Philip Rios

2 source records from 1 feed.

MBR-039688Verified2 records

Golden record

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

First nameCLM: Philip
Middle name—: —
Last nameCLM: Rios
Date of birthCLM: 1974-06-24
GenderCLM: F
Member ID—: —
SSN—: —
PhoneCLM: 7304880125
Email—: —
AddressCLM: 7523 Bayshore Dr
CityCLM: San Diego
StateCLM: CA
ZIPCLM: 92191
GroupCLM: GRP-4153
PlanCLM: SELECT-EPO

Min confidence

1.00

Sources

CLM ×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
CLM-432747	CLM	2026-07-26	Philip Riosflagged	1974-06-24	—	7304880125	7523 Bayshore Dr, San Diego, CA	Scored	1.00	—
CLM-432746	CLM	2026-07-26	Philip Riosflagged	1974-06-24	—	7304880125	7523 Bayshore Dr, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-432747CLMCLM-432746CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: 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 automaticallya50cf01619
scoring_agent, CLM-432746, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432747, policy version 1
2026-10-22 12:43:55Record linked automatically3bae6cbd7d
scoring_agent, CLM-432747, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432746, policy version 1
2026-10-19 19:54:39Record linked automatically01fabcda5e
scoring_agent, CLM-432746, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432747, policy version 1
2026-10-19 19:54:39Record linked automatically5ad159c660
scoring_agent, CLM-432747, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432746, policy version 1
2026-10-19 19:52:09Record linked automatically282d2b26ab
scoring_agent, CLM-432746, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432747, policy version 1
2026-10-19 19:52:09Record linked automatically862443df05
scoring_agent, CLM-432747, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432746, policy version 1
2026-10-19 19:45:42Record linked automatically578f7c8d2d
scoring_agent, CLM-432746, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432747, policy version 1
2026-10-19 19:45:42Record linked automaticallye742d5e4c7
scoring_agent, CLM-432747, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432746, policy version 1
2026-10-19 19:32:31Record linked automaticallyd4640181aa
scoring_agent, CLM-432746, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432747, policy version 1
2026-10-19 19:32:31Record linked automatically1d4c575894
scoring_agent, CLM-432747, identity id MBR-039688, confidence 1, method probabilistic, matched record CLM-432746, policy version 1
2026-10-19 19:31:28Record linked automaticallyae3bdf5d0d
scoring_agent, CLM-432746, identity id MBR-007927, confidence 1, method probabilistic, matched record ENR-143175, policy version 1
2026-10-19 19:31:28Record linked automatically3e80f6f95e
matching_agent, CLM-432747, identity id MBR-000390, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432748

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-2026-009967	2026-07-15	Lakeside Medical Group in network	99203, 36415, 99213	$400.00	—	Pended	Pended
CLM-2026-001563	2026-06-13	Desert Reference Lab in network	80053, 80061, 87086	$167.00	—	Pended	Pended