Gold, golden identity
Diane F Flores
3 source records from 3 feeds.
MBR-011528Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Diane
- Middle nameENR
- F
- Last nameENR
- Flores
- Date of birthENR
- 1957-03-20
- GenderENR
- M
- Member IDENR
- UHC-82777-29
- SSNENR
- •••-••-1585
- PhoneENR
- 9679281052
- EmailENR
- diane.flores@icloud.com
- AddressENR
- 563 Market St
- CityENR
- Plano
- StateENR
- TX
- ZIPENR
- 75041
- GroupENR
- GRP-6228
- PlanENR
- NAVIGATE-HMO
Min confidence
1.00
Sources
CLM ×1TPA ×1ENR ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-424939 | CLM | 2026-02-08 | Diane Floresflagged | 1957-03-20 | — | 9679281052 | — | Scored | 1.00 | — |
| TPA-60990 | TPA | 2026-05-27 | Diane Floresflagged | 1957-03-20 | — | 9679281052 | 563 Market St # 928, Plano, TX | Scored | 1.00 | — |
| ENR-132588 | ENR | 2026-07-01 | Diane Floresflagged | 1957-03-20 | UHC-82777-29 | 9679281052 | 563 Market St, Plano, TX | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-424939CLMENR-132588ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-424939CLMTPA-60990TPA 1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-60990TPA ENR-132588ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedDiane Flores: 2 plan codes across sources → canonical NAVIGATE-HMOACT-000511, Eligibility engine
- Orphan claim re-pointedExecutedCLM-424939 → UHC-82777-29 (Diane Flores)ACT-002324, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically7bfdfa7f31scoring_agent, ENR-132588, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:54:38Record linked automaticallya7248ebc4dscoring_agent, TPA-60990, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyd255ec8318scoring_agent, CLM-424939, identity id MBR-011528, confidence 1, method probabilistic, matched record TPA-60990, policy version 1
- 2026-10-19 19:52:09Record linked automatically1b1fc12c04scoring_agent, ENR-132588, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyeefa8398dbscoring_agent, TPA-60990, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:52:09Record linked automatically4fb89de202scoring_agent, CLM-424939, identity id MBR-011528, confidence 1, method probabilistic, matched record TPA-60990, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf555c98d76scoring_agent, ENR-132588, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:45:42Record linked automatically701130db0fscoring_agent, TPA-60990, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:45:42Record linked automatically559cd9cb0cscoring_agent, CLM-424939, identity id MBR-011528, confidence 1, method probabilistic, matched record TPA-60990, policy version 1
- 2026-10-19 19:32:31Record linked automatically5fbf70b150scoring_agent, ENR-132588, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:32:31Record linked automatically20f0e2498fscoring_agent, TPA-60990, identity id MBR-011528, confidence 1, method probabilistic, matched record CLM-424939, policy version 1
- 2026-10-19 19:32:31Record linked automatically05ab7c94edscoring_agent, CLM-424939, identity id MBR-011528, confidence 1, method probabilistic, matched record TPA-60990, policy version 1
- 2026-10-19 19:31:28Record linked automatically02d55803a2matching_agent, CLM-424939, identity id MBR-019566, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132820
- 2026-10-19 19:31:28Record linked automatically104b908bcescoring_agent, ENR-132588, identity id MBR-003408, confidence 1, method probabilistic, matched record TPA-60893, policy version 1
- 2026-10-19 19:31:28Record linked automatically1c5cf5d414scoring_agent, TPA-60990, identity id MBR-002887, confidence 1, method probabilistic, matched record CLM-424972, 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-2026-003711 | 2026-01-12 | Harbor Reference Lab in network | 87086, 80053 | $113.00 | — | Denied | Denied |
| CLM-2026-003710 | 2026-01-12 | Harbor Reference Lab in network | 87086, 80053 | $113.00 | $0.00 | Approved | Approved |