Diane Johnson

4 source records from 3 feeds.

MBR-001188Verified4 records

Golden record

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

First namePRV: Diane
Middle name—: —
Last nameENR: Johnson
Date of birthENR: 1961-12-02
GenderENR: F
Member IDENR: UHC-39148-39
SSNENR: •••-••-5275
PhoneENR: 2468226657
Email—: —
AddressENR: 2253 Broadway
CityENR: Tucson
StateENR: AZ
ZIPENR: 85745
GroupENR: GRP-9735
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.96

Sources

ENR ×1PRV ×1CLM ×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
ENR-113011	ENR	2026-01-04	Dine Johnsonflagged	1961-12-02	UHC-39148-39	2468226657	2253 Broadway, Tucson, AZ	Rule	0.99	D1 member id + dob exact
PRV-22874	PRV	2026-01-28	Diane Johnsonflagged	1961-12-02	UHC-39148-39	2468226657	2253 Broadway, Tucson, AZ	Scored	1.00	—
CLM-409874	CLM	2026-05-13	Diane Johnsonflagged	1961-12-02	—	—	2253 Broadway, Tucson, AZ	Scored	1.00	—
CLM-409873	CLM	2026-08-07	Diane Johnsonflagged	—	UHC-39148-39	—	2253 Broadway, Tucson, AZ	Rule	0.96	D3 member id + name

Evidence

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

Score

Method

Rule

Decision

▶PRV-22874PRVCLM-409874CLM1.00Scoredweighted 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-113011ENRPRV-22874PRV0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-113011ENRCLM-409874CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-113011ENRCLM-409873CLM0.96RuleD3 member id + nameAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-22874PRVCLM-409873CLM0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-409874CLMCLM-409873CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-409874 → UHC-39148-39 (Diane Johnson)
ACT-009079, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:52Record linked automatically67877c1d3b
matching_agent, CLM-409873, identity id MBR-001188, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113011
2026-10-22 12:43:52Record linked automaticallyab2c4d70a2
scoring_agent, CLM-409874, identity id MBR-001188, confidence 1, method probabilistic, matched record PRV-22874, policy version 1
2026-10-22 12:43:52Record linked automatically1977d68c5c
scoring_agent, PRV-22874, identity id MBR-001188, confidence 1, method probabilistic, matched record CLM-409874, policy version 1
2026-10-22 12:43:52Record linked automatically5cbc0090f4
matching_agent, ENR-113011, identity id MBR-001188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22874
2026-10-19 19:54:38Record linked automaticallyf6505800a2
matching_agent, CLM-409873, identity id MBR-001188, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113011
2026-10-19 19:54:38Record linked automaticallye98aea739a
scoring_agent, CLM-409874, identity id MBR-001188, confidence 1, method probabilistic, matched record PRV-22874, policy version 1
2026-10-19 19:54:38Record linked automatically4e3b59efc5
scoring_agent, PRV-22874, identity id MBR-001188, confidence 1, method probabilistic, matched record CLM-409874, policy version 1
2026-10-19 19:54:38Record linked automatically39559ec9cd
matching_agent, ENR-113011, identity id MBR-001188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22874
2026-10-19 19:52:08Record linked automatically3f59ec1a4d
matching_agent, CLM-409873, identity id MBR-001188, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113011
2026-10-19 19:52:08Record linked automaticallyf11b2024bd
scoring_agent, CLM-409874, identity id MBR-001188, confidence 1, method probabilistic, matched record PRV-22874, policy version 1
2026-10-19 19:52:08Record linked automaticallydd16473210
scoring_agent, PRV-22874, identity id MBR-001188, confidence 1, method probabilistic, matched record CLM-409874, policy version 1
2026-10-19 19:52:08Record linked automatically32c6bcbd3e
matching_agent, ENR-113011, identity id MBR-001188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22874
2026-10-19 19:45:41Record linked automaticallyf30fe21041
matching_agent, CLM-409873, identity id MBR-001188, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113011
2026-10-19 19:45:41Record linked automatically8d7a7e6834
scoring_agent, CLM-409874, identity id MBR-001188, confidence 1, method probabilistic, matched record PRV-22874, policy version 1
2026-10-19 19:45:41Record linked automaticallye7f5362b53
scoring_agent, PRV-22874, identity id MBR-001188, confidence 1, method probabilistic, matched record CLM-409874, policy version 1
2026-10-19 19:45:41Record linked automatically8114b14486
matching_agent, ENR-113011, identity id MBR-001188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22874
2026-10-19 19:32:31Record linked automatically27626a4c33
matching_agent, CLM-409873, identity id MBR-001188, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-113011
2026-10-19 19:32:31Record linked automaticallya00fff6f7d
scoring_agent, CLM-409874, identity id MBR-001188, confidence 1, method probabilistic, matched record PRV-22874, policy version 1
2026-10-19 19:32:31Record linked automaticallyd327a0f737
scoring_agent, PRV-22874, identity id MBR-001188, confidence 1, method probabilistic, matched record CLM-409874, policy version 1
2026-10-19 19:32:31Record linked automaticallycef9f1670a
matching_agent, ENR-113011, identity id MBR-001188, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22874
2026-10-19 19:31:28Record linked automaticallyb740572868
matching_agent, CLM-409873, identity id MBR-018752, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113027
2026-10-19 19:31:28Record linked automatically20410acca2
scoring_agent, CLM-409874, identity id MBR-009259, confidence 1, method probabilistic, matched record ENR-113029, policy version 1
2026-10-19 19:31:28Record linked automatically15b1742b6c
scoring_agent, PRV-22874, identity id MBR-001412, confidence 1, method probabilistic, matched record CLM-409671, policy version 1

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-2026-026124	2026-07-21	Unity Cardiovascular Associates in network	93306, 93458	$6,526.00	$2,743.39	Approved	Approved
CLM-2026-029364	2026-04-16	Riverside Orthopedic Specialists in network	20610, 99213	$419.00	$184.78	Approved	Approved