Identities/MBR-019899
Gold, golden identity

Diego E Johnston

4 source records from 2 feeds.

MBR-019899Verified4 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
E
Last nameENR
Johnston
Date of birthENR
1956-02-16
GenderENR
M
Member IDENR
UHC-82913-21
SSNENR
•••-••-9754
PhoneENR
5688303800
EmailENR
diego.johnston5@yahoo.com
AddressENR
4385 Highland Ave
CityENR
Sacramento
StateENR
CA
ZIPENR
95852
GroupENR
GRP-9352
PlanENR
MEDICARE-ADV-A
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.961.001.000.99CLMCLM-405669ENRENR-107449CLMCLM-405670CLMCLM-405672IDMBR-019899
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-405669CLM2026-03-15Diego Johnstonflagged1957-02-16UHC-82913-21—4385 Highland Ave, Sacramento, CARule0.96D3 member id + name
ENR-107449ENR2026-04-10Diego Johnstonflagged1956-02-16UHC-82913-2156883038004385 Highland Ave, Sacramento, CAScored1.00—
CLM-405670CLM2026-06-05Diego Johnstonflagged1956-02-16—56883038004385 Highland Ave, Sacramento, CAScored1.00—
CLM-405672CLM2026-09-05Diego Johnstnoflagged1956-02-16UHC-82913-21——Rule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-107449ENRCLM-405670 CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-107449ENRCLM-405672 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405669CLMCLM-405672 CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.503one_digit
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-405669CLMENR-107449ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-405670 CLMCLM-405672 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-405669CLMCLM-405670 CLM0.81Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Diego Johnston: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000828, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-405670 → UHC-82913-21 (Diego Johnston)
    ACT-005874, Claims processor
  • Care coordination outreachProposed
    Diego Johnston: 3 claims, no attributed provider
    ACT-019083, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye51fdaadb4
    matching_agent, CLM-405672, identity id MBR-019899, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107449
  • 2026-10-19 19:54:38Record linked automaticallybb95d53fe0
    scoring_agent, CLM-405670, identity id MBR-019899, confidence 1, method probabilistic, matched record ENR-107449, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4b45633997
    scoring_agent, ENR-107449, identity id MBR-019899, confidence 1, method probabilistic, matched record CLM-405670, policy version 1
  • 2026-10-19 19:54:38Record linked automatically596d3a104d
    matching_agent, CLM-405669, identity id MBR-019899, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107449
  • 2026-10-19 19:52:09Record linked automaticallyb931bd7119
    matching_agent, CLM-405672, identity id MBR-019899, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107449
  • 2026-10-19 19:52:09Record linked automaticallye0c4ed885a
    scoring_agent, CLM-405670, identity id MBR-019899, confidence 1, method probabilistic, matched record ENR-107449, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4b9d171661
    scoring_agent, ENR-107449, identity id MBR-019899, confidence 1, method probabilistic, matched record CLM-405670, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9fb9aeb651
    matching_agent, CLM-405669, identity id MBR-019899, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107449
  • 2026-10-19 19:45:42Record linked automatically7f33107a1b
    matching_agent, CLM-405672, identity id MBR-019899, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107449
  • 2026-10-19 19:45:42Record linked automatically3ccb4af834
    scoring_agent, CLM-405670, identity id MBR-019899, confidence 1, method probabilistic, matched record ENR-107449, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybe907ca9e5
    scoring_agent, ENR-107449, identity id MBR-019899, confidence 1, method probabilistic, matched record CLM-405670, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya589186836
    matching_agent, CLM-405669, identity id MBR-019899, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107449
  • 2026-10-19 19:32:31Record linked automatically7fbab2fd35
    matching_agent, CLM-405672, identity id MBR-019899, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107449
  • 2026-10-19 19:32:31Record linked automatically18c73814dc
    scoring_agent, CLM-405670, identity id MBR-019899, confidence 1, method probabilistic, matched record ENR-107449, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9e21e449d2
    scoring_agent, ENR-107449, identity id MBR-019899, confidence 1, method probabilistic, matched record CLM-405670, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyef272f8c0e
    matching_agent, CLM-405669, identity id MBR-019899, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-107449
  • 2026-10-19 19:31:28Record linked automatically8c3bac4960
    scoring_agent, CLM-405670, identity id MBR-011028, confidence 1, method probabilistic, matched record CLM-405671, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye229455f1a
    matching_agent, CLM-405672, identity id MBR-011028, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107424
  • 2026-10-19 19:31:28Record linked automatically1bc856f7b2
    matching_agent, CLM-405669, identity id MBR-005323, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-107422

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0047742026-08-26Harbor Bone and Joint Center
in network
99213$218.00$85.16ApprovedApproved
CLM-2026-0171302026-05-10Meadow Clinical Laboratories
in network
80061, 87086$87.00$0.00ApprovedApproved
CLM-2026-0240352025-08-19Summit Community Hospital
in network
99285$2,868.00—DeniedDenied