Identities/MBR-033405
Gold, golden identity

Diane Mendez

5 source records from 2 feeds.

MBR-033405Verified5 records

Golden record

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

First nameENR
Diane
Middle name—
—
Last nameENR
Mendez
Date of birthENR
1973-12-13
GenderENR
M
Member IDENR
UHC-02276-61
SSNENR
•••-••-0275
PhoneCLM
2969391939
Email—
—
AddressENR
6371 Grand Ave
CityENR
Las Vegas
StateENR
NV
ZIPENR
89191
GroupENR
GRP-3260
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
ENR ×1CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.000.961.001.00ENRENR-110280CLMCLM-407816CLMCLM-407815CLMCLM-407814CLMCLM-407813IDMBR-033405
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
ENR-110280ENR2026-06-03Diane Mendezflagged1973-12-13UHC-02276-61—6371 Grand Ave, Las Vegas, NVRule0.99D1 member id + dob exact
CLM-407816CLM2026-06-22Diane Mendezflagged1973-12-13UHC-02276-61—6371 Grand Ave, Las Vegas, NVScored1.00—
CLM-407815CLM2026-08-14Dinae Mendezflagged1937-12-13UHC-02276-61—6371 Grand Ave, Las Vegas, NVRule0.96D3 member id + name
CLM-407814CLM2026-09-25Diane Mendezflagged1973-12-13—29693919396371 Grand Ave, Las Vegas, NVScored1.00—
CLM-407813CLM2026-10-11Diane Mendezflagged1973-12-13UHC-02276-61—6371 Grand Ave, Las Vegas, NVScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407814CLMCLM-407813CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-407816CLMCLM-407814CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-110280ENRCLM-407813CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407816CLMCLM-407813CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110280ENRCLM-407816CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110280ENRCLM-407814CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407815CLMCLM-407813CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-110280ENRCLM-407815CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407816CLMCLM-407815CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.603transposition
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407815CLMCLM-407814CLM0.84Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407814 → UHC-02276-61 (Diane Mendez)
    ACT-007243, Claims processor
  • Care coordination outreachProposed
    Diane Mendez: 4 claims, no attributed provider
    ACT-019501, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyeec53c955e
    scoring_agent, CLM-407813, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4ec2ae78fb
    scoring_agent, CLM-407814, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407816, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8e73044586
    matching_agent, CLM-407815, identity id MBR-033405, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110280
  • 2026-10-19 19:54:38Record linked automaticallyb3cef23e6d
    scoring_agent, CLM-407816, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1548a6e4e1
    matching_agent, ENR-110280, identity id MBR-033405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407816
  • 2026-10-19 19:52:09Record linked automatically601172447f
    scoring_agent, CLM-407813, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye80d9432b0
    scoring_agent, CLM-407814, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407816, policy version 1
  • 2026-10-19 19:52:09Record linked automatically964d030478
    matching_agent, CLM-407815, identity id MBR-033405, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110280
  • 2026-10-19 19:52:09Record linked automatically8e2136f438
    scoring_agent, CLM-407816, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd8fb6401c3
    matching_agent, ENR-110280, identity id MBR-033405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407816
  • 2026-10-19 19:45:42Record linked automaticallya7df7817b8
    scoring_agent, CLM-407813, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8c2e247d74
    scoring_agent, CLM-407814, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407816, policy version 1
  • 2026-10-19 19:45:42Record linked automatically84ef155b15
    matching_agent, CLM-407815, identity id MBR-033405, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110280
  • 2026-10-19 19:45:42Record linked automaticallyfd952a81bf
    scoring_agent, CLM-407816, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:45:42Record linked automatically061cb8b59e
    matching_agent, ENR-110280, identity id MBR-033405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407816
  • 2026-10-19 19:32:31Record linked automatically61ed0ac5e2
    scoring_agent, CLM-407813, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye966611007
    scoring_agent, CLM-407814, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407816, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4c7874a848
    matching_agent, CLM-407815, identity id MBR-033405, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110280
  • 2026-10-19 19:32:31Record linked automatically8a081d4bdc
    scoring_agent, CLM-407816, identity id MBR-033405, confidence 1, method probabilistic, matched record CLM-407814, policy version 1
  • 2026-10-19 19:32:31Record linked automatically591745a778
    matching_agent, ENR-110280, identity id MBR-033405, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407816
  • 2026-10-19 19:31:28Record linked automaticallya579e6d959
    matching_agent, CLM-407816, identity id MBR-017632, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-110202
  • 2026-10-19 19:31:28Record linked automatically4840aa9c0c
    matching_agent, CLM-407814, identity id MBR-010477, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110201
  • 2026-10-19 19:31:28Record linked automatically26102d988c
    scoring_agent, CLM-407813, identity id MBR-010477, confidence 1, method probabilistic, matched record ENR-110201, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0056682026-09-04Unity Bone and Joint Center
in network
27447$43,670.00—DeniedDenied
CLM-2026-0223312026-09-21Lakeside Behavioral Health
out of network
99214$289.00$90.05ApprovedApproved
CLM-2026-0050512026-07-31Canyon Diagnostic Imaging
in network
70553, 77067$3,164.00$161.25ApprovedApproved
CLM-2026-0340982026-06-07Mesa Cardiovascular Associates
in network
93306$1,413.00$0.00ApprovedApproved