Gold, golden identity
Diana Berry
4 source records from 3 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Diana
- Middle name—
- —
- Last namePRV
- Berry
- Date of birthPRV
- 1978-03-11
- GenderPRV
- M
- Member IDPRV
- UHC-53245-53
- SSNCLM
- •••-••-3466
- PhonePRV
- 6816581324
- EmailCLM
- diana.berry@icloud.com
- AddressPRV
- 8859 Spring St
- CityPRV
- Miami
- StatePRV
- FL
- ZIPPRV
- 33197
- GroupCLM
- GRP-3904
- PlanCLM
- SELECT-EPO
Min confidence
0.99
Sources
CLM ×2TPA ×1PRV ×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-406138 | CLM | 2026-02-18 | Diana Berryflagged | 1978-03-11 | UHC-53245-53 | 6816581324 | 8859 Spring St Apt 30, Miami, FL | Scored | 1.00 | — |
| TPA-52721 | TPA | 2026-05-13 | Diana Beerryflagged | 1978-03-11 | UHC-53245-53 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-406137 | CLM | 2026-06-30 | Diana Berryflagged | 1978-03-11 | — | 6816581324 | 8859 Spring St, Miami, FL | Scored | 1.00 | — |
| PRV-21788 | PRV | 2026-09-02 | Diana Berryflagged | 1978-03-11 | UHC-53245-53 | 6816581324 | 8859 Spring St, Miami, FL | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-406138CLMCLM-406137CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406137CLMPRV-21788PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406138CLMPRV-21788PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-406138CLMTPA-52721TPA0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-52721TPACLM-406137CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-406137 → UHC-53245-53 (Diana Berry)ACT-006270, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallya017a938aascoring_agent, PRV-21788, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:54:38Record linked automatically448d2672dbscoring_agent, CLM-406137, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406138, policy version 1
- 2026-10-19 19:54:38Record linked automatically7a4d0d80c6matching_agent, TPA-52721, identity id MBR-014000, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406138
- 2026-10-19 19:54:38Record linked automaticallydac0bfe558scoring_agent, CLM-406138, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyad2ba4653cscoring_agent, PRV-21788, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:52:09Record linked automatically2e39cf9e86scoring_agent, CLM-406137, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406138, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb38e203d90matching_agent, TPA-52721, identity id MBR-014000, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406138
- 2026-10-19 19:52:09Record linked automatically6e7ae4a680scoring_agent, CLM-406138, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:45:42Record linked automatically9b7b3e0589scoring_agent, PRV-21788, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:45:42Record linked automatically308e6cdd11scoring_agent, CLM-406137, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406138, policy version 1
- 2026-10-19 19:45:42Record linked automatically75f6ae99b4matching_agent, TPA-52721, identity id MBR-014000, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406138
- 2026-10-19 19:45:42Record linked automatically94d8078882scoring_agent, CLM-406138, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyb3749b2139scoring_agent, PRV-21788, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:32:31Record linked automaticallybc085e1efascoring_agent, CLM-406137, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406138, policy version 1
- 2026-10-19 19:32:31Record linked automatically6b71b66943matching_agent, TPA-52721, identity id MBR-014000, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406138
- 2026-10-19 19:32:31Record linked automatically427901dd23scoring_agent, CLM-406138, identity id MBR-014000, confidence 1, method probabilistic, matched record CLM-406137, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyb8499ac751scoring_agent, CLM-406137, identity id MBR-027670, confidence 1, method probabilistic, matched record TPA-52731, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyde8dba4be1matching_agent, CLM-406138, identity id MBR-022697, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-108025
- 2026-10-19 19:31:28Record linked automatically73d84d5b15scoring_agent, TPA-52721, identity id MBR-018498, confidence 0.99, method probabilistic, matched record PRV-21821, policy version 1
- 2026-10-19 19:31:28Record linked automatically07ed240bd6scoring_agent, PRV-21788, identity id MBR-003998, confidence 1, method probabilistic, matched record TPA-52677, 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-2026-018574 | 2026-06-24 | Mesa Physical Therapy in network | 97110, 97014 | $215.00 | $103.30 | Approved | Approved |
| CLM-2026-030453 | 2026-01-28 | Harbor Reference Lab in network | 80053, 80061, 85025 | $192.00 | $0.00 | Approved | Approved |