Identities/MBR-029448

Gold, golden identity

Evelyn Rios

5 source records from 3 feeds.

MBR-029448Verified5 records

Golden record

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

First namePRV: Evelyn
Middle name—: —
Last namePRV: Rios
Date of birthPRV: 1993-08-16
GenderCLM: F
Member IDPRV: UHC-61519-14
SSNTPA: •••-••-2995
PhonePRV: 9738730967
Email—: —
AddressPRV: 5133 Grand Ave
CityPRV: Tucson
StatePRV: AZ
ZIPPRV: 85754
GroupCLM: GRP-3655
PlanPRV: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

PRV ×2TPA ×2CLM ×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-26160	PRV	2026-05-06	Evelyn Riosflagged	—	UHC-61519-14	9738730967	5133 Grand Ave # 470, Tucson, AZ	Scored	1.00	—
PRV-26159	PRV	2026-05-10	Evelyn Riosflagged	1993-08-16	—	9738730967	5133 Grand Ave, Tucson, AZ	Scored	1.00	—
TPA-59167	TPA	2026-06-21	Evelyn Riosflagged	1993-08-16	—	—	5133 Grand Ave, Tucson, AZ	Scored	1.00	—
TPA-59166	TPA	2026-06-21	Evelyn Riosflagged	1993-08-16	—	—	5133 Grand Ave, Tucson, AZ	Scored	1.00	—
CLM-420867	CLM	2026-09-21	Evelyn Riosflagged	1993-08-16	UHC-61519-14	—	—	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶PRV-26160PRVPRV-26159PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26159PRVTPA-59166TPA1.00Scoredweighted 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-26159PRVTPA-59167TPA1.00Scoredweighted 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

▶TPA-59167TPATPA-59166TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26160PRVCLM-420867CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-26159PRVCLM-420867CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-59167TPACLM-420867CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-59166TPACLM-420867CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶PRV-26160PRVTPA-59166TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶PRV-26160PRVTPA-59167TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallya3e628ae46
matching_agent, CLM-420867, identity id MBR-029448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26160
2026-10-19 19:54:38Record linked automaticallyb60f573f41
scoring_agent, TPA-59166, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:54:38Record linked automaticallyf2f61073cd
scoring_agent, TPA-59167, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:54:38Record linked automatically4900b5f42a
scoring_agent, PRV-26159, identity id MBR-029448, confidence 1, method probabilistic, matched record TPA-59167, policy version 1
2026-10-19 19:54:38Record linked automatically3078271fc7
scoring_agent, PRV-26160, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:52:09Record linked automatically96d6e99aff
matching_agent, CLM-420867, identity id MBR-029448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26160
2026-10-19 19:52:09Record linked automatically9b441b9cd7
scoring_agent, TPA-59166, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:52:09Record linked automatically39a3881aa9
scoring_agent, TPA-59167, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:52:09Record linked automatically7576fd7fa8
scoring_agent, PRV-26159, identity id MBR-029448, confidence 1, method probabilistic, matched record TPA-59167, policy version 1
2026-10-19 19:52:09Record linked automatically816ff954f5
scoring_agent, PRV-26160, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:45:42Record linked automatically297b3ffe6b
matching_agent, CLM-420867, identity id MBR-029448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26160
2026-10-19 19:45:42Record linked automatically6fcbb1d525
scoring_agent, TPA-59166, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:45:42Record linked automatically8ff29a725e
scoring_agent, TPA-59167, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:45:42Record linked automatically8453a6d02f
scoring_agent, PRV-26159, identity id MBR-029448, confidence 1, method probabilistic, matched record TPA-59167, policy version 1
2026-10-19 19:45:42Record linked automaticallye9a7ee0fd7
scoring_agent, PRV-26160, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:32:31Record linked automaticallyb0e088b8c5
matching_agent, CLM-420867, identity id MBR-029448, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26160
2026-10-19 19:32:31Record linked automatically592c789d50
scoring_agent, TPA-59166, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:32:31Record linked automaticallyfeb709b3fb
scoring_agent, TPA-59167, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:32:31Record linked automatically179c144472
scoring_agent, PRV-26159, identity id MBR-029448, confidence 1, method probabilistic, matched record TPA-59167, policy version 1
2026-10-19 19:32:31Record linked automatically155ebce795
scoring_agent, PRV-26160, identity id MBR-029448, confidence 1, method probabilistic, matched record PRV-26159, policy version 1
2026-10-19 19:31:28Record linked automatically9b1ed3a4e9
scoring_agent, TPA-59167, identity id MBR-024708, confidence 1.00, method probabilistic, matched record ENR-127563, policy version 1
2026-10-19 19:31:28Record linked automaticallydb212119d8
matching_agent, PRV-26159, identity id MBR-020594, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421012
2026-10-19 19:31:28Record linked automatically37d36d18d1
scoring_agent, CLM-420867, identity id MBR-018648, confidence 1, method probabilistic, matched record TPA-59085, policy version 1
2026-10-19 19:31:28Record linked automatically61901e9fd8
scoring_agent, TPA-59166, identity id MBR-012169, confidence 1, method probabilistic, matched record CLM-421011, policy version 1

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-2026-015350	2026-09-06	Unity Medical Group in network	36415	$22.00	$0.00	Approved	Approved