Identities/MBR-008478

Gold, golden identity

Ralph A Jimenez

5 source records from 3 feeds.

MBR-008478Verified5 records

Golden record

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

First nameENR: Ralph
Middle nameENR: A
Last nameENR: Jimenez
Date of birthENR: 1989-07-12
GenderENR: F
Member IDENR: UHC-36480-49
SSNTPA: •••-••-7381
PhoneENR: 4026440112
EmailCLM: ralph.jimenez@gmail.com
AddressENR: 5171 Desert Sky Blvd
CityENR: Los Angeles
StateENR: CA
ZIPENR: 90063
GroupENR: GRP-1357
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

TPA ×3CLM ×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
TPA-59434	TPA	2026-01-28	Raplh Jimenezflagged	1989-07-12	—	4026440112	5171 Desert Sky Blvd, Los Angeles, CA	Scored	0.99	—
TPA-59433	TPA	2026-03-18	Ralph Jimenezflagged	1989-07-12	—	4026440112	—	Scored	1.00	—
CLM-421452	CLM	2026-05-04	Ralph Jimenezflagged	1989-07-12	—	4026440112	5171 Desert Sky Blvd, Los Angeles, CA	Scored	1.00	—
ENR-128099	ENR	2026-06-22	Ralph Jimenezflagged	1989-07-12	UHC-36480-49	4026440112	5171 Desert Sky Blvd, Los Angeles, CA	Scored	1.00	—
TPA-59435	TPA	2026-10-10	Ralph Jimenezflagged	1989-07-12	—	—	5171 Desert Sky Blvd, Los Angeles, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-59433TPACLM-421452CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59433TPAENR-128099ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421452CLMENR-128099ENR1.00Scoredweighted 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

▶TPA-59433TPATPA-59435TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-421452CLMTPA-59435TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-128099ENRTPA-59435TPA1.00Scoredweighted 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-59434TPACLM-421452CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-59434TPAENR-128099ENR0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59434TPATPA-59433TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-59434TPATPA-59435TPA0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-421452 → UHC-36480-49 (Ralph Jimenez)
ACT-004734, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically36497025fd
scoring_agent, TPA-59435, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-22 12:43:54Record linked automatically3ba8847ffb
scoring_agent, ENR-128099, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-22 12:43:54Record linked automatically912e13878c
scoring_agent, CLM-421452, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-22 12:43:54Record linked automaticallyc3d8257f89
scoring_agent, TPA-59433, identity id MBR-008478, confidence 1, method probabilistic, matched record CLM-421452, policy version 1
2026-10-22 12:43:54Record linked automatically3426e0082a
scoring_agent, TPA-59434, identity id MBR-008478, confidence 0.99, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:54:38Record linked automatically3fe23a58e8
scoring_agent, TPA-59435, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:54:38Record linked automatically99c9612a14
scoring_agent, ENR-128099, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:54:38Record linked automatically20ea5f38bd
scoring_agent, CLM-421452, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:54:38Record linked automaticallya7113fc9d0
scoring_agent, TPA-59433, identity id MBR-008478, confidence 1, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:54:38Record linked automaticallyf59f88a4c5
scoring_agent, TPA-59434, identity id MBR-008478, confidence 0.99, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:52:09Record linked automatically02c306cc45
scoring_agent, TPA-59435, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:52:09Record linked automaticallyf4d9780840
scoring_agent, ENR-128099, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:52:09Record linked automatically709efc5c22
scoring_agent, CLM-421452, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:52:09Record linked automatically13d193ba2a
scoring_agent, TPA-59433, identity id MBR-008478, confidence 1, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:52:09Record linked automaticallyd62d847141
scoring_agent, TPA-59434, identity id MBR-008478, confidence 0.99, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:45:42Record linked automatically35218ca774
scoring_agent, TPA-59435, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:45:42Record linked automaticallycb3011afd8
scoring_agent, ENR-128099, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:45:42Record linked automatically56f0e8a161
scoring_agent, CLM-421452, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:45:42Record linked automaticallyb140a07524
scoring_agent, TPA-59433, identity id MBR-008478, confidence 1, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:45:42Record linked automaticallyfaf8677773
scoring_agent, TPA-59434, identity id MBR-008478, confidence 0.99, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:32:31Record linked automaticallyf14b211ae8
scoring_agent, TPA-59435, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:32:31Record linked automaticallyf4d99d83f6
scoring_agent, ENR-128099, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:32:31Record linked automaticallye285c1d880
scoring_agent, CLM-421452, identity id MBR-008478, confidence 1, method probabilistic, matched record TPA-59433, policy version 1
2026-10-19 19:32:31Record linked automatically4e60011ad4
scoring_agent, TPA-59433, identity id MBR-008478, confidence 1, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:32:31Record linked automatically5eb9a0a375
scoring_agent, TPA-59434, identity id MBR-008478, confidence 0.99, method probabilistic, matched record CLM-421452, policy version 1
2026-10-19 19:31:28Record linked automaticallya4378644cb
scoring_agent, TPA-59433, identity id MBR-023763, confidence 0.99, method probabilistic, matched record PRV-26345, policy version 1
2026-10-19 19:31:28Record linked automaticallyae4ce5ad2c
matching_agent, ENR-128099, identity id MBR-020933, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-59338
2026-10-19 19:31:28Record linked automatically3dacbe824f
scoring_agent, CLM-421452, identity id MBR-013585, confidence 1, method probabilistic, matched record ENR-128192, policy version 1
2026-10-19 19:31:28Record linked automatically0248cba539
matching_agent, TPA-59435, identity id MBR-013415, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421620
2026-10-19 19:31:28Record linked automaticallyd92bbbb7ec
scoring_agent, TPA-59434, identity id MBR-009429, confidence 1, method probabilistic, matched record PRV-26347, 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-2026-012887	2026-03-27	Heritage Community Hospital in network	99284	$1,180.00	$399.00	Approved	Approved