Identities/MBR-032507
Gold, golden identity

Janice D Riley

2 source records from 2 feeds.

MBR-032507Verified2 records

Golden record

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

First nameENR
Janice
Middle nameENR
D
Last nameENR
Riley
Date of birthENR
2007-10-04
GenderENR
F
Member IDENR
UHC-13352-81
SSNENR
•••-••-8600
PhoneENR
2013264299
EmailCLM
janice.riley@gmail.com
AddressENR
7419 Spring St
CityENR
San Antonio
StateENR
TX
ZIPCLM
78228
GroupENR
GRP-6210
PlanENR
MEDICARE-ADV-B
Min confidence
0.94
Sources
ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.940.94ENRENR-128797CLMCLM-421988IDMBR-032507
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-128797ENR2026-05-27Janice Rileyflagged2007-10-04UHC-13352-8120132642997419 Spring St, San Antonio, TXScored0.94—
CLM-421988CLM2026-08-23Janice Rileyflagged2007-10-04—20132642997419 Spring St, San Antonio, TXScored0.94—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶ENR-128797ENRCLM-421988CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-421988 → UHC-13352-81 (Janice Riley)
    ACT-006131, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyce7e746ec7
    scoring_agent, CLM-421988, identity id MBR-032507, confidence 0.94, method probabilistic, matched record ENR-128797, policy version 1
  • 2026-10-22 12:43:54Record linked automatically24c2a7e6b6
    scoring_agent, ENR-128797, identity id MBR-032507, confidence 0.94, method probabilistic, matched record CLM-421988, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6eab06e457
    scoring_agent, CLM-421988, identity id MBR-032507, confidence 0.94, method probabilistic, matched record ENR-128797, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydcafd9f188
    scoring_agent, ENR-128797, identity id MBR-032507, confidence 0.94, method probabilistic, matched record CLM-421988, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye0f5181eeb
    scoring_agent, CLM-421988, identity id MBR-032507, confidence 0.94, method probabilistic, matched record ENR-128797, policy version 1
  • 2026-10-19 19:52:09Record linked automatically36a9a3310f
    scoring_agent, ENR-128797, identity id MBR-032507, confidence 0.94, method probabilistic, matched record CLM-421988, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye557794b24
    scoring_agent, CLM-421988, identity id MBR-032507, confidence 0.94, method probabilistic, matched record ENR-128797, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4a975e3a4b
    scoring_agent, ENR-128797, identity id MBR-032507, confidence 0.94, method probabilistic, matched record CLM-421988, policy version 1
  • 2026-10-19 19:32:31Record linked automatically7656c65ede
    scoring_agent, CLM-421988, identity id MBR-032507, confidence 0.94, method probabilistic, matched record ENR-128797, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1688c4e9d6
    scoring_agent, ENR-128797, identity id MBR-032507, confidence 0.94, method probabilistic, matched record CLM-421988, policy version 1
  • 2026-10-19 19:31:28Record linked automatically044c9b6770
    matching_agent, CLM-421988, identity id MBR-027370, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421989

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0180282026-07-18Harbor Medical Group
out of network
99232$167.00$0.00ApprovedApproved