Identities/MBR-011801
Gold, golden identity

Diana S Bailey

5 source records from 2 feeds.

MBR-011801Verified5 records

Golden record

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

First nameENR
Diana
Middle nameENR
S
Last nameENR
Bailey
Date of birthENR
1999-10-21
GenderENR
F
Member IDENR
UHC-96404-93
SSNENR
•••-••-2932
PhoneCLM
8945819690
EmailENR
diana.bailey74@proton.me
AddressCLM
7001 Central Ave
CityCLM
San Antonio
StateCLM
TX
ZIPCLM
78246
GroupENR
GRP-8968
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
ENR ×1CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.991.000.961.000.99ENRENR-123242CLMCLM-417645CLMCLM-417646CLMCLM-417644CLMCLM-417643IDMBR-011801
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-123242ENR2026-02-09Diana Baileyflagged1999-10-21UHC-96404-93—3860 Spring St, Miami, FLRule0.99D1 member id + dob exact
CLM-417645CLM2026-02-14Diana Baileyflagged1999-10-21UHC-96404-9389458196907001 Central Ave, San Antonio, TXScored1.00—
CLM-417646CLM2026-03-08Diana Baileyflagged1999-12-01UHC-96404-93—7001 Central Ave, San Antonio, TXRule0.96D3 member id + name
CLM-417644CLM2026-04-05Diana Baileyflagged1999-10-21—8945819690—Scored1.00—
CLM-417643CLM2026-09-26Diana Baileyflagged1999-10-21UHC-96404-93—7001 Central Ave, San Antonio, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-417645CLM CLM-417644CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123242ENRCLM-417643CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-417645CLM CLM-417643CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123242ENRCLM-417645CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417646CLM CLM-417643CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-123242ENRCLM-417646CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address0.002different
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-417645CLM CLM-417646CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-417644CLMCLM-417643CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶ENR-123242ENRCLM-417644CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-417646CLM CLM-417644CLM0.80Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417644 → UHC-96404-93 (Diana Bailey)
    ACT-001991, Claims processor
  • Outreach address correctedProposed
    Diana Bailey: 3860 Spring St, Miami → 7001 Central Ave, San Antonio
    ACT-011575, Outreach
  • Care coordination outreachProposed
    Diana Bailey: 4 claims, no attributed provider
    ACT-018642, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically49defa582e
    matching_agent, CLM-417643, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123242
  • 2026-10-19 19:54:38Record linked automaticallyd520abb6a9
    scoring_agent, CLM-417644, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417645, policy version 1
  • 2026-10-19 19:54:38Record linked automatically56005138f5
    matching_agent, CLM-417646, identity id MBR-011801, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123242
  • 2026-10-19 19:54:38Record linked automatically33b57e8079
    scoring_agent, CLM-417645, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417644, policy version 1
  • 2026-10-19 19:54:38Record linked automatically57e4f7499e
    matching_agent, ENR-123242, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417645
  • 2026-10-19 19:52:09Record linked automatically69e1f98b3c
    matching_agent, CLM-417643, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123242
  • 2026-10-19 19:52:09Record linked automatically345fed83ec
    scoring_agent, CLM-417644, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417645, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya233228896
    matching_agent, CLM-417646, identity id MBR-011801, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123242
  • 2026-10-19 19:52:09Record linked automatically80fa5d2176
    scoring_agent, CLM-417645, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417644, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4c311a3a13
    matching_agent, ENR-123242, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417645
  • 2026-10-19 19:45:42Record linked automatically4d8e21ba62
    matching_agent, CLM-417643, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123242
  • 2026-10-19 19:45:42Record linked automatically1bb2392dd3
    scoring_agent, CLM-417644, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417645, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye4e40c14c6
    matching_agent, CLM-417646, identity id MBR-011801, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123242
  • 2026-10-19 19:45:42Record linked automaticallyfc73e597d8
    scoring_agent, CLM-417645, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417644, policy version 1
  • 2026-10-19 19:45:42Record linked automatically057883866e
    matching_agent, ENR-123242, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417645
  • 2026-10-19 19:32:31Record linked automaticallycfb8cb3b5d
    matching_agent, CLM-417643, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123242
  • 2026-10-19 19:32:31Record linked automatically57bc6a6b41
    scoring_agent, CLM-417644, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417645, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5d1eb7afcd
    matching_agent, CLM-417646, identity id MBR-011801, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123242
  • 2026-10-19 19:32:31Record linked automatically7f3e8c0943
    scoring_agent, CLM-417645, identity id MBR-011801, confidence 1, method probabilistic, matched record CLM-417644, policy version 1
  • 2026-10-19 19:32:31Record linked automatically00165e4780
    matching_agent, ENR-123242, identity id MBR-011801, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417645
  • 2026-10-19 19:31:28Record linked automatically15c6123678
    matching_agent, CLM-417646, identity id MBR-015544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417647
  • 2026-10-19 19:31:28Record linked automaticallycd3086d6a9
    matching_agent, CLM-417644, identity id MBR-015544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417647
  • 2026-10-19 19:31:28Record linked automaticallyb94f6145a7
    matching_agent, CLM-417645, identity id MBR-015544, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417647
  • 2026-10-19 19:31:28Record linked automaticallyf2ca06a8cb
    scoring_agent, CLM-417643, identity id MBR-003784, confidence 1, method probabilistic, matched record ENR-123082, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0094812026-03-03Desert Medical Group
in network
36415, 90471, 99213$212.00—DeniedDenied
CLM-2026-0025472026-04-01Unity Digestive Health Center
in network
88305, 45378$1,898.00$0.00ApprovedApproved
CLM-2026-0209022026-01-30Northgate Internal Medicine Associates
in network
80053, 99215$449.00$253.38ApprovedApproved
CLM-2026-0027722026-01-26Mesa Family Practice
in network
99213$178.00$85.36ApprovedApproved