Identities/MBR-001784

Gold, golden identity

Rachel I Diaz

5 source records from 3 feeds.

MBR-001784Verified5 records

Golden record

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

First namePRV: Rachel
Middle namePRV: I
Last namePRV: Diaz
Date of birthPRV: 1999-12-10
GenderCLM: F
Member IDPRV: UHC-34219-67
SSNPRV: •••-••-3180
PhonePRV: 5266524855
EmailTPA: rachel.diaz42@yahoo.com
AddressPRV: 9301 Highland Ave
CityPRV: Nashville
StatePRV: TN
ZIPPRV: 37232
GroupCLM: GRP-2101
PlanCLM: OPTIONS-PPO

Min confidence

1.00

Sources

TPA ×2PRV ×1CLM ×2

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
TPA-55694	TPA	2026-01-06	Rachel Diazflagged	1999-12-10	—	—	9301 Highland Ave, Nashville, TN	Scored	1.00	—
PRV-23750	PRV	2026-01-11	Rachel Diazflagged	1999-12-10	UHC-34219-67	5266524855	9301 Highland Ave, Nashville, TN	Scored	1.00	—
TPA-55693	TPA	2026-01-12	Rachel Diazflagged	1999-12-10	—	—	9301 Highland Ave, Nashville, TN	Scored	1.00	—
CLM-412954	CLM	2026-02-02	Rachel Diazflagged	1999-12-10	—	—	9301 Highland Ave, Nashville, TN	Scored	1.00	—
CLM-412953	CLM	2026-03-12	Rachel Diazflagged	1999-12-10	UHC-34219-67	5266524855	9301 Highland Ave, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-55694TPACLM-412953CLM1.00Scoredweighted 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-55693TPA CLM-412953CLM1.00Scoredweighted 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-412954CLMCLM-412953CLM1.00Scoredweighted 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-55694TPACLM-412954CLM1.00Scoredweighted 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-55693TPA CLM-412954CLM1.00Scoredweighted 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-55694TPAPRV-23750 PRV1.00Scoredweighted 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-55694TPATPA-55693TPA 1.00Scoredweighted 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-23750 PRVTPA-55693TPA 1.00Scoredweighted 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-23750 PRVCLM-412953CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-23750 PRVCLM-412954CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-412954 → UHC-34219-67 (Rachel Diaz)
ACT-001410, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyfa390f3c7d
scoring_agent, CLM-412953, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:54:38Record linked automatically0ab112baa4
scoring_agent, CLM-412954, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:54:38Record linked automatically089a91c251
scoring_agent, TPA-55693, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:54:38Record linked automatically161e97d869
scoring_agent, PRV-23750, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:54:38Record linked automatically193d7544e5
scoring_agent, TPA-55694, identity id MBR-001784, confidence 1, method probabilistic, matched record PRV-23750, policy version 1
2026-10-19 19:52:08Record linked automatically0dc20224ed
scoring_agent, CLM-412953, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:52:08Record linked automatically4642f4a2ae
scoring_agent, CLM-412954, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:52:08Record linked automatically21f7db859a
scoring_agent, TPA-55693, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:52:08Record linked automaticallyfaf1464388
scoring_agent, PRV-23750, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:52:08Record linked automatically7357917e51
scoring_agent, TPA-55694, identity id MBR-001784, confidence 1, method probabilistic, matched record PRV-23750, policy version 1
2026-10-19 19:45:41Record linked automaticallya311a543c6
scoring_agent, CLM-412953, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:45:41Record linked automatically9bbcb8b02b
scoring_agent, CLM-412954, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:45:41Record linked automaticallyb09998b666
scoring_agent, TPA-55693, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:45:41Record linked automaticallyaeae1e48f5
scoring_agent, PRV-23750, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:45:41Record linked automaticallyd94cfe43f1
scoring_agent, TPA-55694, identity id MBR-001784, confidence 1, method probabilistic, matched record PRV-23750, policy version 1
2026-10-19 19:32:31Record linked automatically1f26b76392
scoring_agent, CLM-412953, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:32:31Record linked automaticallyd6c0ac46eb
scoring_agent, CLM-412954, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:32:31Record linked automatically6ecce0bfa0
scoring_agent, TPA-55693, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:32:31Record linked automatically8adae9b441
scoring_agent, PRV-23750, identity id MBR-001784, confidence 1, method probabilistic, matched record TPA-55694, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5c1f55c0f
scoring_agent, TPA-55694, identity id MBR-001784, confidence 1, method probabilistic, matched record PRV-23750, policy version 1
2026-10-19 19:31:28Record linked automaticallybc001d04e7
scoring_agent, CLM-412954, identity id MBR-032604, confidence 0.98, method probabilistic, matched record ENR-117111, policy version 1
2026-10-19 19:31:28Record linked automatically0b48c2a9b8
matching_agent, CLM-412953, identity id MBR-032604, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117111
2026-10-19 19:31:28Record linked automaticallyb65f1b1e76
scoring_agent, PRV-23750, identity id MBR-018259, confidence 1, method probabilistic, matched record ENR-116807, policy version 1
2026-10-19 19:31:28Record linked automaticallyc6e00081bb
scoring_agent, TPA-55693, identity id MBR-010311, confidence 1, method probabilistic, matched record TPA-55692, policy version 1
2026-10-19 19:31:28Record linked automaticallyfed02769ae
scoring_agent, TPA-55694, identity id MBR-003984, confidence 1, method probabilistic, matched record ENR-117165, 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-2026-012793	2026-02-14	Evergreen Medical Group in network	99203	$198.00	$102.76	Approved	Approved
CLM-2026-000294	2026-01-31	Northgate Counseling Center in network	90791, 90837	$658.00	$357.96	Approved	Approved