Identities/MBR-012685
Gold, golden identity

Diana Martinez

3 source records from 2 feeds.

MBR-012685Verified3 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
Martinez
Date of birthENR
1964-05-19
GenderENR
F
Member IDENR
UHC-43768-55
SSNENR
•••-••-4770
PhoneENR
6254853713
EmailENR
diana.martinez34@aol.com
AddressENR
8091 Highland Ave
CityENR
Houston
StateENR
TX
ZIPENR
77018
GroupENR
GRP-5547
PlanENR
NAVIGATE-HMO
Min confidence
0.97
Sources
ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.97ENRENR-132179CLMCLM-424626CLMCLM-424625IDMBR-012685
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-132179ENR2026-02-13Diana Martinezflagged1964-05-19UHC-43768-5562548537138091 Highland Ave, Houston, TXRule0.99D1 member id + dob exact
CLM-424626CLM2026-03-06Diana Martinezflagged1964-05-19UHC-43768-5562548537138091 Highland Ave, Houston, TXRule0.99D1 member id + dob exact
CLM-424625CLM2026-05-22Diana Mertinezflagged1964-05-19—62548537138091 Highland Ave, Houston, TXRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-132179ENRCLM-424626CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-132179ENRCLM-424625CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-424626CLMCLM-424625CLM0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424625 → UHC-43768-55 (Diana Martinez)
    ACT-007925, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7d939cee93
    matching_agent, CLM-424625, identity id MBR-012685, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132179
  • 2026-10-22 12:43:54Record linked automatically7100ea1a14
    matching_agent, CLM-424626, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132179
  • 2026-10-22 12:43:54Record linked automatically8675341285
    matching_agent, ENR-132179, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424626
  • 2026-10-19 19:54:38Record linked automatically7164a3c8c8
    matching_agent, CLM-424625, identity id MBR-012685, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132179
  • 2026-10-19 19:54:38Record linked automatically38817a8d5e
    matching_agent, CLM-424626, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132179
  • 2026-10-19 19:54:38Record linked automatically85c2832ed1
    matching_agent, ENR-132179, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424626
  • 2026-10-19 19:52:09Record linked automatically2838b9128e
    matching_agent, CLM-424625, identity id MBR-012685, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132179
  • 2026-10-19 19:52:09Record linked automatically657165df47
    matching_agent, CLM-424626, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132179
  • 2026-10-19 19:52:09Record linked automaticallyf1b3b49c70
    matching_agent, ENR-132179, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424626
  • 2026-10-19 19:45:42Record linked automaticallyf55a50f040
    matching_agent, CLM-424625, identity id MBR-012685, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132179
  • 2026-10-19 19:45:42Record linked automatically0124a253d8
    matching_agent, CLM-424626, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132179
  • 2026-10-19 19:45:42Record linked automatically7df65852c1
    matching_agent, ENR-132179, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424626
  • 2026-10-19 19:32:31Record linked automaticallybf13490c81
    matching_agent, CLM-424625, identity id MBR-012685, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132179
  • 2026-10-19 19:32:31Record linked automatically397fdcf2dc
    matching_agent, CLM-424626, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132179
  • 2026-10-19 19:32:31Record linked automatically1270b528af
    matching_agent, ENR-132179, identity id MBR-012685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424626
  • 2026-10-19 19:31:28Record linked automatically0b665be3b0
    matching_agent, ENR-132179, identity id MBR-013603, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132178
  • 2026-10-19 19:31:28Record linked automatically33b6154ba4
    matching_agent, CLM-424625, identity id MBR-012205, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-27258
  • 2026-10-19 19:31:28Record linked automatically5c65720192
    matching_agent, CLM-424626, identity id MBR-003596, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132410

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0249532026-05-02Summit Endocrine Associates
in network
83036, 95251$249.00—Needs reviewNeeds review
CLM-2026-0249522026-05-02Summit Endocrine Associates
in network
83036, 95251$249.00$125.86ApprovedApproved
CLM-2026-0164882026-02-03Harbor Physical Therapy
in network
97110, 97161, 97140$433.00$243.46ApprovedApproved