Identities/MBR-000781
Gold, golden identity

Diego H Contreras

5 source records from 2 feeds.

MBR-000781Verified5 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
H
Last nameENR
Contreras
Date of birthENR
1948-02-23
GenderENR
F
Member IDENR
UHC-46032-06
SSNENR
•••-••-1424
PhoneENR
5944815555
EmailCLM
diego.contreras@proton.me
AddressENR
2310 Forest Ave
CityENR
Eden Prairie
StateENR
MN
ZIP—
—
GroupENR
GRP-3409
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×4ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.970.990.990.99CLMCLM-430334CLMCLM-430333ENRENR-139824CLMCLM-430336CLMCLM-430335IDMBR-000781
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
CLM-430334CLM2026-01-03Diego Contrerasflagged1948-02-23UHC-46032-06—2310 Forest Ave, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-430333CLM2026-01-11Diego Contrerasflagged1948-02-23———Rule0.97D2 ssn4 + dob + last name
ENR-139824ENR2026-01-18Diego Contrerasflagged1948-02-23UHC-46032-0659448155552310 Forest Ave, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-430336CLM2026-02-27Diego Contrerasflagged1948-02-23UHC-46032-06—2310 Forest Ave # 235, Eden Prairie, MNRule0.99D1 member id + dob exact
CLM-430335CLM2026-02-28Diego Contrerasflagged1948-02-23UHC-46032-0659448155552310 Forest Ave, Eden Prairie, MNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-430334CLMCLM-430335CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-139824 ENRCLM-430335CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430336 CLMCLM-430335CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430334CLMCLM-430336 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-139824 ENRCLM-430336 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430334CLMENR-139824 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-430334CLMCLM-430333CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430333CLMCLM-430336 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430333CLMENR-139824 ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-430333CLMCLM-430335CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Diego Contreras: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000040, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-430333 → UHC-46032-06 (Diego Contreras)
    ACT-008324, Claims processor
  • Care coordination outreachProposed
    Diego Contreras: 4 claims, no attributed provider
    ACT-017826, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye9ff11b2b4
    matching_agent, CLM-430335, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:54:38Record linked automaticallyf3d57936ac
    matching_agent, CLM-430336, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:54:38Record linked automaticallyfa0028594b
    matching_agent, ENR-139824, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:54:38Record linked automaticallyd81aff4016
    matching_agent, CLM-430333, identity id MBR-000781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430334
  • 2026-10-19 19:54:38Record linked automatically6833bd865b
    matching_agent, CLM-430334, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139824
  • 2026-10-19 19:52:08Record linked automaticallyebbb6e79a4
    matching_agent, CLM-430335, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:52:08Record linked automaticallyf4a7cf0ea5
    matching_agent, CLM-430336, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:52:08Record linked automaticallycdfcfbdca5
    matching_agent, ENR-139824, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:52:08Record linked automaticallyb96157296d
    matching_agent, CLM-430333, identity id MBR-000781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430334
  • 2026-10-19 19:52:08Record linked automaticallyff1ce2a7bd
    matching_agent, CLM-430334, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139824
  • 2026-10-19 19:45:41Record linked automatically319ef3d20e
    matching_agent, CLM-430335, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:45:41Record linked automatically83b1b3b8bc
    matching_agent, CLM-430336, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:45:41Record linked automatically603b3f7c3b
    matching_agent, ENR-139824, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:45:41Record linked automatically85d56e09cc
    matching_agent, CLM-430333, identity id MBR-000781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430334
  • 2026-10-19 19:45:41Record linked automaticallyae0302a286
    matching_agent, CLM-430334, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139824
  • 2026-10-19 19:32:31Record linked automaticallydac25ab0de
    matching_agent, CLM-430335, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:32:31Record linked automaticallyec709f9ae3
    matching_agent, CLM-430336, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:32:31Record linked automatically00dbb79c5c
    matching_agent, ENR-139824, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430334
  • 2026-10-19 19:32:31Record linked automatically59b414aac8
    matching_agent, CLM-430333, identity id MBR-000781, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-430334
  • 2026-10-19 19:32:31Record linked automaticallye9582bb0d1
    matching_agent, CLM-430334, identity id MBR-000781, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139824
  • 2026-10-19 19:31:28Record linked automaticallya39a431444
    matching_agent, CLM-430333, identity id MBR-033672, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430332
  • 2026-10-19 19:31:28Record linked automaticallyf4ab584699
    scoring_agent, CLM-430335, identity id MBR-006117, confidence 0.90, method probabilistic, matched record ENR-140002, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5d7a723a36
    matching_agent, CLM-430334, identity id MBR-004543, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-140001
  • 2026-10-19 19:31:28Record linked automaticallyf7d00fa89c
    scoring_agent, CLM-430336, identity id MBR-002284, confidence 1, method probabilistic, matched record ENR-140004, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0017262026-02-08Sunrise Cardiovascular Associates
in network
99214, 93224$602.00—DeniedDenied
CLM-2026-0017252026-02-08Sunrise Cardiovascular Associates
in network
99214, 93224$602.00$298.24ApprovedApproved
CLM-2026-0194652026-01-27Lakeside Imaging Center
in network
76700, 77067$936.00$0.00ApprovedApproved
CLM-2026-0264552025-12-29Cornerstone Internal Medicine Associates
in network
99214$210.00$100.20ApprovedApproved
CLM-2026-0048262025-12-14Riverside Medical Group
in network
99203$260.00$131.20ApprovedApproved