Identities/MBR-002014
Gold, golden identity

Diane Carter

5 source records from 3 feeds.

MBR-002014Verified5 records

Golden record

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

First nameENR
Diane
Middle name—
—
Last nameENR
Carter
Date of birthENR
1974-06-22
GenderENR
M
Member IDENR
UHC-52209-86
SSNENR
•••-••-4375
PhoneENR
3799179824
EmailENR
diane.carter@hotmail.com
AddressENR
663 Main St
CityENR
San Diego
StateENR
CA
ZIPENR
92173
GroupENR
GRP-1132
PlanENR
MEDICARE-ADV-A
Min confidence
0.96
Sources
ENR ×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

1.001.001.000.961.00ENRENR-139545ENRENR-139546PRVPRV-28830CLMCLM-430153CLMCLM-430154IDMBR-002014
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
ENR-139545ENR2026-01-07Diane Carterflagged1974-06-22UHC-52209-863799179824663 Main St, San Diego, CAScored1.00—
ENR-139546ENR2026-01-11Diane Carterflagged1974-06-22UHC-52209-863799179824663 Main St, San Diego, CAScored1.00—
PRV-28830PRV2026-01-13Diane Carterflagged1974-06-22—3799179824663 Main St, San Diego, CAScored1.00—
CLM-430153CLM2026-01-27Diane Carterflagged1973-06-22UHC-52209-863799179824663 Main St, San Diego, CARule0.96D3 member id + name
CLM-430154CLM2026-08-13Diane Carterflagged1974-06-22UHC-52209-86—663 Main St, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶PRV-28830PRVCLM-430154CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-139545ENRPRV-28830PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-139546ENRPRV-28830PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-139545ENRCLM-430154CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-139546ENRCLM-430154CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-139545ENRENR-139546ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-139545ENRCLM-430153CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-139546ENRCLM-430153CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-430153CLMCLM-430154CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28830PRVCLM-430153CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Diane Carter: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000104, Eligibility engine
  • Duplicate member record retiredExecuted
    Diane Carter: 2 enrollment records collapsed into UHC-52209-86
    ACT-022004, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyaaec08a978
    scoring_agent, CLM-430154, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:54:38Record linked automatically56447e7e80
    matching_agent, CLM-430153, identity id MBR-002014, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-139545
  • 2026-10-19 19:54:38Record linked automaticallyd504e21d2c
    scoring_agent, PRV-28830, identity id MBR-002014, confidence 1, method probabilistic, matched record ENR-139545, policy version 1
  • 2026-10-19 19:54:38Record linked automatically408ea54ccb
    scoring_agent, ENR-139546, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:54:38Record linked automatically90218c9116
    scoring_agent, ENR-139545, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd565ee563c
    scoring_agent, CLM-430154, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:52:08Record linked automatically26e8173527
    matching_agent, CLM-430153, identity id MBR-002014, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-139545
  • 2026-10-19 19:52:08Record linked automaticallydd34033718
    scoring_agent, PRV-28830, identity id MBR-002014, confidence 1, method probabilistic, matched record ENR-139545, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyc833561ce4
    scoring_agent, ENR-139546, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyeb58170212
    scoring_agent, ENR-139545, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyfcb9171fe0
    scoring_agent, CLM-430154, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyacd002dfe6
    matching_agent, CLM-430153, identity id MBR-002014, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-139545
  • 2026-10-19 19:45:41Record linked automatically26bf747aa2
    scoring_agent, PRV-28830, identity id MBR-002014, confidence 1, method probabilistic, matched record ENR-139545, policy version 1
  • 2026-10-19 19:45:41Record linked automatically049cbc0a3b
    scoring_agent, ENR-139546, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:45:41Record linked automatically0ddbc12326
    scoring_agent, ENR-139545, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:32:31Record linked automatically467ac3f42e
    scoring_agent, CLM-430154, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycc21fe2995
    matching_agent, CLM-430153, identity id MBR-002014, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-139545
  • 2026-10-19 19:32:31Record linked automaticallyf8fc1ccb97
    scoring_agent, PRV-28830, identity id MBR-002014, confidence 1, method probabilistic, matched record ENR-139545, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybb78ae89bf
    scoring_agent, ENR-139546, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc5842d52a3
    scoring_agent, ENR-139545, identity id MBR-002014, confidence 1, method probabilistic, matched record PRV-28830, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye5ec1792bf
    matching_agent, ENR-139546, identity id MBR-039012, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429969
  • 2026-10-19 19:31:28Record linked automaticallybb7f8fb20d
    scoring_agent, CLM-430153, identity id MBR-024568, confidence 1, method probabilistic, matched record CLM-430154, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9667abc481
    scoring_agent, CLM-430154, identity id MBR-024568, confidence 1, method probabilistic, matched record CLM-430153, policy version 1
  • 2026-10-19 19:31:28Record linked automatically04c9ed3602
    scoring_agent, PRV-28830, identity id MBR-006005, confidence 1, method probabilistic, matched record PRV-28831, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0242772026-08-04Sunrise Imaging Center
out of network
76700$361.00$0.00ApprovedApproved
CLM-2026-0106252026-01-23Heritage Rehabilitation Center
in network
97110$220.00$116.40ApprovedApproved