Daniel D Rios

4 source records from 2 feeds.

MBR-039306Verified4 records

Golden record

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

First nameENR: Daniel
Middle nameENR: D
Last nameENR: Rios
Date of birthENR: 1954-08-24
GenderCLM: M
Member IDENR: UHC-16351-42
SSNENR: •••-••-7411
PhoneENR: 9696954297
EmailENR: daniel.rios12@icloud.com
AddressCLM: 6945 Pine Dr
CityCLM: San Diego
StateCLM: CA
ZIPCLM: 92196
GroupENR: GRP-8827
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

ENR ×1CLM ×3

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
ENR-103596	ENR	2026-07-22	Daniel Riosflagged	1954-08-24	UHC-16351-42	9696954297	7004 Palm Dr, Phoenix, AZ	Rule	0.99	D1 member id + dob exact
CLM-402793	CLM	2026-09-18	Daniel Riosflagged	1954-08-24	—	—	6945 Pine Dr, San Diego, CA	Scored	1.00	—
CLM-402792	CLM	2026-09-18	Daniel Riosflagged	1954-08-24	—	—	6945 Pine Dr, San Diego, CA	Scored	1.00	—
CLM-402791	CLM	2026-09-28	Daniel Riosflagged	1954-08-24	UHC-16351-42	9696954297	6945 Pine Dr, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-402793CLMCLM-402791CLM1.00Scoredweighted 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

▶CLM-402792CLMCLM-402791CLM1.00Scoredweighted 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

▶CLM-402793CLMCLM-402792CLM1.00Scoredweighted 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

▶ENR-103596ENRCLM-402791CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-103596ENRCLM-402792CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶ENR-103596ENRCLM-402793CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-402793 → UHC-16351-42 (Daniel Rios)
ACT-008111, Claims processor
Orphan claim re-pointedExecuted
CLM-402792 → UHC-16351-42 (Daniel Rios)
ACT-009946, Claims processor
Outreach address correctedProposed
Daniel Rios: 7004 Palm Dr, Phoenix → 6945 Pine Dr, San Diego
ACT-013312, Outreach
Care coordination outreachProposed
Daniel Rios: 3 claims, no attributed provider
ACT-019573, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:55Record linked automatically956c36a413
scoring_agent, CLM-402791, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-22 12:43:55Record linked automatically3acfaa553c
scoring_agent, CLM-402792, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-22 12:43:55Record linked automaticallye7a99607cd
scoring_agent, CLM-402793, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402792, policy version 1
2026-10-22 12:43:55Record linked automatically1bfe37c355
matching_agent, ENR-103596, identity id MBR-039306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402791
2026-10-19 19:54:39Record linked automatically19829460de
scoring_agent, CLM-402791, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:54:39Record linked automaticallyf162035fef
scoring_agent, CLM-402792, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:54:39Record linked automaticallybafc5c64d8
scoring_agent, CLM-402793, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402792, policy version 1
2026-10-19 19:54:39Record linked automatically93c07c340c
matching_agent, ENR-103596, identity id MBR-039306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402791
2026-10-19 19:52:09Record linked automaticallya0acc15fd8
scoring_agent, CLM-402791, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:52:09Record linked automaticallya89454b689
scoring_agent, CLM-402792, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:52:09Record linked automaticallyfb1c367bfb
scoring_agent, CLM-402793, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402792, policy version 1
2026-10-19 19:52:09Record linked automaticallycd61803467
matching_agent, ENR-103596, identity id MBR-039306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402791
2026-10-19 19:45:42Record linked automatically05b3726a67
scoring_agent, CLM-402791, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:45:42Record linked automatically43f854b509
scoring_agent, CLM-402792, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:45:42Record linked automatically08f7fc7992
scoring_agent, CLM-402793, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402792, policy version 1
2026-10-19 19:45:42Record linked automatically479b0359ee
matching_agent, ENR-103596, identity id MBR-039306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402791
2026-10-19 19:32:31Record linked automatically8e6402b2c1
scoring_agent, CLM-402791, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:32:31Record linked automatically1aea3c0bea
scoring_agent, CLM-402792, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402793, policy version 1
2026-10-19 19:32:31Record linked automaticallyd569d4f903
scoring_agent, CLM-402793, identity id MBR-039306, confidence 1, method probabilistic, matched record CLM-402792, policy version 1
2026-10-19 19:32:31Record linked automaticallyf50bcf36e7
matching_agent, ENR-103596, identity id MBR-039306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402791
2026-10-19 19:31:28Record linked automatically4d64d76af8
matching_agent, ENR-103596, identity id MBR-029170, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record PRV-20842
2026-10-19 19:31:28Record linked automatically1409ec54f2
scoring_agent, CLM-402792, identity id MBR-028940, confidence 1, method probabilistic, matched record ENR-103654, policy version 1
2026-10-19 19:31:28Record linked automatically18f78fd091
scoring_agent, CLM-402793, identity id MBR-028940, confidence 0.99, method probabilistic, matched record CLM-402792, policy version 1
2026-10-19 19:31:28Record linked automaticallye782d3a354
matching_agent, CLM-402791, identity id MBR-026258, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103651

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-2026-002726	2026-09-15	Heritage Clinical Laboratories in network	80053	$79.00	$0.00	Approved	Approved
CLM-2026-032779	2026-09-08	Meadow Primary Care Associates in network	90471	$44.00	$0.00	Approved	Approved
CLM-2026-025691	2026-09-09	Meadow Primary Care Associates in network	99203, 90471	$224.00	$98.88	Approved	Approved