Identities/MBR-000138

Gold, golden identity

Diego G West

6 source records from 3 feeds.

MBR-000138Verified6 records

Golden record

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

First nameENR: Diego
Middle nameENR: G
Last nameENR: West
Date of birthENR: 1962-07-26
GenderENR: M
Member IDENR: UHC-45695-22
SSNENR: •••-••-4780
PhoneCLM: 2465781563
EmailENR: diego.west96@hotmail.com
AddressENR: 3822 Baseline Rd
CityENR: Dallas
StateENR: TX
ZIPENR: 75235
GroupENR: GRP-5435
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×4TPA ×1ENR ×1

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
CLM-403072	CLM	2026-01-01	Diego Westflagged	1962-07-26	UHC-45695-22	2465781563	3822 Baseline Rd, Dallas, TX	Scored	1.00	—
TPA-51308	TPA	2026-01-29	Digo Westflagged	1962-07-26	UHC-45695-22	—	3822 Baseline Rd, Dallas, TX	Scored	0.99	—
CLM-403071	CLM	2026-04-26	Diego Westflagged	1962-07-26	UHC-45695-22	—	3822 Baseline Rd, Dallas, TX	Scored	1.00	—
CLM-403070	CLM	2026-04-28	Diego Westflagged	1962-07-26	UHC-45695-22	—	3822 Baseline Rd, Dallas, TX	Scored	1.00	—
ENR-103971	ENR	2026-05-03	Diego Westflagged	1962-07-26	UHC-45695-22	—	3822 Baseline Rd, Dallas, TX	Scored	1.00	—
CLM-403073	CLM	2026-06-14	Diego Westflagged	1962-07-26	—	—	3822 Baseline Rd, Dallas, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-403072CLMCLM-403073CLM1.00Scoredweighted 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-403071CLMCLM-403073CLM1.00Scoredweighted 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-403070CLMCLM-403073CLM1.00Scoredweighted 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-103971ENRCLM-403073CLM1.00Scoredweighted 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

▶TPA-51308TPACLM-403073CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-403072CLMCLM-403070CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51308TPACLM-403070CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403071CLMCLM-403070CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403072CLMCLM-403071CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-51308TPACLM-403071CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403072CLMENR-103971ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-51308TPAENR-103971ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403071CLMENR-103971ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403070CLMENR-103971ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403072CLMTPA-51308TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-403073 → UHC-45695-22 (Diego West)
ACT-009616, Claims processor
Care coordination outreachProposed
Diego West: 4 claims, no attributed provider
ACT-017778, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallybe3e2c1596
scoring_agent, CLM-403073, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403072, policy version 1
2026-10-19 19:54:38Record linked automaticallyb6c641d434
scoring_agent, ENR-103971, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:54:38Record linked automaticallyf201ec8a50
scoring_agent, CLM-403070, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:54:38Record linked automaticallye343abd6c6
scoring_agent, CLM-403071, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:54:38Record linked automatically3267f9ad30
scoring_agent, TPA-51308, identity id MBR-000138, confidence 0.99, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:54:38Record linked automatically5311bfb562
scoring_agent, CLM-403072, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:52:08Record linked automaticallyf6385c62d6
scoring_agent, CLM-403073, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403072, policy version 1
2026-10-19 19:52:08Record linked automatically5aff818829
scoring_agent, ENR-103971, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:52:08Record linked automatically1a85d5fdd0
scoring_agent, CLM-403070, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:52:08Record linked automatically32bbeb39c3
scoring_agent, CLM-403071, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:52:08Record linked automatically74404f5f54
scoring_agent, TPA-51308, identity id MBR-000138, confidence 0.99, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:52:08Record linked automaticallyc7f011dd96
scoring_agent, CLM-403072, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:45:41Record linked automaticallyc3f869f59b
scoring_agent, CLM-403073, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403072, policy version 1
2026-10-19 19:45:41Record linked automaticallya9c98959e6
scoring_agent, ENR-103971, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:45:41Record linked automatically4c7034f6c6
scoring_agent, CLM-403070, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:45:41Record linked automaticallyd5520268a6
scoring_agent, CLM-403071, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:45:41Record linked automatically5c2b877f56
scoring_agent, TPA-51308, identity id MBR-000138, confidence 0.99, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:45:41Record linked automaticallyaacbeae6a7
scoring_agent, CLM-403072, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:32:30Record linked automatically72fec3ac03
scoring_agent, CLM-403073, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403072, policy version 1
2026-10-19 19:32:30Record linked automaticallyd220d36eb8
scoring_agent, ENR-103971, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:32:30Record linked automatically42f1b342bf
scoring_agent, CLM-403070, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:32:30Record linked automaticallya6957892f8
scoring_agent, CLM-403071, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:32:30Record linked automaticallye235737d73
scoring_agent, TPA-51308, identity id MBR-000138, confidence 0.99, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:32:30Record linked automatically489d227c22
scoring_agent, CLM-403072, identity id MBR-000138, confidence 1, method probabilistic, matched record CLM-403073, policy version 1
2026-10-19 19:31:28Record linked automatically0e24884b44
matching_agent, CLM-403070, identity id MBR-036339, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104031
2026-10-19 19:31:28Record linked automatically02d4a7126d
scoring_agent, TPA-51308, identity id MBR-031288, confidence 1, method probabilistic, matched record CLM-402841, policy version 1
2026-10-19 19:31:28Record linked automatically406bd6bc77
matching_agent, CLM-403072, identity id MBR-013331, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403071
2026-10-19 19:31:28Record linked automaticallyff530cba21
matching_agent, CLM-403071, identity id MBR-013331, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104033
2026-10-19 19:31:28Record linked automaticallyb9d5c5b0a4
matching_agent, CLM-403073, identity id MBR-006020, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-104034
2026-10-19 19:31:28Record linked automatically669060c5e5
scoring_agent, ENR-103971, identity id MBR-004221, confidence 1, method probabilistic, matched record CLM-403025, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-031517	2026-05-25	Sunrise Clinical Laboratories in network	85025	$31.00	$0.00	Approved	Approved
CLM-2026-001528	2026-03-21	Sunrise Clinical Laboratories in network	80053, 87086	$115.00	—	Needs review	Needs review
CLM-2026-001527	2026-03-21	Desert Reference Lab in network	80053, 87086	$115.00	$0.00	Approved	Approved
CLM-2026-009190	2026-04-17	Unity Reference Lab in network	85025, 83036, 80053, 87086	$252.00	$0.00	Approved	Approved
CLM-2026-028216	2025-12-02	Heritage Medical Group out of network	36415, 90471	$54.00	—	Needs review	Needs review