Identities/MBR-005179

Gold, golden identity

Frances L Ruiz

5 source records from 3 feeds.

MBR-005179Verified5 records

Golden record

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

First nameENR: Frances
Middle nameENR: L
Last nameENR: Ruiz
Date of birthENR: 1994-03-16
GenderENR: M
Member IDENR: UHC-53327-52
SSNENR: •••-••-0010
PhoneENR: 3817942729
Email—: —
AddressENR: 9212 Main St Apt 2
CityENR: Atlanta
StateENR: GA
ZIPENR: 30353
GroupENR: GRP-6383
PlanENR: MEDICARE-ADV-B

Min confidence

0.94

Sources

CLM ×3PRV ×1ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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-421539	CLM	2026-01-17	Frances Ruizflagged	1994-03-16	—	3817942729	9212 Main St, Atlanta, GA	Scored	0.94	—
CLM-421541	CLM	2026-04-07	Frances Ruizflagged	1994-03-16	—	—	9212 Main St, Atlanta, GA	Scored	1.00	—
PRV-26348	PRV	2026-07-15	Frances Ruizflagged	1994-03-16	—	3817942729	9212 Main St, Atlanta, GA	Scored	1.00	—
CLM-421540	CLM	2026-07-26	Frances Ruizflagged	1994-03-16	UHC-53327-52	—	9212 Main St, Atlanta, GA	Scored	1.00	—
ENR-128206	ENR	2026-08-01	Frances Ruizflagged	1994-03-16	UHC-53327-52	3817942729	9212 Main St Apt 2, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-421541CLMCLM-421540CLM1.00Scoredweighted 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

▶PRV-26348PRVCLM-421540CLM1.00Scoredweighted 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

▶CLM-421541CLMENR-128206ENR1.00Scoredweighted 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

▶PRV-26348PRVENR-128206ENR1.00Scoredweighted 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-421541CLMPRV-26348PRV1.00Scoredweighted 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

▶CLM-421540CLMENR-128206ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-421539CLMENR-128206ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421539CLMPRV-26348PRV0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-421539CLMCLM-421540CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421539CLMCLM-421541CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421541 → UHC-53327-52 (Frances Ruiz)
ACT-004256, Claims processor
Orphan claim re-pointedExecuted
CLM-421539 → UHC-53327-52 (Frances Ruiz)
ACT-005634, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically23b5e157ee
scoring_agent, ENR-128206, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-22 12:43:53Record linked automatically180d999f8c
scoring_agent, CLM-421540, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-22 12:43:53Record linked automatically316bfbbe10
scoring_agent, PRV-26348, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-22 12:43:53Record linked automatically77697035ad
scoring_agent, CLM-421541, identity id MBR-005179, confidence 1, method probabilistic, matched record PRV-26348, policy version 1
2026-10-22 12:43:53Record linked automatically8850efa027
scoring_agent, CLM-421539, identity id MBR-005179, confidence 0.94, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:54:38Record linked automatically93905c7e4a
scoring_agent, ENR-128206, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:54:38Record linked automatically3250697a94
scoring_agent, CLM-421540, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:54:38Record linked automatically6d03520d76
scoring_agent, PRV-26348, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:54:38Record linked automaticallyc52c48061f
scoring_agent, CLM-421541, identity id MBR-005179, confidence 1, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:54:38Record linked automaticallyc98849f87a
scoring_agent, CLM-421539, identity id MBR-005179, confidence 0.94, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:52:08Record linked automatically8fa9637c54
scoring_agent, ENR-128206, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:52:08Record linked automatically816c8ffd2d
scoring_agent, CLM-421540, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:52:08Record linked automatically608a0a5034
scoring_agent, PRV-26348, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:52:08Record linked automatically39f14ad73a
scoring_agent, CLM-421541, identity id MBR-005179, confidence 1, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:52:08Record linked automatically1ef707cc33
scoring_agent, CLM-421539, identity id MBR-005179, confidence 0.94, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:45:42Record linked automatically32eacac90c
scoring_agent, ENR-128206, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:45:42Record linked automatically0fc2eda648
scoring_agent, CLM-421540, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:45:42Record linked automatically3cb4199755
scoring_agent, PRV-26348, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:45:42Record linked automaticallyb068894e56
scoring_agent, CLM-421541, identity id MBR-005179, confidence 1, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:45:42Record linked automaticallye30c45c0ea
scoring_agent, CLM-421539, identity id MBR-005179, confidence 0.94, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:32:31Record linked automatically7098d6bd08
scoring_agent, ENR-128206, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:32:31Record linked automaticallyb8a790cecb
scoring_agent, CLM-421540, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:32:31Record linked automaticallye3087d0569
scoring_agent, PRV-26348, identity id MBR-005179, confidence 1, method probabilistic, matched record CLM-421541, policy version 1
2026-10-19 19:32:31Record linked automatically3624e840a1
scoring_agent, CLM-421541, identity id MBR-005179, confidence 1, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:32:31Record linked automaticallyac9a8c8e9c
scoring_agent, CLM-421539, identity id MBR-005179, confidence 0.94, method probabilistic, matched record PRV-26348, policy version 1
2026-10-19 19:31:28Record linked automatically7115affcd4
matching_agent, CLM-421540, identity id MBR-033510, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128309
2026-10-19 19:31:28Record linked automaticallydb67a2e3e0
matching_agent, PRV-26348, identity id MBR-021804, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421618
2026-10-19 19:31:28Record linked automatically9292009e1d
scoring_agent, CLM-421541, identity id MBR-009576, confidence 1, method probabilistic, matched record TPA-59412, 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-2026-006688	2026-07-04	Harbor Cardiovascular Associates in network	93306, 93015	$1,795.00	$28.82	Approved	Approved
CLM-2026-011156	2026-03-31	Northgate Internal Medicine Associates in network	70553	$1,896.00	—	Needs review	Needs review
CLM-2026-016242	2025-12-17	Riverside Family Practice in network	90471, 99395	$360.00	$198.20	Approved	Approved