Identities/MBR-014971

Gold, golden identity

Ryan Diaz

6 source records from 3 feeds.

MBR-014971Verified6 records

Golden record

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

First nameENR: Ryan
Middle name—: —
Last nameENR: Diaz
Date of birthENR: 1991-04-01
GenderENR: F
Member IDENR: UHC-85118-52
SSNENR: •••-••-8874
PhoneENR: 3212105174
EmailENR: ryan.diaz@gmail.com
AddressENR: 1621 Willow Ct
CityENR: Columbus
StateENR: OH
ZIPENR: 43295
GroupENR: GRP-1969
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×4ENR ×1TPA ×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-408434	CLM	2026-02-22	Ryan Diazflagged	1991-04-01	—	—	1621 Willow Ct, Columbus, OH	Scored	1.00	—
ENR-111123	ENR	2026-03-23	Ryan Diazflagged	1991-04-01	UHC-85118-52	3212105174	1621 Willow Ct, Columbus, OH	Scored	1.00	—
CLM-408435	CLM	2026-05-05	Ryan Diazflagged	1991-04-01	UHC-85118-52	3212105174	—	Scored	1.00	—
TPA-53705	TPA	2026-06-06	Ryan Diazflagged	1991-04-01	—	—	1621 Willow Ct, Columbus, OH	Scored	1.00	—
CLM-408433	CLM	2026-06-08	Ryan Diazflagged	1991-04-01	—	3212105174	1621 Willow Ct # 290, Columbus, OH	Scored	1.00	—
CLM-408436	CLM	2026-08-24	Ryan Diazflagged	1991-04-01	—	3212105174	1621 Willow Ct, Columbus, OH	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-408434CLM CLM-408436CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-111123ENRCLM-408436CLM1.00Scoredweighted 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-408435CLMCLM-408436CLM1.00Scoredweighted 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

▶TPA-53705TPACLM-408436CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408433CLMCLM-408436CLM1.00Scoredweighted 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

▶ENR-111123ENRCLM-408435CLM0.99RuleD1 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

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-408434CLM CLM-408433CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111123ENRCLM-408433CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408435CLMCLM-408433CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-53705TPACLM-408433CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408434CLM CLM-408435CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408434CLM ENR-111123ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408434CLM TPA-53705TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111123ENRTPA-53705TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408435CLMTPA-53705TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408433 → UHC-85118-52 (Ryan Diaz)
ACT-003940, Claims processor
Orphan claim re-pointedExecuted
CLM-408434 → UHC-85118-52 (Ryan Diaz)
ACT-004819, Claims processor
Orphan claim re-pointedExecuted
CLM-408436 → UHC-85118-52 (Ryan Diaz)
ACT-008029, Claims processor
Care coordination outreachProposed
Ryan Diaz: 4 claims, no attributed provider
ACT-018825, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically33523e3bb4
scoring_agent, CLM-408436, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408434, policy version 1
2026-10-19 19:54:38Record linked automaticallyc72f8a521a
scoring_agent, CLM-408433, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:54:38Record linked automatically56c5675add
scoring_agent, TPA-53705, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:54:38Record linked automatically829c89a609
scoring_agent, CLM-408435, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:54:38Record linked automatically45a05c3941
scoring_agent, ENR-111123, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:54:38Record linked automatically4b89d7b799
scoring_agent, CLM-408434, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:52:09Record linked automatically0c473a3cd4
scoring_agent, CLM-408436, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408434, policy version 1
2026-10-19 19:52:09Record linked automatically7b473ddad7
scoring_agent, CLM-408433, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:52:09Record linked automaticallyf2025611d7
scoring_agent, TPA-53705, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:52:09Record linked automatically6b01e702c1
scoring_agent, CLM-408435, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:52:09Record linked automaticallyae382f1de5
scoring_agent, ENR-111123, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:52:09Record linked automaticallyfc96979c0d
scoring_agent, CLM-408434, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:45:42Record linked automatically4d07bc4e24
scoring_agent, CLM-408436, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408434, policy version 1
2026-10-19 19:45:42Record linked automatically2ff7778480
scoring_agent, CLM-408433, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:45:42Record linked automaticallybbb88f2811
scoring_agent, TPA-53705, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:45:42Record linked automatically79ddb37d2b
scoring_agent, CLM-408435, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:45:42Record linked automatically1971481a93
scoring_agent, ENR-111123, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:45:42Record linked automatically414e077d6f
scoring_agent, CLM-408434, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:32:31Record linked automatically1b6768758b
scoring_agent, CLM-408436, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408434, policy version 1
2026-10-19 19:32:31Record linked automaticallyfbf09397c8
scoring_agent, CLM-408433, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:32:31Record linked automatically1410309982
scoring_agent, TPA-53705, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:32:31Record linked automatically995653995b
scoring_agent, CLM-408435, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:32:31Record linked automaticallyacf6c99b5c
scoring_agent, ENR-111123, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:32:31Record linked automatically82baaed7f1
scoring_agent, CLM-408434, identity id MBR-014971, confidence 1, method probabilistic, matched record CLM-408436, policy version 1
2026-10-19 19:31:28Record linked automaticallye83a25cc0d
matching_agent, CLM-408435, identity id MBR-026887, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-111118
2026-10-19 19:31:28Record linked automaticallyb9920a0fb3
scoring_agent, CLM-408436, identity id MBR-016747, confidence 1, method probabilistic, matched record TPA-53736, policy version 1
2026-10-19 19:31:28Record linked automatically9dddefa99e
scoring_agent, CLM-408434, identity id MBR-007117, confidence 1, method probabilistic, matched record CLM-408433, policy version 1
2026-10-19 19:31:28Record linked automatically6d38177865
scoring_agent, CLM-408433, identity id MBR-007117, confidence 1, method probabilistic, matched record CLM-408434, policy version 1

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-2026-025347	2026-07-19	Lakeside Dermatology Clinic in network	11403	$386.00	$189.32	Approved	Approved
CLM-2026-009976	2026-05-03	Valley Medical Group in network	99232	$247.00	—	Denied	Denied
CLM-2026-009975	2026-05-03	Valley Medical Group in network	99232	$247.00	$0.00	Approved	Approved
CLM-2026-010964	2026-04-17	Desert Cardiovascular Associates in network	99214	$225.00	$89.50	Approved	Approved
CLM-2026-013249	2026-02-12	Mesa Family Practice in network	36415, 99213	$168.00	$89.90	Approved	Approved