Identities/MBR-029306
Gold, golden identity

Diane P Morales

5 source records from 3 feeds.

MBR-029306Verified5 records

Golden record

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

First nameENR
Diane
Middle nameENR
P
Last nameENR
Morales
Date of birthENR
1958-05-02
GenderCLM
F
Member IDENR
UHC-58169-52
SSNENR
•••-••-1051
PhoneENR
3276320176
EmailENR
diane.morales@proton.me
AddressENR
6994 Jefferson Ave
CityENR
Seattle
StateENR
WA
ZIPENR
98122
GroupENR
GRP-6548
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1ENR ×2CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.991.001.001.00TPATPA-60900ENRENR-132275CLMCLM-424702ENRENR-132274CLMCLM-424703IDMBR-029306
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
TPA-60900TPA2026-05-05Diane Moralesflagged1958-05-02——6994 Jefferson Ave, Seattle, WAScored1.00—
ENR-132275ENR2026-05-21Diane Moraalesflagged1958-05-02UHC-58169-5232763201766994 Jefferson Ave # 475, Seattle, WARule0.99D1 member id + dob exact
CLM-424702CLM2026-06-28Diane Moralesflagged1958-05-02—32763201766994 Jefferson Ave, Seattle, WAScored1.00—
ENR-132274ENR2026-07-22Diane Moralesflagged1958-05-02UHC-58169-5232763201766994 Jefferson Ave, Seattle, WAScored1.00—
CLM-424703CLM2026-08-03Diane Moralesflagged1958-05-02UHC-58169-523276320176—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60900TPACLM-424702CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424702CLMCLM-424703CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60900TPAENR-132274ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-424702CLMENR-132274ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132275ENRCLM-424703CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132274ENRCLM-424703CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-132275ENRENR-132274ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶ENR-132275ENRCLM-424702CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-60900TPAENR-132275ENR0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-60900TPACLM-424703CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-424702 → UHC-58169-52 (Diane Morales)
    ACT-006133, Claims processor
  • Outreach address correctedProposed
    Diane Morales: 6994 Jefferson Ave # 475, Seattle → 6994 Jefferson Ave, Seattle
    ACT-012886, Outreach
  • Duplicate member record retiredExecuted
    Diane Morales: 2 enrollment records collapsed into UHC-58169-52
    ACT-025586, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically02d3b0a745
    scoring_agent, CLM-424703, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybf25322221
    scoring_agent, ENR-132274, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf43a578cad
    scoring_agent, CLM-424702, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:54:38Record linked automatically943b0a7863
    matching_agent, ENR-132275, identity id MBR-029306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132274
  • 2026-10-19 19:54:38Record linked automatically286ff4aace
    scoring_agent, TPA-60900, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1dffd8d279
    scoring_agent, CLM-424703, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb6fc15fdf9
    scoring_agent, ENR-132274, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6b105b947f
    scoring_agent, CLM-424702, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1c83a0bb21
    matching_agent, ENR-132275, identity id MBR-029306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132274
  • 2026-10-19 19:52:09Record linked automatically3fb3b16e56
    scoring_agent, TPA-60900, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc12a276fd4
    scoring_agent, CLM-424703, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf283beea52
    scoring_agent, ENR-132274, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:45:42Record linked automatically25eda96e3f
    scoring_agent, CLM-424702, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8f3fe3f963
    matching_agent, ENR-132275, identity id MBR-029306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132274
  • 2026-10-19 19:45:42Record linked automatically198c368061
    scoring_agent, TPA-60900, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybcda7e97b9
    scoring_agent, CLM-424703, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc06466ecb8
    scoring_agent, ENR-132274, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1874faa3d1
    scoring_agent, CLM-424702, identity id MBR-029306, confidence 1, method probabilistic, matched record TPA-60900, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya814f8bd5a
    matching_agent, ENR-132275, identity id MBR-029306, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132274
  • 2026-10-19 19:32:31Record linked automaticallyab2575d67e
    scoring_agent, TPA-60900, identity id MBR-029306, confidence 1, method probabilistic, matched record CLM-424702, policy version 1
  • 2026-10-19 19:31:28Record linked automatically94079f40f2
    scoring_agent, ENR-132275, identity id MBR-033704, confidence 1, method probabilistic, matched record PRV-27230, policy version 1
  • 2026-10-19 19:31:28Record linked automatically23304dab3f
    scoring_agent, ENR-132274, identity id MBR-010857, confidence 1, method probabilistic, matched record CLM-424516, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc0392ec406
    matching_agent, CLM-424703, identity id MBR-006866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132501
  • 2026-10-19 19:31:28Record linked automatically54fb50028e
    matching_agent, CLM-424702, identity id MBR-006866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132501

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0332352026-07-27Unity Internal Medicine Associates
out of network
80053$71.00$1.95ApprovedApproved
CLM-2026-0180322026-06-09Riverside Bone and Joint Center
out of network
29881$6,128.00$686.90ApprovedApproved