Identities/MBR-009736

Gold, golden identity

Diane W Collins

5 source records from 3 feeds.

MBR-009736Verified5 records

Golden record

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

First nameCLM: Diane
Middle nameENR: W
Last nameENR: Collins
Date of birthENR: 1938-01-18
GenderENR: F
Member IDENR: UHC-37162-48
SSNENR: •••-••-9719
PhoneENR: 9784235205
EmailENR: diane.collins10@proton.me
AddressCLM: 1129 Lake View Rd
CityENR: Scottsdale
StateENR: AZ
ZIPCLM: 85263
GroupENR: GRP-4005
PlanENR: CORE-HMO

Min confidence

0.99

Sources

CLM ×3ENR ×1TPA ×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-421939	CLM	2026-02-02	Diane Collinsflagged	1938-01-18	UHC-37162-48	9784235205	—	Scored	1.00	—
ENR-128739	ENR	2026-04-25	Dane Collinsflagged	1938-01-18	UHC-37162-48	9784235205	875 Harbor Blvd, Scottsdale, AZ	Rule	0.99	D1 member id + dob exact
CLM-421940	CLM	2026-04-26	Diane Collinsflagged	1938-01-18	UHC-37162-48	9784235205	1129 Lake View Rd, Scottsdale, AZ	Scored	1.00	—
CLM-421941	CLM	2026-04-26	Diane Collinsflagged	1938-01-18	UHC-37162-48	9784235205	1129 Lake View Rd, Scottsdale, AZ	Scored	1.00	—
TPA-59641	TPA	2026-10-11	Diane Collinsflagged	1938-01-18	—	9784235205	1129 Lake View Rd, Scottsdale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-421939CLMTPA-59641TPA1.00Scoredweighted 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

▶CLM-421940CLMTPA-59641TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421941CLMTPA-59641TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421939CLMCLM-421940CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128739 ENRCLM-421940CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421939CLMCLM-421941CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128739 ENRCLM-421941CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421940CLMCLM-421941CLM0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-421939CLMENR-128739 ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128739 ENRTPA-59641TPA0.78Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Diane Collins: 875 Harbor Blvd, Scottsdale → 1129 Lake View Rd, Scottsdale
ACT-011372, Outreach
Care coordination outreachProposed
Diane Collins: 3 claims, no attributed provider
ACT-018522, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically9d75f560c8
scoring_agent, TPA-59641, identity id MBR-009736, confidence 1, method probabilistic, matched record CLM-421939, policy version 1
2026-10-22 12:43:54Record linked automatically8c29c3bbd5
scoring_agent, CLM-421941, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-22 12:43:54Record linked automatically6ca2090627
scoring_agent, CLM-421940, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-22 12:43:54Record linked automatically0fb794e21c
matching_agent, ENR-128739, identity id MBR-009736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421939
2026-10-22 12:43:54Record linked automaticallybd5b21d03b
scoring_agent, CLM-421939, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:54:38Record linked automaticallya52fd6588b
scoring_agent, TPA-59641, identity id MBR-009736, confidence 1, method probabilistic, matched record CLM-421939, policy version 1
2026-10-19 19:54:38Record linked automatically128890fd16
scoring_agent, CLM-421941, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:54:38Record linked automaticallye086d8afbc
scoring_agent, CLM-421940, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:54:38Record linked automaticallya4f20ebb26
matching_agent, ENR-128739, identity id MBR-009736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421939
2026-10-19 19:54:38Record linked automatically8b107cff92
scoring_agent, CLM-421939, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:52:09Record linked automatically45caffabd9
scoring_agent, TPA-59641, identity id MBR-009736, confidence 1, method probabilistic, matched record CLM-421939, policy version 1
2026-10-19 19:52:09Record linked automatically888ebcbc84
scoring_agent, CLM-421941, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:52:09Record linked automatically6ce3f8fc91
scoring_agent, CLM-421940, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:52:09Record linked automaticallydb59110c6e
matching_agent, ENR-128739, identity id MBR-009736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421939
2026-10-19 19:52:09Record linked automatically43c9bc2ce9
scoring_agent, CLM-421939, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:45:42Record linked automaticallye83b7f4fe4
scoring_agent, TPA-59641, identity id MBR-009736, confidence 1, method probabilistic, matched record CLM-421939, policy version 1
2026-10-19 19:45:42Record linked automatically2b6e43ac63
scoring_agent, CLM-421941, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:45:42Record linked automatically26dad3a6b7
scoring_agent, CLM-421940, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:45:42Record linked automaticallydbcbccb889
matching_agent, ENR-128739, identity id MBR-009736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421939
2026-10-19 19:45:42Record linked automatically8e43a8d05a
scoring_agent, CLM-421939, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:32:31Record linked automatically3dab5b8f8a
scoring_agent, TPA-59641, identity id MBR-009736, confidence 1, method probabilistic, matched record CLM-421939, policy version 1
2026-10-19 19:32:31Record linked automatically59d5eb0048
scoring_agent, CLM-421941, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:32:31Record linked automatically8b69daad72
scoring_agent, CLM-421940, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:32:31Record linked automaticallyf2d7abb1d9
matching_agent, ENR-128739, identity id MBR-009736, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421939
2026-10-19 19:32:31Record linked automaticallyda646c1e7d
scoring_agent, CLM-421939, identity id MBR-009736, confidence 1, method probabilistic, matched record TPA-59641, policy version 1
2026-10-19 19:31:28Record linked automaticallyb02e5f068e
matching_agent, TPA-59641, identity id MBR-031931, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128987
2026-10-19 19:31:28Record linked automatically5da0d4747d
scoring_agent, CLM-421941, identity id MBR-026371, confidence 1, method probabilistic, matched record TPA-59597, policy version 1
2026-10-19 19:31:28Record linked automatically9861e95f5a
matching_agent, ENR-128739, identity id MBR-016496, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421862

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-2026-018136	2026-04-23	Heritage Medical Group out of network	99213, 99203, 90471	$388.00	—	Denied	Denied
CLM-2026-018135	2026-04-23	Valley Family Practice in network	99213, 99203, 90471	$388.00	$200.56	Approved	Approved
CLM-2026-011857	2026-03-14	Riverside Clinical Laboratories in network	80061, 80053	$125.00	$0.00	Approved	Approved
CLM-2026-024694	2026-01-30	Summit Regional Medical Center in network	70553	$2,797.00	—	Needs review	Needs review