Gold, golden identity
Lopez A Diane
4 source records from 3 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Lopez
- Middle namePRV
- A
- Last nameENR
- Diane
- Date of birthENR
- 2008-02-15
- GenderENR
- M
- Member IDENR
- UHC-47129-97
- SSNENR
- •••-••-9865
- PhoneENR
- 8182588640
- EmailPRV
- diane.lopez@hotmail.com
- AddressENR
- 4040 Highland Ave
- CityENR
- Eden Prairie
- StateENR
- MN
- ZIPENR
- 55355
- GroupENR
- GRP-5042
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-401799 | CLM | 2026-04-10 | Diane Lopezflagged | 2008-02-15 | UHC-47129-97 | — | 4270 Lincoln Way, Seattle, WA | Rule | 0.99 | D1 member id + dob exact |
| ENR-102352 | ENR | 2026-05-05 | Lopez Dianeflagged | 2008-02-15 | UHC-47129-97 | 8182588640 | 4040 Highland Ave, Eden Prairie, MN | Rule | 0.99 | D1 member id + dob exact |
| PRV-20540 | PRV | 2026-08-27 | Diane Lopezflagged | 2008-02-15 | UHC-47129-97 | 8182588640 | 4270 Lincoln Way, Seattle, WA | Rule | 0.99 | D1 member id + dob exact |
| CLM-401800 | CLM | 2026-09-16 | Lopez Dianeflagged | 2008-02-15 | UHC-47129-97 | 8182588640 | 4040 Highland Ave, Eden Prairie, MN | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶ENR-102352ENRCLM-401800CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-401799CLMCLM-401800CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶PRV-20540PRVCLM-401800CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-401799CLMENR-102352ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-401799CLMPRV-20540PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-102352ENRPRV-20540PRV0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
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
- 2026-10-22 12:43:54Record linked automatically6a6e38a81ematching_agent, CLM-401800, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102352
- 2026-10-22 12:43:54Record linked automatically38f74243aematching_agent, PRV-20540, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401799
- 2026-10-22 12:43:54Record linked automaticallyc504a67f1ematching_agent, ENR-102352, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401800
- 2026-10-22 12:43:54Record linked automaticallybc5e47bf2dmatching_agent, CLM-401799, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20540
- 2026-10-19 19:54:38Record linked automatically1350050766matching_agent, CLM-401800, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102352
- 2026-10-19 19:54:38Record linked automatically10be670cb1matching_agent, PRV-20540, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401799
- 2026-10-19 19:54:38Record linked automaticallyf0c21de796matching_agent, ENR-102352, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401800
- 2026-10-19 19:54:38Record linked automatically3e274486efmatching_agent, CLM-401799, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20540
- 2026-10-19 19:52:09Record linked automaticallybcd8e25659matching_agent, CLM-401800, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102352
- 2026-10-19 19:52:09Record linked automatically3651d82e3dmatching_agent, PRV-20540, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401799
- 2026-10-19 19:52:09Record linked automatically32c4a8bb47matching_agent, ENR-102352, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401800
- 2026-10-19 19:52:09Record linked automaticallybbddb8205fmatching_agent, CLM-401799, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20540
- 2026-10-19 19:45:42Record linked automatically99c8ed3997matching_agent, CLM-401800, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102352
- 2026-10-19 19:45:42Record linked automatically4a43a7a549matching_agent, PRV-20540, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401799
- 2026-10-19 19:45:42Record linked automaticallyc9c7abd92ematching_agent, ENR-102352, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401800
- 2026-10-19 19:45:42Record linked automaticallyc5d8169797matching_agent, CLM-401799, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20540
- 2026-10-19 19:32:31Record linked automaticallyd3dfdc670cmatching_agent, CLM-401800, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102352
- 2026-10-19 19:32:31Record linked automaticallye31777ed4ematching_agent, PRV-20540, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401799
- 2026-10-19 19:32:31Record linked automaticallyb970b75a0bmatching_agent, ENR-102352, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-401800
- 2026-10-19 19:32:31Record linked automaticallya70749f80ematching_agent, CLM-401799, identity id MBR-025016, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20540
- 2026-10-19 19:31:28Record linked automatically15a49f636cscoring_agent, CLM-401799, identity id MBR-035725, confidence 1, method probabilistic, matched record ENR-102336, policy version 1
- 2026-10-19 19:31:28Record linked automatically4c222116b0scoring_agent, CLM-401800, identity id MBR-034008, confidence 0.99, method probabilistic, matched record TPA-50793, policy version 1
- 2026-10-19 19:31:28Record linked automatically1b46ecd6c4matching_agent, ENR-102352, identity id MBR-022858, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-401823
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-2026-017945 | 2026-09-07 | Sunrise Community Hospital in network | 99284, 71046 | $1,353.00 | — | Denied | Denied |
| CLM-2026-028954 | 2026-03-21 | Mesa Dermatology Clinic in network | 17110, 99213 | $403.00 | — | Denied | Denied |
| CLM-2026-028953 | 2026-03-21 | Mesa Dermatology Clinic in network | 17110, 99213 | $403.00 | $174.86 | Approved | Approved |