Identities/MBR-033540
Gold, golden identity

Doris Rivera

3 source records from 2 feeds.

MBR-033540Verified3 records

Golden record

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

First nameENR
Doris
Middle name—
—
Last nameENR
Rivera
Date of birthENR
1969-02-21
GenderENR
M
Member IDENR
UHC-42495-13
SSNCLM
•••-••-6007
PhoneENR
2635246876
EmailENR
doris.rivera@outlook.com
AddressENR
5068 Mesa Dr
CityENR
San Diego
StateENR
CA
ZIPENR
92185
GroupENR
GRP-2668
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×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

0.990.990.99ENRENR-134676CLMCLM-426444CLMCLM-426443IDMBR-033540
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-134676ENR2026-06-04Doris Riveraflagged1969-02-21UHC-42495-1326352468765068 Mesa Dr, San Diego, CARule0.99D1 member id + dob exact
CLM-426444CLM2026-07-17Doris Riveraflagged1969-02-21UHC-42495-132635246876—Rule0.99D1 member id + dob exact
CLM-426443CLM2026-07-25Drois Riveraflagged1969-02-21—2635246876—Scored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-134676ENRCLM-426443CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-134676ENRCLM-426444CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426444CLMCLM-426443CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426443 → UHC-42495-13 (Doris Rivera)
    ACT-003784, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallyca699d5fe5
    scoring_agent, CLM-426443, identity id MBR-033540, confidence 0.99, method probabilistic, matched record ENR-134676, policy version 1
  • 2026-10-22 12:43:55Record linked automatically3861746e07
    matching_agent, CLM-426444, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134676
  • 2026-10-22 12:43:55Record linked automaticallya523115bd5
    matching_agent, ENR-134676, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426444
  • 2026-10-19 19:54:38Record linked automaticallyd2e47da571
    scoring_agent, CLM-426443, identity id MBR-033540, confidence 0.99, method probabilistic, matched record ENR-134676, policy version 1
  • 2026-10-19 19:54:38Record linked automatically87b4294780
    matching_agent, CLM-426444, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134676
  • 2026-10-19 19:54:38Record linked automatically10428ea087
    matching_agent, ENR-134676, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426444
  • 2026-10-19 19:52:09Record linked automatically4714998ddc
    scoring_agent, CLM-426443, identity id MBR-033540, confidence 0.99, method probabilistic, matched record ENR-134676, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd66e36ed3d
    matching_agent, CLM-426444, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134676
  • 2026-10-19 19:52:09Record linked automaticallya1fe3ee9c6
    matching_agent, ENR-134676, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426444
  • 2026-10-19 19:45:42Record linked automatically9aa3f235c2
    scoring_agent, CLM-426443, identity id MBR-033540, confidence 0.99, method probabilistic, matched record ENR-134676, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb311369040
    matching_agent, CLM-426444, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134676
  • 2026-10-19 19:45:42Record linked automatically7e82328bf2
    matching_agent, ENR-134676, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426444
  • 2026-10-19 19:32:31Record linked automatically13db206ada
    scoring_agent, CLM-426443, identity id MBR-033540, confidence 0.99, method probabilistic, matched record ENR-134676, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3769eb4404
    matching_agent, CLM-426444, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134676
  • 2026-10-19 19:32:31Record linked automatically0d9b0445ef
    matching_agent, ENR-134676, identity id MBR-033540, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426444
  • 2026-10-19 19:31:28Record linked automatically374810abcf
    scoring_agent, ENR-134676, identity id MBR-010746, confidence 1, method probabilistic, matched record TPA-61550, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb6bac5d765
    scoring_agent, CLM-426443, identity id MBR-006656, confidence 1, method probabilistic, matched record ENR-134972, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0e1124682e
    matching_agent, CLM-426444, identity id MBR-000582, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-134973

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0093352026-07-16Pinecrest Family Practice
in network
99395$312.00$153.44ApprovedApproved
CLM-2026-0310292026-07-01Unity Diagnostic Imaging
in network
71046$206.00$0.00ApprovedApproved