Carl Rivera

3 source records from 2 feeds.

MBR-032582Verified3 records

Golden record

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

First nameCLM: Carl
Middle name—: —
Last nameCLM: Rivera
Date of birthCLM: 1970-04-01
GenderTPA: F
Member IDTPA: UHC-56976-80
SSNTPA: •••-••-7387
PhoneCLM: 2407486163
EmailTPA: carl.rivera@outlook.com
AddressCLM: 2998 Canyon Rd
CityCLM: Charlotte
StateCLM: NC
ZIPCLM: 28212
GroupCLM: GRP-4826
Plan—: —

Min confidence

1.00

Sources

TPA ×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
TPA-51131	TPA	2026-05-27	Carl Riveraflagged	1970-04-01	UHC-56976-80	—	2998 Canyon Rd # 815, Charlotte, NC	Scored	1.00	—
TPA-51132	TPA	2026-05-27	Carl Riveraflagged	1970-04-01	UHC-56976-80	—	2998 Canyon Rd # 815, Charlotte, NC	Scored	1.00	—
CLM-402651	CLM	2026-07-08	Carl Riveraflagged	1970-04-01	—	2407486163	2998 Canyon Rd, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-51131TPACLM-402651CLM1.00Scoredweighted 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-51132TPACLM-402651CLM1.00Scoredweighted 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-51131TPATPA-51132TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402651 → UHC-56976-80 (Carl Rivera)
ACT-008225, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallycb0cdde655
scoring_agent, CLM-402651, identity id MBR-032582, confidence 1, method probabilistic, matched record TPA-51131, policy version 1
2026-10-19 19:54:38Record linked automaticallyef2bd2dc12
scoring_agent, TPA-51132, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:54:38Record linked automaticallyacc73888b4
scoring_agent, TPA-51131, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:52:09Record linked automatically2041414fef
scoring_agent, CLM-402651, identity id MBR-032582, confidence 1, method probabilistic, matched record TPA-51131, policy version 1
2026-10-19 19:52:09Record linked automatically4a49270ee8
scoring_agent, TPA-51132, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:52:09Record linked automatically00e48988b4
scoring_agent, TPA-51131, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:45:42Record linked automaticallyf4b09f698f
scoring_agent, CLM-402651, identity id MBR-032582, confidence 1, method probabilistic, matched record TPA-51131, policy version 1
2026-10-19 19:45:42Record linked automaticallycd0a5c4145
scoring_agent, TPA-51132, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:45:42Record linked automatically5af782111b
scoring_agent, TPA-51131, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:32:31Record linked automatically74a71e9dd7
scoring_agent, CLM-402651, identity id MBR-032582, confidence 1, method probabilistic, matched record TPA-51131, policy version 1
2026-10-19 19:32:31Record linked automatically030ce3b5a3
scoring_agent, TPA-51132, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1b4634447
scoring_agent, TPA-51131, identity id MBR-032582, confidence 1, method probabilistic, matched record CLM-402651, policy version 1
2026-10-19 19:31:28Record linked automaticallydbeb13af80
scoring_agent, TPA-51131, identity id MBR-031953, confidence 1, method probabilistic, matched record PRV-20764, policy version 1
2026-10-19 19:31:28Record linked automaticallybeaebabe11
scoring_agent, TPA-51132, identity id MBR-021268, confidence 1, method probabilistic, matched record ENR-103254, policy version 1
2026-10-19 19:31:28Record linked automaticallyfa0cfd5b81
matching_agent, CLM-402651, identity id MBR-011887, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-402650

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-2026-026082	2026-06-18	Mesa Primary Care Associates in network	99203, 99214, 99213	$739.00	$433.18	Approved	Approved