Identities/MBR-025580
Gold, golden identity

Diane Burke

4 source records from 2 feeds.

MBR-025580Verified4 records

Golden record

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

First nameCLM
Diane
Middle name—
—
Last nameENR
Burke
Date of birthENR
2005-07-17
GenderENR
F
Member IDENR
UHC-64090-94
SSNENR
•••-••-9397
PhoneENR
8889678215
EmailENR
diane.burke76@gmail.com
AddressENR
4779 Union St
CityENR
Denver
StateENR
CO
ZIPENR
80222
GroupENR
GRP-9561
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.00CLMCLM-410449ENRENR-113727CLMCLM-410447CLMCLM-410448IDMBR-025580
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-410449CLM2026-04-13Diane Burkeflagged2005-07-17—88896782154779 Union St, Denver, COScored1.00—
ENR-113727ENR2026-07-04Diaane Burkeflagged2005-07-17UHC-64090-9488896782154779 Union St, Denver, COScored0.99—
CLM-410447CLM2026-08-03Diane Burkeflagged2005-07-17UHC-64090-9488896782154779 Union St, Denver, COScored1.00—
CLM-410448CLM2026-09-29Diane Burkeflagged2005-07-17—8889678215—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-410449CLMCLM-410448CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-410447CLMCLM-410448CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113727ENRCLM-410448CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-113727ENRCLM-410447CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-410449CLMCLM-410447CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-410449CLMENR-113727ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-410449 → UHC-64090-94 (Diane Burke)
    ACT-005250, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-410448 → UHC-64090-94 (Diane Burke)
    ACT-008263, Claims processor
  • Care coordination outreachProposed
    Diane Burke: 3 claims, no attributed provider
    ACT-019308, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyed1cd3cfda
    scoring_agent, CLM-410448, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410449, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallycf556abc51
    scoring_agent, CLM-410447, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyc6e35ce9ab
    scoring_agent, ENR-113727, identity id MBR-025580, confidence 0.99, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyed5c5a2fc1
    scoring_agent, CLM-410449, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2515cd6fe2
    scoring_agent, CLM-410448, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410449, policy version 1
  • 2026-10-19 19:54:38Record linked automatically2d75fc3921
    scoring_agent, CLM-410447, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc375b1bbfb
    scoring_agent, ENR-113727, identity id MBR-025580, confidence 0.99, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8e3dc3daf5
    scoring_agent, CLM-410449, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3eccc478ff
    scoring_agent, CLM-410448, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410449, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5f860413c6
    scoring_agent, CLM-410447, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7b55958008
    scoring_agent, ENR-113727, identity id MBR-025580, confidence 0.99, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:52:09Record linked automatically922606a108
    scoring_agent, CLM-410449, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:45:42Record linked automatically37801db273
    scoring_agent, CLM-410448, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410449, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7b565c63a6
    scoring_agent, CLM-410447, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb362d80701
    scoring_agent, ENR-113727, identity id MBR-025580, confidence 0.99, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1cb4113c81
    scoring_agent, CLM-410449, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4de7e02b95
    scoring_agent, CLM-410448, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410449, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf0b136df2f
    scoring_agent, CLM-410447, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya85f84a3fb
    scoring_agent, ENR-113727, identity id MBR-025580, confidence 0.99, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2d4375c79b
    scoring_agent, CLM-410449, identity id MBR-025580, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyce56c378f4
    matching_agent, CLM-410449, identity id MBR-032150, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113798
  • 2026-10-19 19:31:28Record linked automaticallyca712a50b6
    scoring_agent, CLM-410447, identity id MBR-028134, confidence 1, method probabilistic, matched record CLM-410448, policy version 1
  • 2026-10-19 19:31:28Record linked automatically466861af1f
    scoring_agent, CLM-410448, identity id MBR-028134, confidence 1, method probabilistic, matched record CLM-410447, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0262142026-08-25Desert Medical Group
in network
99214$318.00$172.16ApprovedApproved
CLM-2026-0165652026-07-17Riverside Imaging Center
in network
76700$607.00$0.00ApprovedApproved
CLM-2026-0148202026-03-24Summit Community Hospital
in network
71046, 99283$1,353.00$604.45ApprovedApproved