Gold, golden identity
Diego K Jones
4 source records from 2 feeds.
MBR-019542Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Diego
- Middle nameENR
- K
- Last nameENR
- Jones
- Date of birthENR
- 1981-07-13
- GenderENR
- F
- Member IDENR
- UHC-95688-46
- SSNENR
- •••-••-7653
- PhoneENR
- 4194872571
- EmailENR
- diego.jones33@aol.com
- AddressENR
- 3014 Valley View Dr
- CityENR
- Fresno
- StateENR
- CA
- ZIPENR
- 93746
- GroupENR
- GRP-1798
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.97
Sources
ENR ×2CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENR-104087 | ENR | 2026-03-14 | Diego Jonesflagged | 1981-07-13 | UHC-95688-46 | 4194872571 | 3014 Valley View Dr, Fresno, CA | Scored | 1.00 | — |
| ENR-104088 | ENR | 2026-05-11 | Diego Jonesflagged | 1981-07-13 | UHC-95688-46 | 4194872571 | 3014 Valley View Dr, Fresno, CA | Scored | 1.00 | — |
| CLM-403151 | CLM | 2026-08-29 | Diego Jonesflagged | 1981-07-13 | — | 4194872571 | — | Scored | 1.00 | — |
| CLM-403150 | CLM | 2026-09-16 | Diego Jonesflagged | 1981-07-13 | — | — | 3014 Valley View Dr, Fresno, CA | Rule | 0.97 | D2 ssn4 + dob + last name |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-104087ENRCLM-403151CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-104088ENRCLM-403151CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-104087ENRENR-104088ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 5Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-104087ENRCLM-403150CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-104088ENRCLM-403150CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-403151CLMCLM-403150CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-403150 → UHC-95688-46 (Diego Jones)ACT-003617, Claims processor
- Orphan claim re-pointedExecutedCLM-403151 → UHC-95688-46 (Diego Jones)ACT-005558, Claims processor
- Duplicate member record retiredExecutedDiego Jones: 2 enrollment records collapsed into UHC-95688-46ACT-024569, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automaticallye0b63e2d04matching_agent, CLM-403150, identity id MBR-019542, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104087
- 2026-10-22 12:43:54Record linked automaticallyc70546ba36scoring_agent, CLM-403151, identity id MBR-019542, confidence 1, method probabilistic, matched record ENR-104087, policy version 1
- 2026-10-22 12:43:54Record linked automatically3bd89a225bscoring_agent, ENR-104088, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-22 12:43:54Record linked automatically3998a9ffb8scoring_agent, ENR-104087, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:54:38Record linked automatically1515329590matching_agent, CLM-403150, identity id MBR-019542, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104087
- 2026-10-19 19:54:38Record linked automatically1c98f21bb0scoring_agent, CLM-403151, identity id MBR-019542, confidence 1, method probabilistic, matched record ENR-104087, policy version 1
- 2026-10-19 19:54:38Record linked automatically8cd4037734scoring_agent, ENR-104088, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:54:38Record linked automatically1fc9173ae9scoring_agent, ENR-104087, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:52:09Record linked automatically852fe26e71matching_agent, CLM-403150, identity id MBR-019542, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104087
- 2026-10-19 19:52:09Record linked automaticallyd253bd66c7scoring_agent, CLM-403151, identity id MBR-019542, confidence 1, method probabilistic, matched record ENR-104087, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyd505b141eascoring_agent, ENR-104088, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc71e7c62b5scoring_agent, ENR-104087, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:45:42Record linked automatically28ed70013cmatching_agent, CLM-403150, identity id MBR-019542, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104087
- 2026-10-19 19:45:42Record linked automatically2810bb9828scoring_agent, CLM-403151, identity id MBR-019542, confidence 1, method probabilistic, matched record ENR-104087, policy version 1
- 2026-10-19 19:45:42Record linked automatically091e85e4d2scoring_agent, ENR-104088, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:45:42Record linked automatically35c1fdd5cascoring_agent, ENR-104087, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:32:31Record linked automatically27cbb7fc21matching_agent, CLM-403150, identity id MBR-019542, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-104087
- 2026-10-19 19:32:31Record linked automaticallyfdf901c198scoring_agent, CLM-403151, identity id MBR-019542, confidence 1, method probabilistic, matched record ENR-104087, policy version 1
- 2026-10-19 19:32:31Record linked automatically58206d534bscoring_agent, ENR-104088, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:32:31Record linked automaticallycf286c3ccbscoring_agent, ENR-104087, identity id MBR-019542, confidence 1, method probabilistic, matched record CLM-403151, policy version 1
- 2026-10-19 19:31:28Record linked automatically2bddd2effascoring_agent, CLM-403151, identity id MBR-029126, confidence 1, method probabilistic, matched record PRV-20957, policy version 1
- 2026-10-19 19:31:28Record linked automatically6f7caaaf15scoring_agent, CLM-403150, identity id MBR-029126, confidence 1, method probabilistic, matched record PRV-20957, policy version 1
- 2026-10-19 19:31:28Record linked automatically7ffbad3a3dmatching_agent, ENR-104088, identity id MBR-013311, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403116
- 2026-10-19 19:31:28Record linked automaticallyd1f8b8c2a0scoring_agent, ENR-104087, identity id MBR-011997, confidence 1, method probabilistic, matched record PRV-20943, 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-2026-008586 | 2026-08-22 | Unity Dermatology Clinic in network | 99213 | $230.00 | $92.60 | Approved | Approved |
| CLM-2026-015979 | 2026-08-24 | Northgate Clinical Laboratories in network | 87086 | $67.00 | $0.00 | Approved | Approved |