Identities/MBR-028606
Gold, golden identity

Santiago H Rivera

5 source records from 4 feeds.

MBR-028606Verified5 records

Golden record

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

First nameENR
Santiago
Middle nameENR
H
Last nameENR
Rivera
Date of birthENR
1951-02-05
GenderENR
M
Member IDENR
UHC-93168-85
SSNENR
•••-••-2319
PhoneENR
4276567861
EmailENR
santiago.rivera11@icloud.com
AddressENR
3442 Camelback Rd
CityENR
Minneapolis
StateENR
MN
ZIPENR
55443
GroupENR
GRP-6361
PlanENR
SELECT-EPO
Min confidence
0.96
Sources
TPA ×1PRV ×1ENR ×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

1.001.001.000.990.96TPATPA-50683PRVPRV-20480ENRENR-102041CLMCLM-401557CLMCLM-401556IDMBR-028606
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
TPA-50683TPA2026-05-01Santiago Riveraflagged1951-02-05——3442 Camelback Rd, Minneapolis, MNScored1.00—
PRV-20480PRV2026-06-10Santiago Riveraflagged1951-02-05—42765678613442 Camelback Rd, Minneapolis, MNScored1.00—
ENR-102041ENR2026-08-03Santiago Riveraflagged1951-02-05UHC-93168-8542765678613442 Camelback Rd, Minneapolis, MNScored1.00—
CLM-401557CLM2026-08-16Santiago Riveraflagged1951-02-05UHC-93168-85——Rule0.99D1 member id + dob exact
CLM-401556CLM2026-10-16Santiago Riveraflagged—UHC-93168-85—3442 Camelback Rd, Minneapolis, MNRule0.96D3 member id + name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50683TPAENR-102041ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-20480PRVENR-102041ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-50683TPAPRV-20480PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-102041ENRCLM-401557CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102041ENRCLM-401556CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-401557CLMCLM-401556CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-50683TPACLM-401556CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶PRV-20480PRVCLM-401556CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶TPA-50683TPACLM-401557CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶PRV-20480PRVCLM-401557CLM0.83Scoredweighted 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
    Santiago Rivera: 2 plan codes across sources → canonical SELECT-EPO
    ACT-001110, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6c6f4a0116
    matching_agent, CLM-401556, identity id MBR-028606, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102041
  • 2026-10-19 19:54:38Record linked automatically97e994ae58
    matching_agent, CLM-401557, identity id MBR-028606, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102041
  • 2026-10-19 19:54:38Record linked automatically5f7abdc4da
    scoring_agent, ENR-102041, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye899e6b4fb
    scoring_agent, PRV-20480, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycdae2c875d
    scoring_agent, TPA-50683, identity id MBR-028606, confidence 1, method probabilistic, matched record PRV-20480, policy version 1
  • 2026-10-19 19:52:09Record linked automatically53a1ee9ec5
    matching_agent, CLM-401556, identity id MBR-028606, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102041
  • 2026-10-19 19:52:09Record linked automatically9cf92f01c0
    matching_agent, CLM-401557, identity id MBR-028606, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102041
  • 2026-10-19 19:52:09Record linked automatically275ac13999
    scoring_agent, ENR-102041, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyaa87fcbfa8
    scoring_agent, PRV-20480, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc0b6bd7251
    scoring_agent, TPA-50683, identity id MBR-028606, confidence 1, method probabilistic, matched record PRV-20480, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb7bca34a12
    matching_agent, CLM-401556, identity id MBR-028606, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102041
  • 2026-10-19 19:45:42Record linked automaticallyea8a17edde
    matching_agent, CLM-401557, identity id MBR-028606, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102041
  • 2026-10-19 19:45:42Record linked automatically73dd17afc3
    scoring_agent, ENR-102041, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb5d199b639
    scoring_agent, PRV-20480, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:45:42Record linked automatically663d3602c4
    scoring_agent, TPA-50683, identity id MBR-028606, confidence 1, method probabilistic, matched record PRV-20480, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye10f7d17b7
    matching_agent, CLM-401556, identity id MBR-028606, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-102041
  • 2026-10-19 19:32:31Record linked automatically3e3b371fba
    matching_agent, CLM-401557, identity id MBR-028606, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102041
  • 2026-10-19 19:32:31Record linked automatically0b9e418b5b
    scoring_agent, ENR-102041, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:32:31Record linked automatically53be141475
    scoring_agent, PRV-20480, identity id MBR-028606, confidence 1, method probabilistic, matched record TPA-50683, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02a0159c7a
    scoring_agent, TPA-50683, identity id MBR-028606, confidence 1, method probabilistic, matched record PRV-20480, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye87a292ed1
    scoring_agent, PRV-20480, identity id MBR-020019, confidence 1, method probabilistic, matched record PRV-20481, policy version 1
  • 2026-10-19 19:31:28Record linked automatically13ecac4581
    scoring_agent, CLM-401557, identity id MBR-014816, confidence 1, method probabilistic, matched record CLM-401559, policy version 1
  • 2026-10-19 19:31:28Record linked automatically51f15ceb76
    matching_agent, ENR-102041, identity id MBR-011852, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-401534
  • 2026-10-19 19:31:28Record linked automaticallyf41d7964bb
    matching_agent, CLM-401556, identity id MBR-006029, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102062

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0062772026-09-22Cornerstone Internal Medicine Associates
in network
99215, 80053$405.00$226.10ApprovedApproved
CLM-2026-0250302026-07-23Sunrise Cardiovascular Associates
out of network
99214, 93224$706.00—DeniedDenied