Betty Rilley

3 source records from 2 feeds.

MBR-033279Verified3 records

Golden record

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

First nameCLM: Betty
Middle name—: —
Last nameCLM: Rilley
Date of birthCLM: 2003-08-15
GenderCLM: F
Member IDCLM: UHC-60575-35
SSNCLM: •••-••-3576
PhoneCLM: 3167631673
EmailTPA: betty.riley13@yahoo.com
AddressCLM: 9568 Grand Ave
CityCLM: Sacramento
StateCLM: CA
ZIPCLM: 95862
GroupCLM: GRP-4654
PlanTPA: OPTIONS-PPO

Min confidence

0.92

Sources

TPA ×1CLM ×2

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
TPA-59831	TPA	2026-06-02	Betty Rilleyflagged	2003-08-15	—	—	9568 Grand Ave, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-422397	CLM	2026-06-26	Betty Rileyflagged	2003-08-15	—	3167631673	9568 Grand Ave, Sacramento, CA	Scored	0.92	—
CLM-422398	CLM	2026-07-30	Betty Rilleyflagged	2003-08-15	UHC-60575-35	—	9568 Grand Ave, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶TPA-59831TPACLM-422398CLM0.97RuleD2 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

▶TPA-59831TPACLM-422397CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-422397CLMCLM-422398CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	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-422397 → UHC-60575-35 (Betty Rilley)
ACT-005286, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically6c17203635
matching_agent, CLM-422398, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59831
2026-10-22 12:43:55Record linked automatically331446a386
scoring_agent, CLM-422397, identity id MBR-033279, confidence 0.92, method probabilistic, matched record TPA-59831, policy version 1
2026-10-22 12:43:55Record linked automaticallyf55dd40356
matching_agent, TPA-59831, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422398
2026-10-19 19:54:38Record linked automatically68d508e66a
matching_agent, CLM-422398, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59831
2026-10-19 19:54:38Record linked automatically68d125c7aa
scoring_agent, CLM-422397, identity id MBR-033279, confidence 0.92, method probabilistic, matched record TPA-59831, policy version 1
2026-10-19 19:54:38Record linked automatically79a0c770c0
matching_agent, TPA-59831, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422398
2026-10-19 19:52:09Record linked automatically401d75638d
matching_agent, CLM-422398, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59831
2026-10-19 19:52:09Record linked automaticallyfbd6ba594d
scoring_agent, CLM-422397, identity id MBR-033279, confidence 0.92, method probabilistic, matched record TPA-59831, policy version 1
2026-10-19 19:52:09Record linked automatically80cacc862e
matching_agent, TPA-59831, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422398
2026-10-19 19:45:42Record linked automaticallyec3ec9bf49
matching_agent, CLM-422398, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59831
2026-10-19 19:45:42Record linked automatically3a24bfab0d
scoring_agent, CLM-422397, identity id MBR-033279, confidence 0.92, method probabilistic, matched record TPA-59831, policy version 1
2026-10-19 19:45:42Record linked automaticallyfb21b91014
matching_agent, TPA-59831, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422398
2026-10-19 19:32:31Record linked automatically92a8ade52b
matching_agent, CLM-422398, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-59831
2026-10-19 19:32:31Record linked automatically1af8d10236
scoring_agent, CLM-422397, identity id MBR-033279, confidence 0.92, method probabilistic, matched record TPA-59831, policy version 1
2026-10-19 19:32:31Record linked automatically23cca81163
matching_agent, TPA-59831, identity id MBR-033279, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-422398
2026-10-19 19:31:28Record linked automatically1dc5be641c
scoring_agent, CLM-422397, identity id MBR-019445, confidence 1, method probabilistic, matched record CLM-422399, policy version 1
2026-10-19 19:31:28Record linked automaticallyb4123639db
scoring_agent, CLM-422398, identity id MBR-019445, confidence 1, method probabilistic, matched record CLM-422399, 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-2026-005521	2025-12-31	Canyon Clinical Laboratories in network	87086	$69.00	—	Denied	Denied
CLM-2026-014985	2026-06-17	Lakeside Endocrine Associates out of network	95251, 99215	$574.00	$183.30	Approved	Approved