Identities/MBR-016226

Gold, golden identity

Diane D Dominguez

6 source records from 4 feeds.

MBR-016226Verified6 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: D
Last nameENR: Dominguez
Date of birthENR: 1946-08-06
GenderENR: F
Member IDENR: UHC-17276-55
SSN—: —
PhoneENR: 9789858984
EmailENR: diane.dominguez57@hotmail.com
AddressENR: 9605 Union St
CityENR: Sacramento
StateENR: CA
ZIPPRV: 95862
GroupENR: GRP-8725
PlanENR: SELECT-EPO

Min confidence

0.99

Sources

TPA ×2ENR ×1PRV ×1CLM ×2

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
TPA-60719	TPA	2026-02-27	Diane Dominguezflagged	1946-08-06	—	9789858984	9605 Union St, Sacramento, CA	Scored	1.00	—
TPA-60720	TPA	2026-02-28	Diane Dominguezflagged	1946-08-06	—	—	9605 Union St, Sacramento, CA	Scored	1.00	—
ENR-131792	ENR	2026-05-14	Diane Dominguezflagged	1946-08-06	UHC-17276-55	9789858984	9605 Union St, Sacramento, CA	Rule	0.99	D1 member id + dob exact
PRV-27165	PRV	2026-08-24	Diane Dominguezflagged	1946-08-06	—	9789858984	9605 Union St, Sacramento, CA	Scored	1.00	—
CLM-424328	CLM	2026-10-01	Diane Dominguezflagged	1946-08-06	UHC-17276-55	9789858984	—	Scored	1.00	—
CLM-424329	CLM	2026-10-01	Diane Dominguezflagged	1946-08-06	UHC-17276-55	9789858984	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-60719TPACLM-424328CLM1.00Scoredweighted 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

▶PRV-27165PRVCLM-424328CLM1.00Scoredweighted 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-60719TPACLM-424329CLM1.00Scoredweighted 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

▶PRV-27165PRVCLM-424329CLM1.00Scoredweighted 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-60719TPAPRV-27165PRV1.00Scoredweighted 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

▶TPA-60720TPAPRV-27165PRV1.00Scoredweighted 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

▶TPA-60719TPATPA-60720TPA1.00Scoredweighted 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-131792ENRCLM-424328CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-131792ENRCLM-424329CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-424328CLMCLM-424329CLM0.99RuleD1 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
Phone	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-131792ENRPRV-27165PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-60719TPAENR-131792ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-60720TPAENR-131792ENR0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-60720TPACLM-424328CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-60720TPACLM-424329CLM0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically00a1c1ce31
scoring_agent, CLM-424329, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:54:38Record linked automatically6e133e503b
scoring_agent, CLM-424328, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:54:38Record linked automaticallybc9560322b
scoring_agent, PRV-27165, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:54:38Record linked automatically570a5501be
matching_agent, ENR-131792, identity id MBR-016226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424328
2026-10-19 19:54:38Record linked automaticallyf52b1d57a1
scoring_agent, TPA-60720, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:54:38Record linked automatically6eae56e1ec
scoring_agent, TPA-60719, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60720, policy version 1
2026-10-19 19:52:09Record linked automaticallya9a61404b3
scoring_agent, CLM-424329, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:52:09Record linked automatically390e223f5f
scoring_agent, CLM-424328, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:52:09Record linked automaticallyb966d2876c
scoring_agent, PRV-27165, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:52:09Record linked automaticallyf2efc2c46a
matching_agent, ENR-131792, identity id MBR-016226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424328
2026-10-19 19:52:09Record linked automaticallyd09e07ebc0
scoring_agent, TPA-60720, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:52:09Record linked automaticallyb393dff3b7
scoring_agent, TPA-60719, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60720, policy version 1
2026-10-19 19:45:42Record linked automaticallye61e084d00
scoring_agent, CLM-424329, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:45:42Record linked automaticallye45d49c1d1
scoring_agent, CLM-424328, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:45:42Record linked automaticallya0cec6d688
scoring_agent, PRV-27165, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:45:42Record linked automatically4cee582064
matching_agent, ENR-131792, identity id MBR-016226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424328
2026-10-19 19:45:42Record linked automatically6052c3dae1
scoring_agent, TPA-60720, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:45:42Record linked automaticallyaac7704155
scoring_agent, TPA-60719, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60720, policy version 1
2026-10-19 19:32:31Record linked automatically2f3e94b2f4
scoring_agent, CLM-424329, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:32:31Record linked automatically47e8e19394
scoring_agent, CLM-424328, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:32:31Record linked automatically43f152ed6f
scoring_agent, PRV-27165, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:32:31Record linked automaticallyf322d4115d
matching_agent, ENR-131792, identity id MBR-016226, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424328
2026-10-19 19:32:31Record linked automatically7f3ec46862
scoring_agent, TPA-60720, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60719, policy version 1
2026-10-19 19:32:31Record linked automatically46476a4d52
scoring_agent, TPA-60719, identity id MBR-016226, confidence 1, method probabilistic, matched record TPA-60720, policy version 1
2026-10-19 19:31:28Record linked automaticallyca53c1ecc9
scoring_agent, ENR-131792, identity id MBR-029945, confidence 1, method probabilistic, matched record TPA-60629, policy version 1
2026-10-19 19:31:28Record linked automatically6ebde31087
scoring_agent, TPA-60720, identity id MBR-025920, confidence 1, method probabilistic, matched record CLM-424367, policy version 1
2026-10-19 19:31:28Record linked automaticallye92abc65c0
scoring_agent, TPA-60719, identity id MBR-020185, confidence 1, method probabilistic, matched record CLM-424366, policy version 1
2026-10-19 19:31:28Record linked automatically7cb26b44e6
matching_agent, CLM-424328, identity id MBR-016147, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424329
2026-10-19 19:31:28Record linked automatically444b62b770
scoring_agent, CLM-424329, identity id MBR-016147, confidence 1, method probabilistic, matched record PRV-27181, 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-2026-022629	2026-08-28	Pinecrest Heart Institute in network	93458	$8,639.00	—	Denied	Denied
CLM-2026-016420	2026-09-11	Heritage Medical Group in network	99214	$228.00	$121.36	Approved	Approved