Institute
in network
99214, 93224$574.00—DeniedDenied
CLM-2026-0326582026-08-03Pinecrest Heart Institute
in network
99214, 93224$574.00$305.88ApprovedApproved
CLM-2026-0203472026-04-20Sunrise Skin Care Associates
in network
11102, 99213, 17110$586.00—DeniedDenied
CLM-2026-0203462026-04-20Sunrise Skin Care Associates
in network
11102, 99213, 17110$586.00$313.32ApprovedApproved