Identities/MBR-034970

Gold, golden identity

Diane K Lewis

4 source records from 1 feed.

MBR-034970Verified4 records

Golden record

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

First nameCLM: Diane
Middle nameCLM: K
Last nameCLM: Lewis
Date of birthCLM: 2003-08-05
GenderCLM: M
Member IDCLM: UHC-27291-77
SSNCLM: •••-••-7788
PhoneCLM: 7765354065
Email—: —
AddressCLM: 566 Baseline Rd
CityCLM: Atlanta
StateCLM: GA
ZIPCLM: 30328
GroupCLM: GRP-1563
PlanCLM: NAVIGATE-HMO

Min confidence

1.00

Sources

CLM ×4

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-420793	CLM	2026-06-15	Diane Lewisflagged	2003-08-05	UHC-27291-77	7765354065	566 Baseline Rd # 329, Atlanta, GA	Scored	1.00	—
CLM-420794	CLM	2026-08-13	Diane Lewisflagged	2003-08-05	—	7765354065	566 Baseline Rd, Atlanta, GA	Scored	1.00	—
CLM-420791	CLM	2026-09-15	Diane Lewisflagged	2003-08-05	UHC-27291-77	7765354065	566 Baseline Rd, Atlanta, GA	Scored	1.00	—
CLM-420792	CLM	2026-10-07	Diane Lewisflagged	2003-08-05	—	7765354065	566 Baseline Rd, Atlanta, GA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-420794CLMCLM-420791CLM1.00Scoredweighted 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-420793CLMCLM-420792 CLM1.00Scoredweighted 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-420794CLMCLM-420792 CLM1.00Scoredweighted 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-420791CLMCLM-420792 CLM1.00Scoredweighted 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-420793CLMCLM-420794CLM1.00Scoredweighted 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-420793CLMCLM-420791CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Diane Lewis: 2 plan codes across sources → canonical NAVIGATE-HMO
ACT-001242, Eligibility engine
Orphan claim re-pointedExecuted
CLM-420792 → UHC-27291-77 (Diane Lewis)
ACT-002967, Claims processor
Orphan claim re-pointedExecuted
CLM-420794 → UHC-27291-77 (Diane Lewis)
ACT-009775, Claims processor
Care coordination outreachProposed
Diane Lewis: 4 claims, no attributed provider
ACT-019525, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically3fb72d4e2a
scoring_agent, CLM-420792, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:54:39Record linked automatically7fec5183e5
scoring_agent, CLM-420791, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:54:39Record linked automatically30e2e8837b
scoring_agent, CLM-420794, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:54:39Record linked automatically0f6fdaac1b
scoring_agent, CLM-420793, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:52:09Record linked automatically792a1571f3
scoring_agent, CLM-420792, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:52:09Record linked automaticallyb0c3ba04f7
scoring_agent, CLM-420791, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:52:09Record linked automatically014b7ce5c4
scoring_agent, CLM-420794, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:52:09Record linked automaticallyf71db703cb
scoring_agent, CLM-420793, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:45:42Record linked automatically3139c99a62
scoring_agent, CLM-420792, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:45:42Record linked automatically8dafae0030
scoring_agent, CLM-420791, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:45:42Record linked automaticallye47a2afa70
scoring_agent, CLM-420794, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:45:42Record linked automatically5ec349d29e
scoring_agent, CLM-420793, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:32:31Record linked automatically3558adcc5f
scoring_agent, CLM-420792, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:32:31Record linked automaticallybd9f981261
scoring_agent, CLM-420791, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:32:31Record linked automatically564e8396d7
scoring_agent, CLM-420794, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420793, policy version 1
2026-10-19 19:32:31Record linked automatically2bca5edf39
scoring_agent, CLM-420793, identity id MBR-034970, confidence 1, method probabilistic, matched record CLM-420794, policy version 1
2026-10-19 19:31:28Record linked automatically3b8f6d0de4
matching_agent, CLM-420794, identity id MBR-035343, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127306
2026-10-19 19:31:28Record linked automatically5d5853ce10
scoring_agent, CLM-420793, identity id MBR-033526, confidence 1, method probabilistic, matched record PRV-26096, policy version 1
2026-10-19 19:31:28Record linked automatically66f7172266
scoring_agent, CLM-420791, identity id MBR-032862, confidence 1, method probabilistic, matched record TPA-59059, policy version 1

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-2026-006203	2026-09-16	Mesa Behavioral Health in network	90837	$285.00	$136.70	Approved	Approved
CLM-2026-031299	2026-08-05	Cornerstone Imaging Center in network	74177, 71046	$2,226.00	$0.00	Approved	Approved
CLM-2026-032083	2026-08-02	Heritage Community Hospital in network	71046	$126.00	—	Needs review	Needs review
CLM-2026-032082	2026-08-02	Heritage Community Hospital in network	71046	$126.00	$0.00	Approved	Approved
CLM-2026-021438	2026-05-04	Valley Bone and Joint Center out of network	20610	$278.00	—	Denied	Denied