Ray N Garza

4 source records from 2 feeds.

MBR-006684Verified4 records

Golden record

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

First nameCLM: Ray
Middle nameCLM: N
Last nameCLM: Garza
Date of birthCLM: 1963-07-27
GenderCLM: M
Member IDCLM: UHC-65800-71
SSNCLM: •••-••-8804
PhoneCLM: 9248111844
Email—: —
AddressCLM: 7988 Bayshore Dr
CityCLM: Jacksonville
StateCLM: FL
ZIPCLM: 32213
GroupCLM: GRP-5600
PlanCLM: CORE-HMO

Min confidence

0.99

Sources

CLM ×3TPA ×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-406605	CLM	2026-01-22	Ray Garzaflagged	1963-07-27	UHC-65800-71	—	7988 Bayshore Dr, Jacksonville, FL	Scored	1.00	—
TPA-52903	TPA	2026-05-30	Ray Garzaflagged	1963-07-27	—	—	7988 Bayshore Dr, Jacksonville, FL	Scored	1.00	—
CLM-406603	CLM	2026-06-21	Garza Raaymondflagged	1963-07-27	UHC-65800-71	—	7988 Bayshore Dr, Jacksonville, FL	Rule	0.99	D1 member id + dob exact
CLM-406604	CLM	2026-07-15	Raymond Garzaflagged	1963-07-27	—	9248111844	7988 Bayshore Dr, Jacksonville, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-406605CLMCLM-406604CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-52903TPACLM-406604CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406605CLMTPA-52903TPA1.00Scoredweighted 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-406605CLMCLM-406603CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3	swapped
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-52903TPACLM-406603CLM0.98Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.94	3	swapped
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-406604 → UHC-65800-71 (Ray Garza)
ACT-009232, Claims processor
Care coordination outreachProposed
Ray Garza: 3 claims, no attributed provider
ACT-018302, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically8e2ee5137e
scoring_agent, CLM-406604, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-22 12:43:53Record linked automatically72c01488d9
matching_agent, CLM-406603, identity id MBR-006684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406605
2026-10-22 12:43:53Record linked automaticallyf3242771dd
scoring_agent, TPA-52903, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-22 12:43:53Record linked automatically7d6226c769
scoring_agent, CLM-406605, identity id MBR-006684, confidence 1, method probabilistic, matched record TPA-52903, policy version 1
2026-10-19 19:54:38Record linked automatically536a2105f8
scoring_agent, CLM-406604, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:54:38Record linked automatically6202cfbc95
matching_agent, CLM-406603, identity id MBR-006684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406605
2026-10-19 19:54:38Record linked automatically609b1fda7d
scoring_agent, TPA-52903, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:54:38Record linked automaticallye61e5b4773
scoring_agent, CLM-406605, identity id MBR-006684, confidence 1, method probabilistic, matched record TPA-52903, policy version 1
2026-10-19 19:52:09Record linked automaticallybf196fe630
scoring_agent, CLM-406604, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:52:09Record linked automatically73a8986168
matching_agent, CLM-406603, identity id MBR-006684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406605
2026-10-19 19:52:09Record linked automaticallydffacaa79d
scoring_agent, TPA-52903, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:52:09Record linked automatically8b36b2d219
scoring_agent, CLM-406605, identity id MBR-006684, confidence 1, method probabilistic, matched record TPA-52903, policy version 1
2026-10-19 19:45:42Record linked automaticallya464d8adb0
scoring_agent, CLM-406604, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:45:42Record linked automaticallybe3a710176
matching_agent, CLM-406603, identity id MBR-006684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406605
2026-10-19 19:45:42Record linked automaticallyf407023156
scoring_agent, TPA-52903, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:45:42Record linked automatically65cf2e01f6
scoring_agent, CLM-406605, identity id MBR-006684, confidence 1, method probabilistic, matched record TPA-52903, policy version 1
2026-10-19 19:32:31Record linked automaticallyc17fc8fb9f
scoring_agent, CLM-406604, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:32:31Record linked automaticallyd43d130b10
matching_agent, CLM-406603, identity id MBR-006684, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406605
2026-10-19 19:32:31Record linked automaticallycee31c60e0
scoring_agent, TPA-52903, identity id MBR-006684, confidence 1, method probabilistic, matched record CLM-406605, policy version 1
2026-10-19 19:32:31Record linked automatically569d10db97
scoring_agent, CLM-406605, identity id MBR-006684, confidence 1, method probabilistic, matched record TPA-52903, policy version 1
2026-10-19 19:31:28Record linked automatically9c61ae34a4
scoring_agent, CLM-406603, identity id MBR-034251, confidence 1, method probabilistic, matched record CLM-406602, policy version 1
2026-10-19 19:31:28Record linked automatically3fc2b66eee
scoring_agent, CLM-406604, identity id MBR-034251, confidence 1, method probabilistic, matched record CLM-406602, policy version 1
2026-10-19 19:31:28Record linked automatically9632c9c4ca
scoring_agent, TPA-52903, identity id MBR-015496, confidence 1, method probabilistic, matched record CLM-406564, 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-2026-030046	2026-06-03	Northgate Orthopedic Specialists in network	20610	$275.00	—	Denied	Denied
CLM-2026-008904	2026-05-11	Lakeside Medical Group in network	99395, 90471, 36415	$342.00	—	Denied	Denied
CLM-2026-021899	2026-01-18	Heritage Physical Therapy in network	97110	$188.00	—	Denied	Denied