Identities/MBR-006286

Gold, golden identity

Ruth I Fisher

5 source records from 3 feeds.

MBR-006286Verified5 records

Golden record

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

First nameENR: Ruth
Middle nameCLM: I
Last nameENR: Fisher
Date of birthENR: 1968-10-20
GenderENR: F
Member IDENR: UHC-47109-24
SSNENR: •••-••-1958
PhoneENR: 8752567430
EmailCLM: ruth.fisher@outlook.com
AddressENR: 5096 Broadway
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90091
GroupENR: GRP-2348
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

CLM ×3TPA ×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-408668	CLM	2026-01-21	Ruth Fisherflagged	1968-10-20	—	—	5096 Broadway, Los Angeles, CA	Scored	1.00	—
TPA-53798	TPA	2026-02-18	Ruth Fisherflagged	1968-10-20	—	—	5096 Broadway, Los Angeles, CA	Scored	1.00	—
CLM-408667	CLM	2026-05-18	Ruth Fisherflagged	1968-10-20	UHC-47109-24	—	5096 Broadway # 210, Los Angeles, CA	Scored	1.00	—
ENR-111420	ENR	2026-07-29	Ruth Fisherflagged	1968-10-20	UHC-47109-24	8752567430	5096 Broadway, Los Angeles, CA	Scored	1.00	—
CLM-408669	CLM	2026-08-23	Ruth Fisherflagged	1968-10-20	—	8752567430	5096 Broadway, Los Angeles, CA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-408668CLM CLM-408667CLM1.00Scoredweighted 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-53798TPACLM-408667CLM1.00Scoredweighted 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-408668CLM CLM-408669CLM1.00Scoredweighted 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-53798TPACLM-408669CLM1.00Scoredweighted 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-408667CLMCLM-408669CLM1.00Scoredweighted 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-111420ENRCLM-408669CLM1.00Scoredweighted 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-408668CLM ENR-111420ENR1.00Scoredweighted 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-53798TPAENR-111420ENR1.00Scoredweighted 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-408668CLM TPA-53798TPA1.00Scoredweighted 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-408667CLMENR-111420ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408669 → UHC-47109-24 (Ruth Fisher)
ACT-002295, Claims processor
Orphan claim re-pointedExecuted
CLM-408668 → UHC-47109-24 (Ruth Fisher)
ACT-003948, Claims processor
Care coordination outreachProposed
Ruth Fisher: 3 claims, no attributed provider
ACT-018269, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automaticallyf50a3c3f9a
scoring_agent, CLM-408669, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-22 12:43:53Record linked automaticallybcd17d070b
scoring_agent, ENR-111420, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-22 12:43:53Record linked automatically47230d1305
scoring_agent, CLM-408667, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-22 12:43:53Record linked automatically2d4dea0970
scoring_agent, TPA-53798, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-22 12:43:53Record linked automaticallycb50bc4c07
scoring_agent, CLM-408668, identity id MBR-006286, confidence 1, method probabilistic, matched record TPA-53798, policy version 1
2026-10-19 19:54:38Record linked automatically317c03b3d2
scoring_agent, CLM-408669, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:54:38Record linked automaticallyd421de5717
scoring_agent, ENR-111420, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:54:38Record linked automaticallyb6fbbb3b43
scoring_agent, CLM-408667, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:54:38Record linked automaticallyed7b876c59
scoring_agent, TPA-53798, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:54:38Record linked automatically02c3759050
scoring_agent, CLM-408668, identity id MBR-006286, confidence 1, method probabilistic, matched record TPA-53798, policy version 1
2026-10-19 19:52:09Record linked automatically34b45f2c25
scoring_agent, CLM-408669, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:52:09Record linked automatically603b020eed
scoring_agent, ENR-111420, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:52:09Record linked automatically2322172e0c
scoring_agent, CLM-408667, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:52:09Record linked automatically8f68c4d396
scoring_agent, TPA-53798, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:52:09Record linked automatically49c80d4f13
scoring_agent, CLM-408668, identity id MBR-006286, confidence 1, method probabilistic, matched record TPA-53798, policy version 1
2026-10-19 19:45:42Record linked automatically877afb552d
scoring_agent, CLM-408669, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:45:42Record linked automatically3a7cc44b78
scoring_agent, ENR-111420, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:45:42Record linked automaticallyb53088754e
scoring_agent, CLM-408667, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:45:42Record linked automatically70f82ed775
scoring_agent, TPA-53798, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:45:42Record linked automatically0d74237f93
scoring_agent, CLM-408668, identity id MBR-006286, confidence 1, method probabilistic, matched record TPA-53798, policy version 1
2026-10-19 19:32:31Record linked automaticallyec3424f1f0
scoring_agent, CLM-408669, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:32:31Record linked automaticallyd1ee15bc73
scoring_agent, ENR-111420, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:32:31Record linked automaticallyb3e1378deb
scoring_agent, CLM-408667, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:32:31Record linked automatically711618711a
scoring_agent, TPA-53798, identity id MBR-006286, confidence 1, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:32:31Record linked automaticallyefa3512d2a
scoring_agent, CLM-408668, identity id MBR-006286, confidence 1, method probabilistic, matched record TPA-53798, policy version 1
2026-10-19 19:31:28Record linked automatically0338c40954
matching_agent, CLM-408669, identity id MBR-038637, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53832
2026-10-19 19:31:28Record linked automatically16550c31b8
scoring_agent, CLM-408667, identity id MBR-024205, confidence 0.99, method probabilistic, matched record CLM-408668, policy version 1
2026-10-19 19:31:28Record linked automaticallye6d8357bb7
scoring_agent, CLM-408668, identity id MBR-024205, confidence 0.99, method probabilistic, matched record CLM-408667, policy version 1
2026-10-19 19:31:28Record linked automaticallyb7b60598ea
scoring_agent, ENR-111420, identity id MBR-003533, confidence 0.99, method probabilistic, matched record TPA-53843, policy version 1
2026-10-19 19:31:28Record linked automatically2162be223d
matching_agent, TPA-53798, identity id MBR-000597, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53797

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-2026-003600	2026-07-18	Pinecrest Behavioral Health in network	90837, 90791	$656.00	$366.72	Approved	Approved
CLM-2026-014517	2026-04-12	Northgate Medical Group in network	99395, 99213, 99214	$700.00	$414.00	Approved	Approved
CLM-2026-010005	2025-12-19	Lakeside Medical Group out of network	36415, 99214, 90471	$309.00	$127.80	Approved	Approved