Identities/MBR-005109

Gold, golden identity

Diana James

6 source records from 4 feeds.

MBR-005109Verified6 records

Golden record

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

First nameENR: Diana
Middle name—: —
Last nameENR: James
Date of birthENR: 1952-05-22
GenderENR: F
Member IDENR: UHC-12444-24
SSNENR: •••-••-9701
PhoneENR: 3729253890
EmailENR: diana.james96@outlook.com
AddressENR: 3640 Sage Ct
CityENR: Glendale
StateENR: AZ
ZIPENR: 85358
GroupENR: GRP-8267
PlanENR: CORE-HMO

Min confidence

0.99

Sources

ENR ×2PRV ×1TPA ×2CLM ×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
ENR-108865	ENR	2026-01-17	Diana Jamesflagged	1952-05-22	UHC-12444-24	3729253890	3640 Sage Ct, Glendale, AZ	Scored	1.00	—
PRV-21996	PRV	2026-01-24	Dinaa Jamesflagged	1952-05-22	—	—	3640 Sage Ct, Glendale, AZ	Scored	0.99	—
TPA-52979	TPA	2026-02-21	Diana Jamesflagged	1952-05-22	—	3729253890	3640 Sage Ct, Glendale, AZ	Scored	1.00	—
TPA-52978	TPA	2026-05-14	Diana Jamesflagged	1952-05-22	—	—	3640 Sage Ct, Glendale, AZ	Scored	1.00	—
CLM-406789	CLM	2026-09-11	Diana Jamesflagged	1952-05-22	—	—	3640 Sage Ct, Glendale, AZ	Scored	1.00	—
ENR-108864	ENR	2026-09-22	Diana Jamesflagged	1952-05-22	UHC-12444-24	—	3640 Sage Ct, Glendale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52978 TPACLM-406789CLM1.00Scoredweighted 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-52978 TPAENR-108864ENR1.00Scoredweighted 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-108865ENRTPA-52978 TPA1.00Scoredweighted 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-52979TPATPA-52978 TPA1.00Scoredweighted 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-21996PRVENR-108864ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-108865ENRPRV-21996PRV0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21996PRVCLM-406789CLM0.99Scoredweighted 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

▶PRV-21996PRVTPA-52978 TPA0.99Scoredweighted 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

▶PRV-21996PRVTPA-52979TPA0.99Scoredweighted 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

▶ENR-108865ENRENR-108864ENR0.99RuleD1 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
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-108865ENRCLM-406789CLM0.97RuleD2 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

▶TPA-52979TPACLM-406789CLM0.97RuleD2 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

▶TPA-52979TPAENR-108864ENR0.97RuleD2 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

▶CLM-406789CLMENR-108864ENR0.97RuleD2 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

▶ENR-108865ENRTPA-52979TPA0.97RuleD2 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406789 → UHC-12444-24 (Diana James)
ACT-007515, Claims processor
Duplicate member record retiredExecuted
Diana James: 2 enrollment records collapsed into UHC-12444-24
ACT-022494, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyf462d2cc84
scoring_agent, ENR-108864, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:54:38Record linked automaticallyf7d90cd25a
scoring_agent, CLM-406789, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:54:38Record linked automaticallyf638781421
scoring_agent, TPA-52978, identity id MBR-005109, confidence 1, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:54:38Record linked automaticallyf9ee7c1a6b
scoring_agent, TPA-52979, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:54:38Record linked automaticallyd59d86b081
scoring_agent, PRV-21996, identity id MBR-005109, confidence 0.99, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:54:38Record linked automaticallydf2fc8ab64
scoring_agent, ENR-108865, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:52:08Record linked automaticallyc78dbd01b0
scoring_agent, ENR-108864, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:52:08Record linked automatically1decaee950
scoring_agent, CLM-406789, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:52:08Record linked automatically39fa3fdcb9
scoring_agent, TPA-52978, identity id MBR-005109, confidence 1, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:52:08Record linked automatically743387f1df
scoring_agent, TPA-52979, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:52:08Record linked automatically28d2281eff
scoring_agent, PRV-21996, identity id MBR-005109, confidence 0.99, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:52:08Record linked automaticallyec84eb2e54
scoring_agent, ENR-108865, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:45:42Record linked automatically59e5bd49e1
scoring_agent, ENR-108864, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:45:42Record linked automatically19549cefd8
scoring_agent, CLM-406789, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:45:42Record linked automatically3c2a5b080a
scoring_agent, TPA-52978, identity id MBR-005109, confidence 1, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:45:42Record linked automatically6284dcd464
scoring_agent, TPA-52979, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:45:42Record linked automatically147d857e43
scoring_agent, PRV-21996, identity id MBR-005109, confidence 0.99, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:45:42Record linked automaticallycb8e33eb9b
scoring_agent, ENR-108865, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:32:31Record linked automatically5f654c9731
scoring_agent, ENR-108864, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:32:31Record linked automaticallyf9a6e02aa9
scoring_agent, CLM-406789, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:32:31Record linked automaticallyc4607ec1e7
scoring_agent, TPA-52978, identity id MBR-005109, confidence 1, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:32:31Record linked automatically59b8223e76
scoring_agent, TPA-52979, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:32:31Record linked automatically156ea32e27
scoring_agent, PRV-21996, identity id MBR-005109, confidence 0.99, method probabilistic, matched record ENR-108865, policy version 1
2026-10-19 19:32:31Record linked automaticallydb6f70f561
scoring_agent, ENR-108865, identity id MBR-005109, confidence 1, method probabilistic, matched record TPA-52978, policy version 1
2026-10-19 19:31:28Record linked automaticallyf4c89dae2b
scoring_agent, CLM-406789, identity id MBR-022592, confidence 1, method probabilistic, matched record ENR-108905, policy version 1
2026-10-19 19:31:28Record linked automatically0564401ebc
scoring_agent, TPA-52979, identity id MBR-015357, confidence 1, method probabilistic, matched record ENR-108807, policy version 1
2026-10-19 19:31:28Record linked automatically9dc3aeca1a
matching_agent, ENR-108864, identity id MBR-011970, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406759
2026-10-19 19:31:28Record linked automatically85be3f1fa8
matching_agent, PRV-21996, identity id MBR-011498, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-108733
2026-10-19 19:31:28Record linked automaticallya54edb2d41
matching_agent, ENR-108865, identity id MBR-004969, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108866

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-2026-023377	2026-08-30	Lakeside Behavioral Health out of network	99214	$234.00	—	Denied	Denied