Frances Riley

2 source records from 2 feeds.

MBR-033339Verified2 records

Golden record

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

First nameCLM: Frances
Middle name—: —
Last nameCLM: Riley
Date of birthCLM: 1976-07-17
Gender—: —
Member IDCLM: UHC-22768-51
SSNCLM: •••-••-7191
PhoneCLM: 2866262654
Email—: —
AddressCLM: 2157 Maple Ave
CityCLM: Nashville
StateCLM: TN
ZIPCLM: 37251
Group—: —
Plan—: —

Min confidence

0.99

Sources

CLM ×1TPA ×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-428850	CLM	2026-06-02	Frances Rileyflagged	1976-07-17	UHC-22768-51	2866262654	2157 Maple Ave, Nashville, TN	Rule	0.99	D1 member id + dob exact
TPA-62738	TPA	2026-08-15	Frances Rileyflagged	1976-07-17	UHC-22768-51	2866262654	2157 Maple Ave, Nashville, TN	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-428850CLMTPA-62738TPA0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

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

2026-10-22 12:43:55Record linked automatically6047ffcdda
matching_agent, TPA-62738, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428850
2026-10-22 12:43:55Record linked automatically2f94c9e7d5
matching_agent, CLM-428850, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62738
2026-10-19 19:54:38Record linked automatically1f93336d77
matching_agent, TPA-62738, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428850
2026-10-19 19:54:38Record linked automatically0b48bcf5b1
matching_agent, CLM-428850, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62738
2026-10-19 19:52:09Record linked automatically0407c305b5
matching_agent, TPA-62738, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428850
2026-10-19 19:52:09Record linked automaticallybca9e39635
matching_agent, CLM-428850, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62738
2026-10-19 19:45:42Record linked automatically6eb4387aa2
matching_agent, TPA-62738, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428850
2026-10-19 19:45:42Record linked automatically23b72e5874
matching_agent, CLM-428850, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62738
2026-10-19 19:32:31Record linked automatically0b0c7c40ae
matching_agent, TPA-62738, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-428850
2026-10-19 19:32:31Record linked automaticallyfae8c87bbf
matching_agent, CLM-428850, identity id MBR-033339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-62738
2026-10-19 19:31:28Record linked automatically4cd382da54
matching_agent, CLM-428850, identity id MBR-023823, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-138107
2026-10-19 19:31:28Record linked automatically1d4b33c9ca
scoring_agent, TPA-62738, identity id MBR-017783, confidence 1, method probabilistic, matched record ENR-138316, 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-2026-015998	2026-04-25	Summit Heart Institute in network	93306	$1,331.00	$19.85	Approved	Approved