Identities/MBR-043348
Gold, golden identity

Diana A Hernandez

3 source records from 2 feeds.

MBR-043348Verified3 records

Golden record

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

First nameENR
Diana
Middle nameENR
A
Last nameENR
Hernandez
Date of birthENR
1968-11-02
GenderCLM
M
Member IDENR
UHC-77309-19
SSN—
—
PhoneENR
9298675262
EmailENR
diana.hernandez@proton.me
AddressENR
2531 Indian School Rd
CityENR
Tucson
StateENR
AZ
ZIPENR
85707
GroupENR
GRP-3000
PlanENR
CORE-HMO
Min confidence
1.00
Sources
CLM ×2ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.00CLMCLM-402548CLMCLM-402549ENRENR-103264IDMBR-043348
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-402548CLM2026-09-04Diana Hernandezflagged1968-11-02—92986752622531 Indian School Rd, Tucson, AZScored1.00—
CLM-402549CLM2026-09-04Diana Hernandezflagged1968-11-02—92986752622531 Indian School Rd, Tucson, AZScored1.00—
ENR-103264ENR2026-09-12Diana Hernandezflagged1968-11-02UHC-77309-1992986752622531 Indian School Rd, Tucson, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402548CLMCLM-402549CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402548CLMENR-103264ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-402549CLMENR-103264ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Diana Hernandez: 2 plan codes across sources → canonical CORE-HMO
    ACT-001330, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-402548 → UHC-77309-19 (Diana Hernandez)
    ACT-002508, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-402549 → UHC-77309-19 (Diana Hernandez)
    ACT-007046, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically650c7269eb
    scoring_agent, ENR-103264, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-22 12:43:55Record linked automatically61342230d1
    scoring_agent, CLM-402549, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallyf2da8097d0
    scoring_agent, CLM-402548, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402549, policy version 1
  • 2026-10-19 19:54:39Record linked automatically43699c905e
    scoring_agent, ENR-103264, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:54:39Record linked automatically70d062a28a
    scoring_agent, CLM-402549, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:54:39Record linked automatically8c640dfd47
    scoring_agent, CLM-402548, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402549, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9ef84c1239
    scoring_agent, ENR-103264, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc2f25519bd
    scoring_agent, CLM-402549, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:52:09Record linked automatically86c3007eab
    scoring_agent, CLM-402548, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402549, policy version 1
  • 2026-10-19 19:45:42Record linked automatically612d131c10
    scoring_agent, ENR-103264, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyb85d268759
    scoring_agent, CLM-402549, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:45:42Record linked automatically187710d1c6
    scoring_agent, CLM-402548, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402549, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc71622f27b
    scoring_agent, ENR-103264, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyaecc7bd894
    scoring_agent, CLM-402549, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402548, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6b12b9c529
    scoring_agent, CLM-402548, identity id MBR-043348, confidence 1, method probabilistic, matched record CLM-402549, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9fe75ac06b
    scoring_agent, ENR-103264, identity id MBR-039156, confidence 1, method probabilistic, matched record CLM-402489, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf2fbc941a1
    matching_agent, CLM-402549, identity id MBR-025260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103346
  • 2026-10-19 19:31:28Record linked automaticallycd7c584941
    matching_agent, CLM-402548, identity id MBR-025260, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103346

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0214872026-08-21Sunrise Behavioral Health
in network
90791, 90837$641.00$337.42ApprovedApproved
CLM-2026-0044072026-07-28Harbor Primary Care Associates
in network
36415, 99395$281.00$159.96ApprovedApproved