Gold, golden identity
Lori Ruiz
5 source records from 3 feeds.
MBR-005860Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Lori
- Middle name—
- —
- Last nameENR
- Ruiz
- Date of birthENR
- 2004-02-12
- GenderENR
- M
- Member IDENR
- UHC-96459-94
- SSNENR
- •••-••-2439
- PhoneENR
- 8166844985
- EmailENR
- lori.ruiz84@yahoo.com
- AddressENR
- 5235 Forest Ave
- CityENR
- Miami
- StateENR
- FL
- ZIPENR
- 33117
- GroupENR
- GRP-9936
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.94
Sources
CLM ×2ENR ×2TPA ×1
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-421035 | CLM | 2026-01-19 | Lori Ruizflagged | 2004-02-12 | UHC-96459-94 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-421036 | CLM | 2026-05-27 | Lori Ruizflagged | 2004-02-12 | UHC-96459-94 | 8166844985 | 5235 Forest Ave, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| ENR-127619 | ENR | 2026-06-29 | Lori Ruizflagged | 2004-02-12 | UHC-96459-94 | 8166844985 | 5235 Forest Ave, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
| TPA-59247 | TPA | 2026-07-24 | Lori Ruizflagged | 2004-02-12 | — | 8166844985 | 5235 Forest Ave, Miami, FL | Scored | 0.94 | — |
| ENR-127620 | ENR | 2026-09-29 | Lori Ruzflagged | 2004-02-12 | UHC-96459-94 | 8166844985 | 5235 Forest Ave, Miami, FL | Rule | 0.99 | D1 member id + dob exact |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-421035CLMCLM-421036CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421035CLMENR-127619ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421036CLMENR-127619ENR 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 5Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421035CLMENR-127620ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421036CLMENR-127620ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-127619ENR ENR-127620ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421036CLMTPA-59247TPA 0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶ENR-127619ENR TPA-59247TPA 0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶TPA-59247TPA ENR-127620ENR0.92Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||||||
▶CLM-421035CLMTPA-59247TPA 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Duplicate member record retiredExecutedLori Ruiz: 2 enrollment records collapsed into UHC-96459-94ACT-022601, Member services
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automaticallyc6cc905b98matching_agent, ENR-127620, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:54:38Record linked automatically391ae35fe4scoring_agent, TPA-59247, identity id MBR-005860, confidence 0.94, method probabilistic, matched record CLM-421036, policy version 1
- 2026-10-19 19:54:38Record linked automatically3139c9bd88matching_agent, ENR-127619, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:54:38Record linked automatically5ecedaf633matching_agent, CLM-421036, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:54:38Record linked automatically36ecfeb4a8matching_agent, CLM-421035, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421036
- 2026-10-19 19:52:08Record linked automatically34ba9a298fmatching_agent, ENR-127620, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:52:08Record linked automaticallycf00700ab7scoring_agent, TPA-59247, identity id MBR-005860, confidence 0.94, method probabilistic, matched record CLM-421036, policy version 1
- 2026-10-19 19:52:08Record linked automatically0fdd06ac84matching_agent, ENR-127619, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:52:08Record linked automatically33d68ccdeamatching_agent, CLM-421036, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:52:08Record linked automaticallyffa52dbc26matching_agent, CLM-421035, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421036
- 2026-10-19 19:45:42Record linked automatically2e5e924a92matching_agent, ENR-127620, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:45:42Record linked automatically869e6e81d5scoring_agent, TPA-59247, identity id MBR-005860, confidence 0.94, method probabilistic, matched record CLM-421036, policy version 1
- 2026-10-19 19:45:42Record linked automatically1213ec5a96matching_agent, ENR-127619, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:45:42Record linked automaticallye98c288ee3matching_agent, CLM-421036, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:45:42Record linked automaticallyd37551ce67matching_agent, CLM-421035, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421036
- 2026-10-19 19:32:31Record linked automatically0616add374matching_agent, ENR-127620, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:32:31Record linked automaticallyd3d6db29a7scoring_agent, TPA-59247, identity id MBR-005860, confidence 0.94, method probabilistic, matched record CLM-421036, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyc456a9e7dematching_agent, ENR-127619, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:32:31Record linked automatically34e26c8f5amatching_agent, CLM-421036, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421035
- 2026-10-19 19:32:31Record linked automaticallyabf58a8eebmatching_agent, CLM-421035, identity id MBR-005860, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421036
- 2026-10-19 19:31:28Record linked automaticallyf79276723cmatching_agent, ENR-127619, identity id MBR-030950, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127620
- 2026-10-19 19:31:28Record linked automatically840877ba34matching_agent, ENR-127620, identity id MBR-030950, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127619
- 2026-10-19 19:31:28Record linked automaticallyb1873c2ab0scoring_agent, CLM-421036, identity id MBR-015127, confidence 0.99, method probabilistic, matched record TPA-59177, policy version 1
- 2026-10-19 19:31:28Record linked automatically4d1117659amatching_agent, CLM-421035, identity id MBR-009573, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26165
- 2026-10-19 19:31:28Record linked automatically4c4c1b0f4bscoring_agent, TPA-59247, identity id MBR-001551, confidence 1, method probabilistic, matched record CLM-421161, 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-2026-018445 | 2026-05-05 | Sunrise Dermatology Clinic in network | 17110, 11403 | $644.00 | $349.28 | Approved | Approved |
| CLM-2026-031238 | 2025-12-31 | Mesa Physical Therapy in network | 97110, 97014 | $306.00 | $169.72 | Approved | Approved |