Identities/MBR-022430

Gold, golden identity

Diego P Bishop

5 source records from 2 feeds.

MBR-022430Verified5 records

Golden record

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

First nameCLM: Diego
Middle nameCLM: P
Last nameCLM: Bishop
Date of birthCLM: 1959-12-25
GenderCLM: M
Member IDCLM: UHC-89423-86
SSNCLM: •••-••-3002
PhoneCLM: 2963050472
Email—: —
AddressCLM: 6395 Jefferson Ave
CityCLM: Eden Prairie
StateCLM: MN
ZIPCLM: 55345
GroupCLM: GRP-7143
PlanTPA: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×4TPA ×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-401179	CLM	2026-03-27	Diego Bishopflagged	1959-12-25	UHC-89423-86	—	6395 Jefferson Ave, Eden Prairie, MN	Scored	1.00	—
TPA-50514	TPA	2026-06-06	Diego Bishopflagged	1959-12-25	—	—	6395 Jefferson Ave, Eden Prairie, MN	Scored	1.00	—
CLM-401180	CLM	2026-07-22	Diego Bishopflagged	1959-12-25	—	—	6395 Jefferson Ave, Eden Prairie, MN	Scored	1.00	—
CLM-401181	CLM	2026-08-26	Diego Bishopflagged	1959-12-25	UHC-89423-86	2963050472	6395 Jefferson Ave, Eden Prairie, MN	Scored	1.00	—
CLM-401182	CLM	2026-09-14	Diego Bishopflagged	1959-12-25	—	2963050472	6395 Jefferson Ave, Eden Prairie, MN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-401179CLMCLM-401180CLM1.00Scoredweighted 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-50514TPACLM-401180CLM1.00Scoredweighted 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-50514TPACLM-401181CLM1.00Scoredweighted 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-401180CLMCLM-401181CLM1.00Scoredweighted 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-401179CLMCLM-401182CLM1.00Scoredweighted 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-50514TPACLM-401182CLM1.00Scoredweighted 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-401180CLMCLM-401182CLM1.00Scoredweighted 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-401181CLMCLM-401182CLM1.00Scoredweighted 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-401179CLMTPA-50514TPA1.00Scoredweighted 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-401179CLMCLM-401181CLM0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-401182 → UHC-89423-86 (Diego Bishop)
ACT-006499, Claims processor
Orphan claim re-pointedExecuted
CLM-401180 → UHC-89423-86 (Diego Bishop)
ACT-009141, Claims processor
Care coordination outreachProposed
Diego Bishop: 4 claims, no attributed provider
ACT-019190, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically30a2dbd439
scoring_agent, CLM-401182, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:54:38Record linked automaticallyfe18007165
scoring_agent, CLM-401181, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:54:38Record linked automatically311962a55b
scoring_agent, CLM-401180, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:54:38Record linked automatically2cb3427835
scoring_agent, TPA-50514, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:54:38Record linked automaticallycd13822a59
scoring_agent, CLM-401179, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:52:09Record linked automaticallyd54dc0a756
scoring_agent, CLM-401182, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:52:09Record linked automaticallye28918295c
scoring_agent, CLM-401181, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:52:09Record linked automatically3ead731617
scoring_agent, CLM-401180, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:52:09Record linked automaticallybc44ef2766
scoring_agent, TPA-50514, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:52:09Record linked automatically07b8f9e0b7
scoring_agent, CLM-401179, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:45:42Record linked automaticallyd818d38b17
scoring_agent, CLM-401182, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:45:42Record linked automatically746522736f
scoring_agent, CLM-401181, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:45:42Record linked automaticallye20a3d4751
scoring_agent, CLM-401180, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:45:42Record linked automaticallyc78a8f98e9
scoring_agent, TPA-50514, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:45:42Record linked automaticallybc3c0e6c99
scoring_agent, CLM-401179, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:32:31Record linked automaticallya567f0309b
scoring_agent, CLM-401182, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:32:31Record linked automatically847b0836d1
scoring_agent, CLM-401181, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:32:31Record linked automatically5a1c37c41d
scoring_agent, CLM-401180, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:32:31Record linked automatically9269640a04
scoring_agent, TPA-50514, identity id MBR-022430, confidence 1, method probabilistic, matched record CLM-401179, policy version 1
2026-10-19 19:32:31Record linked automatically902cc5f5e9
scoring_agent, CLM-401179, identity id MBR-022430, confidence 1, method probabilistic, matched record TPA-50514, policy version 1
2026-10-19 19:31:28Record linked automaticallyca66b56333
scoring_agent, CLM-401182, identity id MBR-035850, confidence 0.94, method probabilistic, matched record PRV-20346, policy version 1
2026-10-19 19:31:28Record linked automaticallyaeec4e89bd
scoring_agent, CLM-401179, identity id MBR-010089, confidence 1, method probabilistic, matched record ENR-101612, policy version 1
2026-10-19 19:31:28Record linked automatically3fdd2cf585
scoring_agent, CLM-401181, identity id MBR-006961, confidence 1, method probabilistic, matched record CLM-401180, policy version 1
2026-10-19 19:31:28Record linked automatically949d646baa
scoring_agent, CLM-401180, identity id MBR-006961, confidence 1, method probabilistic, matched record TPA-50496, policy version 1
2026-10-19 19:31:28Record linked automatically87f77946da
matching_agent, TPA-50514, identity id MBR-004985, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-101661

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-2026-019467	2026-09-04	Lakeside Heart Institute in network	99214	$272.00	—	Denied	Denied
CLM-2026-029772	2026-07-20	Canyon Medical Group in network	99232	$212.00	$0.00	Approved	Approved
CLM-2026-029619	2026-07-20	Northgate Heart Institute in network	99214, 93224	$775.00	—	Needs review	Needs review
CLM-2026-017342	2026-03-08	Riverside Medical Group in network	99395, 99203, 99213	$727.00	$410.74	Approved	Approved