Diego Lane

4 source records from 3 feeds.

MBR-005983Verified4 records

Golden record

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

First nameENR: Diego
Middle name—: —
Last nameENR: Lane
Date of birthENR: 1943-06-06
GenderENR: M
Member IDENR: UHC-36112-57
SSNENR: •••-••-0783
PhonePRV: 6715745117
EmailENR: diego.lane80@hotmail.com
AddressENR: 1277 Baseline Rd
CityENR: San Diego
StateENR: CA
ZIPENR: 92186
GroupENR: GRP-6461
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

CLM ×2PRV ×1ENR ×1

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
CLM-415894	CLM	2026-01-20	Diego Laneflagged	1943-06-06	—	—	1277 Baseline Rd, San Diego, CA	Scored	1.00	—
PRV-24709	PRV	2026-03-14	Diego Laneflagged	1943-06-06	—	6715745117	1277 Baseline Rd, San Diego, CA	Scored	1.00	—
CLM-415893	CLM	2026-03-15	Diego Laneflagged	1943-06-06	—	6715745117	—	Scored	1.00	—
ENR-120941	ENR	2026-07-13	Diego Laneflagged	1943-06-06	UHC-36112-57	—	1277 Baseline Rd, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-24709PRVCLM-415893CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-24709PRVENR-120941ENR1.00Scoredweighted 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-415894CLMPRV-24709PRV1.00Scoredweighted 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-415894CLMCLM-415893CLM0.97RuleD2 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-415894CLMENR-120941ENR0.97RuleD2 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-415893CLMENR-120941ENR0.97RuleD2 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
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-415893 → UHC-36112-57 (Diego Lane)
ACT-004691, Claims processor
Orphan claim re-pointedExecuted
CLM-415894 → UHC-36112-57 (Diego Lane)
ACT-008401, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically6c5d2c55be
scoring_agent, ENR-120941, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-22 12:43:53Record linked automaticallyb255183792
scoring_agent, CLM-415893, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-22 12:43:53Record linked automaticallydeadc6faa1
scoring_agent, PRV-24709, identity id MBR-005983, confidence 1, method probabilistic, matched record CLM-415894, policy version 1
2026-10-22 12:43:53Record linked automaticallya64f1dc7df
scoring_agent, CLM-415894, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:54:38Record linked automatically1a031a52e3
scoring_agent, ENR-120941, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:54:38Record linked automatically52c2fa62d8
scoring_agent, CLM-415893, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:54:38Record linked automatically1d09373bc6
scoring_agent, PRV-24709, identity id MBR-005983, confidence 1, method probabilistic, matched record CLM-415894, policy version 1
2026-10-19 19:54:38Record linked automatically4da5ef2dbf
scoring_agent, CLM-415894, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:52:08Record linked automaticallyac8542c7e3
scoring_agent, ENR-120941, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:52:08Record linked automatically0b0680e09a
scoring_agent, CLM-415893, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:52:08Record linked automatically0eaac20db0
scoring_agent, PRV-24709, identity id MBR-005983, confidence 1, method probabilistic, matched record CLM-415894, policy version 1
2026-10-19 19:52:08Record linked automaticallyc976ce8794
scoring_agent, CLM-415894, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:45:42Record linked automaticallybb969e4940
scoring_agent, ENR-120941, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:45:42Record linked automatically10b27c3860
scoring_agent, CLM-415893, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:45:42Record linked automatically08505ae12a
scoring_agent, PRV-24709, identity id MBR-005983, confidence 1, method probabilistic, matched record CLM-415894, policy version 1
2026-10-19 19:45:42Record linked automaticallyaae214752e
scoring_agent, CLM-415894, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:32:31Record linked automatically42304a22bc
scoring_agent, ENR-120941, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:32:31Record linked automatically9584188d2c
scoring_agent, CLM-415893, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:32:31Record linked automaticallya1d6ba50e1
scoring_agent, PRV-24709, identity id MBR-005983, confidence 1, method probabilistic, matched record CLM-415894, policy version 1
2026-10-19 19:32:31Record linked automaticallyde19537c95
scoring_agent, CLM-415894, identity id MBR-005983, confidence 1, method probabilistic, matched record PRV-24709, policy version 1
2026-10-19 19:31:28Record linked automatically392818dfa5
matching_agent, CLM-415894, identity id MBR-012076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120795
2026-10-19 19:31:28Record linked automatically4d2b39a1cb
matching_agent, ENR-120941, identity id MBR-004644, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416008
2026-10-19 19:31:28Record linked automatically58fcf1e2cd
matching_agent, CLM-415893, identity id MBR-003451, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-415892

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-2026-012703	2026-03-06	Valley Imaging Center in network	70553, 74177	$4,456.00	—	Denied	Denied
CLM-2026-026755	2025-12-24	Desert Primary Care Associates in network	36415	$24.00	—	Needs review	Needs review
CLM-2026-026754	2025-12-24	Desert Primary Care Associates in network	36415	$24.00	$0.00	Approved	Approved