Identities/MBR-001108
Gold, golden identity

Ronald D Morales

5 source records from 3 feeds.

MBR-001108Verified5 records

Golden record

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

First nameENR
Ronald
Middle nameENR
D
Last nameENR
Morales
Date of birthENR
1948-01-28
GenderENR
F
Member IDENR
UHC-99938-63
SSNENR
•••-••-4360
PhoneENR
5609962582
EmailENR
ronald.morales53@outlook.com
AddressENR
2228 Church St
CityENR
Phoenix
StateENR
AZ
ZIP—
—
GroupENR
GRP-8862
PlanENR
OPTIONS-PPO
Min confidence
0.97
Sources
ENR ×1PRV ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.970.970.990.97ENRENR-133629PRVPRV-27568CLMCLM-425712CLMCLM-425713CLMCLM-425711IDMBR-001108
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-133629ENR2026-01-04Ronald Moralesflagged1948-01-28UHC-99938-6356099625822228 Church St, Phoenix, AZRule0.99D1 member id + dob exact
PRV-27568PRV2026-01-20Ronald Moralesflagged1948-01-28—56099625822228 Church St, Phoenix, AZRule0.97D2 ssn4 + dob + last name
CLM-425712CLM2026-03-27Ronald Moralseflagged1948-01-28——2228 Church St Apt 35, Phoenix, AZRule0.97D2 ssn4 + dob + last name
CLM-425713CLM2026-06-19Ronald Moralesflagged1948-01-28UHC-99938-63——Rule0.99D1 member id + dob exact
CLM-425711CLM2026-08-24Ronald Moralesflagged1948-01-28——2228 Church St, Phoenix, AZRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-133629ENRCLM-425713CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133629ENRCLM-425711CLM0.97RuleD2 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
▶PRV-27568PRVCLM-425711CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-425712CLMCLM-425711CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133629ENRCLM-425712CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-27568PRVCLM-425712CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-133629ENRPRV-27568PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-425713CLMCLM-425711CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶PRV-27568PRVCLM-425713CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-425712CLMCLM-425713CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425711 → UHC-99938-63 (Ronald Morales)
    ACT-004296, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-425712 → UHC-99938-63 (Ronald Morales)
    ACT-009142, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyca56384cda
    matching_agent, CLM-425711, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:54:38Record linked automatically2c4e8b610a
    matching_agent, CLM-425713, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133629
  • 2026-10-19 19:54:38Record linked automatically8d03d4cf83
    matching_agent, CLM-425712, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:54:38Record linked automatically006139b327
    matching_agent, PRV-27568, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:54:38Record linked automatically8ee3fc98f0
    matching_agent, ENR-133629, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425713
  • 2026-10-19 19:52:08Record linked automaticallyee6aa63f88
    matching_agent, CLM-425711, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:52:08Record linked automatically60df0b3dbb
    matching_agent, CLM-425713, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133629
  • 2026-10-19 19:52:08Record linked automatically599ea7eb7c
    matching_agent, CLM-425712, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:52:08Record linked automatically448acb8414
    matching_agent, PRV-27568, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:52:08Record linked automatically0eee341411
    matching_agent, ENR-133629, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425713
  • 2026-10-19 19:45:41Record linked automatically94bdcbbd9d
    matching_agent, CLM-425711, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:45:41Record linked automaticallyb51fd855e5
    matching_agent, CLM-425713, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133629
  • 2026-10-19 19:45:41Record linked automatically63342ada65
    matching_agent, CLM-425712, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:45:41Record linked automatically5e771cafbc
    matching_agent, PRV-27568, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:45:41Record linked automatically6e7d3514c3
    matching_agent, ENR-133629, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425713
  • 2026-10-19 19:32:31Record linked automatically80d0123e44
    matching_agent, CLM-425711, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:32:31Record linked automatically33ef7529fd
    matching_agent, CLM-425713, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133629
  • 2026-10-19 19:32:31Record linked automatically080c429c25
    matching_agent, CLM-425712, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:32:31Record linked automatically25af4fd898
    matching_agent, PRV-27568, identity id MBR-001108, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-133629
  • 2026-10-19 19:32:31Record linked automatically11d2ba91e8
    matching_agent, ENR-133629, identity id MBR-001108, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425713
  • 2026-10-19 19:31:28Record linked automatically06fc3e766b
    scoring_agent, CLM-425713, identity id MBR-033600, confidence 1, method probabilistic, matched record TPA-61322, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9e2606915f
    matching_agent, CLM-425712, identity id MBR-021833, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-61321
  • 2026-10-19 19:31:28Record linked automatically584770ec5c
    scoring_agent, PRV-27568, identity id MBR-021670, confidence 1, method probabilistic, matched record ENR-133830, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye9decd053d
    matching_agent, ENR-133629, identity id MBR-007154, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425506
  • 2026-10-19 19:31:28Record linked automatically886018072d
    matching_agent, CLM-425711, identity id MBR-004068, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-27586

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0113352026-08-10Desert Internal Medicine Associates
in network
99214, 99215$559.00$316.58ApprovedApproved
CLM-2026-0098302026-05-12Meadow Medical Group
in network
99214, 90471, 36415$351.00$187.62ApprovedApproved
CLM-2026-0296232026-03-08Meadow Medical Group
in network
70553$3,537.00—Needs reviewNeeds review