Identities/MBR-000111

Gold, golden identity

Diana F Reid

7 source records from 4 feeds.

MBR-000111Verified7 records

Golden record

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

First nameENR: Diana
Middle nameENR: F
Last nameENR: Reid
Date of birthENR: 2000-02-01
GenderPRV: M
Member IDENR: UHC-48058-63
SSNENR: •••-••-5365
PhoneENR: 8558669315
EmailPRV: diana.reid57@yahoo.com
AddressENR: 9358 Desert Sky Blvd
CityENR: Sacramento
StateENR: CA
ZIPENR: 95844
GroupENR: GRP-4525
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

ENR ×1CLM ×2PRV ×1TPA ×3

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-104095	ENR	2026-01-01	Diana Reidflagged	2000-02-01	UHC-48058-63	8558669315	9358 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—
CLM-403160	CLM	2026-01-13	Diana Reidflagged	2000-02-01	—	—	9358 Desert Sky Blvd Apt 25, Sacramento, CA	Scored	1.00	—
PRV-20893	PRV	2026-02-16	Diana Reidflagged	2000-02-01	—	8558669315	9358 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—
TPA-51351	TPA	2026-03-06	Diana Ridflagged	2000-02-01	—	—	9358 Desert Sky Blvd, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name
TPA-51352	TPA	2026-03-06	Diana Ridflagged	2000-02-01	—	—	9358 Desert Sky Blvd, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name
CLM-403159	CLM	2026-04-11	Diana Reidflagged	2000-02-01	—	8558669315	9358 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—
TPA-51350	TPA	2026-08-24	Diana Reidflagged	2000-02-01	—	—	9358 Desert Sky Blvd, Sacramento, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-104095ENRCLM-403159CLM1.00Scoredweighted 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

▶CLM-403160CLMCLM-403159CLM1.00Scoredweighted 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

▶PRV-20893PRVCLM-403159CLM1.00Scoredweighted 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

▶ENR-104095ENRCLM-403160CLM1.00Scoredweighted 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-104095ENRPRV-20893PRV1.00Scoredweighted 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

▶CLM-403160CLMPRV-20893PRV1.00Scoredweighted 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-104095ENRTPA-51350TPA1.00Scoredweighted 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-403160CLMTPA-51350TPA1.00Scoredweighted 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

▶PRV-20893PRVTPA-51350TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403159CLMTPA-51350TPA1.00Scoredweighted 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-104095ENRTPA-51351TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-104095ENRTPA-51352TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51351TPATPA-51352TPA0.97RuleD2 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-51351TPATPA-51350TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51352TPATPA-51350TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20893PRVTPA-51351TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-20893PRVTPA-51352TPA0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51351TPACLM-403159CLM0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-51352TPACLM-403159CLM0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403160CLMTPA-51351TPA0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403160CLMTPA-51352TPA0.91Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	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

Eligibility conflict resolvedProposed
Diana Reid: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000007, Eligibility engine
Orphan claim re-pointedExecuted
CLM-403159 → UHC-48058-63 (Diana Reid)
ACT-006138, Claims processor
Orphan claim re-pointedExecuted
CLM-403160 → UHC-48058-63 (Diana Reid)
ACT-007880, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf5becfe5e2
scoring_agent, TPA-51350, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:54:38Record linked automatically372b3ace2b
scoring_agent, CLM-403159, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:54:38Record linked automaticallyb530fcbe9d
matching_agent, TPA-51352, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:54:38Record linked automaticallya9c92d15b4
matching_agent, TPA-51351, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:54:38Record linked automatically2aac53bc33
scoring_agent, PRV-20893, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:54:38Record linked automatically9246780852
scoring_agent, CLM-403160, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:54:38Record linked automatically862ea348f9
scoring_agent, ENR-104095, identity id MBR-000111, confidence 1, method probabilistic, matched record CLM-403160, policy version 1
2026-10-19 19:52:08Record linked automaticallyd81ca48170
scoring_agent, TPA-51350, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:52:08Record linked automaticallyae50c2a8ac
scoring_agent, CLM-403159, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:52:08Record linked automatically3ddc3f8542
matching_agent, TPA-51352, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:52:08Record linked automatically3244cd9d16
matching_agent, TPA-51351, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:52:08Record linked automatically46749db4ec
scoring_agent, PRV-20893, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:52:08Record linked automatically2355a8a2a9
scoring_agent, CLM-403160, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:52:08Record linked automaticallye39c3af4e0
scoring_agent, ENR-104095, identity id MBR-000111, confidence 1, method probabilistic, matched record CLM-403160, policy version 1
2026-10-19 19:45:41Record linked automaticallya758232717
scoring_agent, TPA-51350, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:45:41Record linked automaticallya0ecaa34db
scoring_agent, CLM-403159, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:45:41Record linked automaticallyaf83aa67fb
matching_agent, TPA-51352, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:45:41Record linked automatically236dca0b63
matching_agent, TPA-51351, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:45:41Record linked automatically8d21fe0b09
scoring_agent, PRV-20893, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:45:41Record linked automaticallyc5c45cd489
scoring_agent, CLM-403160, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:45:41Record linked automaticallyec3b40ba57
scoring_agent, ENR-104095, identity id MBR-000111, confidence 1, method probabilistic, matched record CLM-403160, policy version 1
2026-10-19 19:32:30Record linked automatically50e7db3833
scoring_agent, TPA-51350, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:32:30Record linked automaticallyc60a5b3be5
scoring_agent, CLM-403159, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:32:30Record linked automaticallyd0ee1737af
matching_agent, TPA-51352, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:32:30Record linked automatically78cab11924
matching_agent, TPA-51351, identity id MBR-000111, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104095
2026-10-19 19:32:30Record linked automatically3ba1607a89
scoring_agent, PRV-20893, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:32:30Record linked automaticallyce52c74e6e
scoring_agent, CLM-403160, identity id MBR-000111, confidence 1, method probabilistic, matched record ENR-104095, policy version 1
2026-10-19 19:32:30Record linked automatically8806d38cc5
scoring_agent, ENR-104095, identity id MBR-000111, confidence 1, method probabilistic, matched record CLM-403160, policy version 1
2026-10-19 19:31:28Record linked automatically57dd76ec88
scoring_agent, TPA-51352, identity id MBR-026706, confidence 1, method probabilistic, matched record ENR-103862, policy version 1
2026-10-19 19:31:28Record linked automatically1c03996713
matching_agent, ENR-104095, identity id MBR-017899, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403120
2026-10-19 19:31:28Record linked automatically3121a8cd40
scoring_agent, PRV-20893, identity id MBR-008111, confidence 1, method probabilistic, matched record PRV-20892, policy version 1
2026-10-19 19:31:28Record linked automatically708494d33f
scoring_agent, CLM-403160, identity id MBR-007912, confidence 1, method probabilistic, matched record TPA-51430, policy version 1
2026-10-19 19:31:28Record linked automatically6f7b68ca94
scoring_agent, CLM-403159, identity id MBR-007912, confidence 0.99, method probabilistic, matched record TPA-51430, policy version 1
2026-10-19 19:31:28Record linked automatically56a757383f
matching_agent, TPA-51351, identity id MBR-005424, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-103854

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-2026-018047	2026-03-01	Desert Reference Lab in network	85025	$31.00	—	Denied	Denied
CLM-2026-018046	2026-03-01	Desert Reference Lab in network	85025	$31.00	$0.00	Approved	Approved
CLM-2026-024787	2025-12-12	Meadow Reference Lab out of network	80061, 80053	$93.00	$0.00	Approved	Approved