Identities/MBR-000571

Gold, golden identity

Pamela I Ruiz

5 source records from 3 feeds.

MBR-000571Verified5 records

Golden record

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

First nameENR: Pamela
Middle nameENR: I
Last nameENR: Ruiz
Date of birthENR: 1973-02-23
GenderENR: M
Member IDENR: UHC-19463-21
SSNENR: •••-••-5562
PhoneENR: 7695414373
EmailENR: pamela.ruiz98@yahoo.com
AddressENR: 383 Meadow Ln
CityENR: Charlotte
StateENR: NC
ZIPENR: 28235
GroupENR: GRP-3665
PlanENR: CHOICE-PLUS-PPO

Min confidence

0.97

Sources

TPA ×2ENR ×1CLM ×2

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
TPA-57102	TPA	2026-01-02	Pamela Ruizflagged	1973-02-23	—	—	383 Meadow Ln, Charlotte, NC	Scored	1.00	—
ENR-121339	ENR	2026-05-31	Pamela Ruizflagged	1973-02-23	UHC-19463-21	7695414373	383 Meadow Ln, Charlotte, NC	Scored	1.00	—
TPA-57101	TPA	2026-07-20	Pamela Ruizflagged	1973-02-23	—	—	—	Rule	0.97	D2 ssn4 + dob + last name
CLM-416203	CLM	2026-08-20	Pamela Ruizflagged	1973-02-23	UHC-19463-21	7695414373	383 Meadow Ln, Charlotte, NC	Scored	1.00	—
CLM-416204	CLM	2026-10-16	Pamela Ruizflagged	1973-02-23	UHC-19463-21	7695414373	383 Meadow Ln, Charlotte, NC	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57102TPACLM-416203CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57102TPACLM-416204CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57102TPAENR-121339ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-121339ENRCLM-416203CLM0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-121339ENRCLM-416204CLM0.99RuleD1 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

▶CLM-416203CLMCLM-416204CLM0.99RuleD1 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

▶TPA-57101TPACLM-416203CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-121339ENRTPA-57101TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-57101TPACLM-416204CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶TPA-57102TPATPA-57101TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically360709c09c
scoring_agent, CLM-416204, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:54:38Record linked automatically1541aa0e0e
scoring_agent, CLM-416203, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:54:38Record linked automatically6c82e2638a
matching_agent, TPA-57101, identity id MBR-000571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121339
2026-10-19 19:54:38Record linked automaticallye98f16c11f
scoring_agent, ENR-121339, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:54:38Record linked automatically0e4a4c1808
scoring_agent, TPA-57102, identity id MBR-000571, confidence 1, method probabilistic, matched record ENR-121339, policy version 1
2026-10-19 19:52:08Record linked automatically11971a61a1
scoring_agent, CLM-416204, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:52:08Record linked automaticallye5eae7d451
scoring_agent, CLM-416203, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:52:08Record linked automaticallyfd51406fc9
matching_agent, TPA-57101, identity id MBR-000571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121339
2026-10-19 19:52:08Record linked automaticallyeaca96b9d0
scoring_agent, ENR-121339, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:52:08Record linked automatically95a62d3889
scoring_agent, TPA-57102, identity id MBR-000571, confidence 1, method probabilistic, matched record ENR-121339, policy version 1
2026-10-19 19:45:41Record linked automatically90d9f87812
scoring_agent, CLM-416204, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:45:41Record linked automatically01ad68943c
scoring_agent, CLM-416203, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:45:41Record linked automaticallya5b9bf2a64
matching_agent, TPA-57101, identity id MBR-000571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121339
2026-10-19 19:45:41Record linked automatically44e485d201
scoring_agent, ENR-121339, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:45:41Record linked automatically592e268306
scoring_agent, TPA-57102, identity id MBR-000571, confidence 1, method probabilistic, matched record ENR-121339, policy version 1
2026-10-19 19:32:31Record linked automatically6f0b6a989f
scoring_agent, CLM-416204, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:32:31Record linked automatically5ac13dc6a7
scoring_agent, CLM-416203, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:32:31Record linked automatically5d3eff988d
matching_agent, TPA-57101, identity id MBR-000571, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-121339
2026-10-19 19:32:31Record linked automaticallyd88116fee9
scoring_agent, ENR-121339, identity id MBR-000571, confidence 1, method probabilistic, matched record TPA-57102, policy version 1
2026-10-19 19:32:31Record linked automaticallya7488ec305
scoring_agent, TPA-57102, identity id MBR-000571, confidence 1, method probabilistic, matched record ENR-121339, policy version 1
2026-10-19 19:31:28Record linked automatically5b7d44b0cf
matching_agent, TPA-57102, identity id MBR-030836, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121377
2026-10-19 19:31:28Record linked automatically0eb89cd3e9
scoring_agent, TPA-57101, identity id MBR-029884, confidence 1, method probabilistic, matched record PRV-24772, policy version 1
2026-10-19 19:31:28Record linked automatically5325b0ae8a
scoring_agent, CLM-416204, identity id MBR-010959, confidence 1, method probabilistic, matched record ENR-121218, policy version 1
2026-10-19 19:31:28Record linked automatically33cf33039f
scoring_agent, ENR-121339, identity id MBR-009571, confidence 0.93, method probabilistic, matched record CLM-416290, policy version 1

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-023781	2026-10-09	Pinecrest Medical Group in network	99214, 36415	$247.00	$113.14	Approved	Approved
CLM-2026-000771	2026-07-24	Desert Primary Care Associates in network	99203	$231.00	$103.22	Approved	Approved