Kimberly R Rios

3 source records from 2 feeds.

MBR-030597Verified3 records

Golden record

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

First nameENR: Kimberly
Middle nameENR: R
Last nameENR: Rios
Date of birthENR: 1997-05-23
GenderENR: M
Member IDENR: UHC-56451-68
SSNENR: •••-••-6841
PhoneENR: 7324171211
EmailENR: kimberly.rios@icloud.com
AddressENR: 5559 Harbor Blvd
CityENR: Mesa
StateENR: AZ
ZIP—: —
GroupENR: GRP-4322
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.93

Sources

CLM ×2ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-402802	CLM	2026-05-14	Kimberly Riosflagged	1997-05-23	—	—	5559 Harbor Blvd, Mesa, AZ	Scored	1.00	—
ENR-103607	ENR	2026-08-14	Kimberly Riosflagged	1997-05-23	UHC-56451-68	7324171211	5559 Harbor Blvd, Mesa, AZ	Scored	1.00	—
CLM-402803	CLM	2026-09-05	Kimberly Riosflagged	1997-05-23	—	—	5559 Harbor Blvd, Mesa, AZ	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-402802CLMENR-103607ENR1.00Scoredweighted 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-402802CLMCLM-402803CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-103607ENRCLM-402803CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402802 → UHC-56451-68 (Kimberly Rios)
ACT-002698, Claims processor
Orphan claim re-pointedExecuted
CLM-402803 → UHC-56451-68 (Kimberly Rios)
ACT-009074, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallyb337e75bc7
scoring_agent, CLM-402803, identity id MBR-030597, confidence 0.93, method probabilistic, matched record CLM-402802, policy version 1
2026-10-22 12:43:54Record linked automaticallyb12faeacfa
scoring_agent, ENR-103607, identity id MBR-030597, confidence 1, method probabilistic, matched record CLM-402802, policy version 1
2026-10-22 12:43:54Record linked automatically46be00a392
scoring_agent, CLM-402802, identity id MBR-030597, confidence 1, method probabilistic, matched record ENR-103607, policy version 1
2026-10-19 19:54:38Record linked automatically873333f1bf
scoring_agent, CLM-402803, identity id MBR-030597, confidence 0.93, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:54:38Record linked automatically2b2a94c3c5
scoring_agent, ENR-103607, identity id MBR-030597, confidence 1, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:54:38Record linked automatically8c0303e9d8
scoring_agent, CLM-402802, identity id MBR-030597, confidence 1, method probabilistic, matched record ENR-103607, policy version 1
2026-10-19 19:52:09Record linked automaticallyc54e6cc760
scoring_agent, CLM-402803, identity id MBR-030597, confidence 0.93, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:52:09Record linked automaticallye3a50f5726
scoring_agent, ENR-103607, identity id MBR-030597, confidence 1, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:52:09Record linked automaticallya51ecd1c9b
scoring_agent, CLM-402802, identity id MBR-030597, confidence 1, method probabilistic, matched record ENR-103607, policy version 1
2026-10-19 19:45:42Record linked automatically7b4de2d5f9
scoring_agent, CLM-402803, identity id MBR-030597, confidence 0.93, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:45:42Record linked automatically10ed72b7e6
scoring_agent, ENR-103607, identity id MBR-030597, confidence 1, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:45:42Record linked automaticallydb400e39d5
scoring_agent, CLM-402802, identity id MBR-030597, confidence 1, method probabilistic, matched record ENR-103607, policy version 1
2026-10-19 19:32:31Record linked automatically0b22582466
scoring_agent, CLM-402803, identity id MBR-030597, confidence 0.93, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:32:31Record linked automatically659f2606ac
scoring_agent, ENR-103607, identity id MBR-030597, confidence 1, method probabilistic, matched record CLM-402802, policy version 1
2026-10-19 19:32:31Record linked automaticallyea1dd3157a
scoring_agent, CLM-402802, identity id MBR-030597, confidence 1, method probabilistic, matched record ENR-103607, policy version 1
2026-10-19 19:31:28Record linked automatically7458728ef7
scoring_agent, ENR-103607, identity id MBR-030481, confidence 1, method probabilistic, matched record CLM-402759, policy version 1
2026-10-19 19:31:28Record linked automaticallycd24293ffa
matching_agent, CLM-402802, identity id MBR-021167, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103667

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-2026-029351	2026-08-22	Canyon GI Associates in network	99214	$245.00	$76.90	Approved	Approved
CLM-2026-005133	2026-04-01	Northgate Medical Group in network	99203	$260.00	$131.20	Approved	Approved