Identities/MBR-018128
Gold, golden identity

Theresa M Diaz

5 source records from 2 feeds.

MBR-018128Verified5 records

Golden record

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

First nameCLM
Theresa
Middle nameCLM
M
Last nameCLM
Diaz
Date of birthCLM
1940-08-20
GenderCLM
M
Member IDCLM
UHC-13273-59
SSNCLM
•••-••-6948
PhoneCLM
6303533211
EmailTPA
theresa.diaz@yahoo.com
AddressCLM
5033 Oak St
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85293
GroupCLM
GRP-4456
PlanTPA
MEDICARE-ADV-B
Min confidence
0.96
Sources
CLM ×2TPA ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.000.961.00CLMCLM-410145TPATPA-54448CLMCLM-410146TPATPA-54447TPATPA-54446IDMBR-018128
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
CLM-410145CLM2026-03-07Thereza Diazflagged1940-08-20UHC-13273-59—1367 Highland Ave # 759, Nashville, TNScored0.99—
TPA-54448TPA2026-05-23Theresa Diazflagged1940-08-20——1367 Highland Ave, Nashville, TNScored0.99—
CLM-410146CLM2026-06-27Theresa Diazflagged1940-08-20—63035332115033 Oak St, Mesa, AZScored1.00—
TPA-54447TPA2026-07-27Therasa Diazflagged1904-08-20UHC-13273-5963035332115033 Oak St, Mesa, AZRule0.96D3 member id + name
TPA-54446TPA2026-10-05Theresa Diazflagged1940-08-20—6303533211—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410146CLMTPA-54446TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410145CLM TPA-54448TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410145CLM TPA-54447TPA0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953
Date of birth0.603transposition
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410146CLMTPA-54447TPA0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth0.603transposition
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-410145CLM TPA-54446TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-54448TPATPA-54446TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-54447TPATPA-54446TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.963
Date of birth0.603transposition
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-54448TPACLM-410146CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶CLM-410145CLM CLM-410146CLM0.74Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410146 → UHC-13273-59 (Theresa Diaz)
    ACT-006461, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically549bf9471b
    scoring_agent, TPA-54446, identity id MBR-018128, confidence 1, method probabilistic, matched record CLM-410146, policy version 1
  • 2026-10-19 19:54:38Record linked automatically222a34e6fa
    matching_agent, TPA-54447, identity id MBR-018128, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410145
  • 2026-10-19 19:54:38Record linked automaticallyfdec5f4a31
    scoring_agent, CLM-410146, identity id MBR-018128, confidence 1, method probabilistic, matched record TPA-54446, policy version 1
  • 2026-10-19 19:54:38Record linked automatically326858053c
    scoring_agent, TPA-54448, identity id MBR-018128, confidence 0.99, method probabilistic, matched record CLM-410145, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1795eb03f8
    scoring_agent, CLM-410145, identity id MBR-018128, confidence 0.99, method probabilistic, matched record TPA-54448, policy version 1
  • 2026-10-19 19:52:09Record linked automatically93c7674796
    scoring_agent, TPA-54446, identity id MBR-018128, confidence 1, method probabilistic, matched record CLM-410146, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8bf40f0912
    matching_agent, TPA-54447, identity id MBR-018128, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410145
  • 2026-10-19 19:52:09Record linked automatically08c5ba051a
    scoring_agent, CLM-410146, identity id MBR-018128, confidence 1, method probabilistic, matched record TPA-54446, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7eb1551f44
    scoring_agent, TPA-54448, identity id MBR-018128, confidence 0.99, method probabilistic, matched record CLM-410145, policy version 1
  • 2026-10-19 19:52:09Record linked automatically184b838a1f
    scoring_agent, CLM-410145, identity id MBR-018128, confidence 0.99, method probabilistic, matched record TPA-54448, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5049ee9fc2
    scoring_agent, TPA-54446, identity id MBR-018128, confidence 1, method probabilistic, matched record CLM-410146, policy version 1
  • 2026-10-19 19:45:42Record linked automatically39bbcfd6ac
    matching_agent, TPA-54447, identity id MBR-018128, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410145
  • 2026-10-19 19:45:42Record linked automaticallyfc8b482a46
    scoring_agent, CLM-410146, identity id MBR-018128, confidence 1, method probabilistic, matched record TPA-54446, policy version 1
  • 2026-10-19 19:45:42Record linked automatically36499a8d13
    scoring_agent, TPA-54448, identity id MBR-018128, confidence 0.99, method probabilistic, matched record CLM-410145, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3efbcd3ceb
    scoring_agent, CLM-410145, identity id MBR-018128, confidence 0.99, method probabilistic, matched record TPA-54448, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye0ddcbfc69
    scoring_agent, TPA-54446, identity id MBR-018128, confidence 1, method probabilistic, matched record CLM-410146, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2cf51ac823
    matching_agent, TPA-54447, identity id MBR-018128, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-410145
  • 2026-10-19 19:32:31Record linked automaticallyd1fe6131f3
    scoring_agent, CLM-410146, identity id MBR-018128, confidence 1, method probabilistic, matched record TPA-54446, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0ba5c082b5
    scoring_agent, TPA-54448, identity id MBR-018128, confidence 0.99, method probabilistic, matched record CLM-410145, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4fe98ff926
    scoring_agent, CLM-410145, identity id MBR-018128, confidence 0.99, method probabilistic, matched record TPA-54448, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydd5d1795f1
    matching_agent, TPA-54448, identity id MBR-039405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113158
  • 2026-10-19 19:31:28Record linked automatically612b874f4e
    matching_agent, CLM-410146, identity id MBR-030290, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113396
  • 2026-10-19 19:31:28Record linked automatically1a837b714c
    matching_agent, TPA-54446, identity id MBR-021752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409959
  • 2026-10-19 19:31:28Record linked automatically9e408c745b
    matching_agent, TPA-54447, identity id MBR-021752, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-409959
  • 2026-10-19 19:31:28Record linked automaticallyb1a511e00c
    scoring_agent, CLM-410145, identity id MBR-008127, confidence 1.00, method probabilistic, matched record TPA-54526, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0193322026-06-07Canyon Counseling Center
out of network
90834, 90837$442.00$158.90ApprovedApproved
CLM-2026-0189462026-02-24Meadow Physical Therapy
out of network
97110, 97140$421.00$169.45ApprovedApproved