Gold, golden identity
Ralph A Lewis
4 source records from 2 feeds.
MBR-008751Verified4 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
- Lewis
- Date of birthENR
- 1950-07-23
- GenderENR
- F
- Member IDENR
- UHC-43255-16
- SSNENR
- •••-••-0760
- PhoneENR
- 5384860436
- EmailENR
- ralph.lewis54@gmail.com
- AddressENR
- 8899 Mountain View Dr
- CityENR
- Fresno
- StateENR
- CA
- ZIP—
- —
- GroupENR
- GRP-4581
- PlanENR
- CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×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-408108 | CLM | 2026-01-29 | Ralph Lewisflagged | 1950-07-23 | — | 5384860436 | 8899 Mountain View Dr, Fresno, CA | Scored | 1.00 | — |
| CLM-408109 | CLM | 2026-02-15 | Ralph Lewisflagged | 1950-07-23 | UHC-43255-16 | 5384860436 | 8899 Mountain View Dr, Fresno, CA | Scored | 1.00 | — |
| ENR-110676 | ENR | 2026-02-27 | Ralph Lewisflagged | 1950-07-23 | UHC-43255-16 | 5384860436 | 8899 Mountain View Dr, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-408107 | CLM | 2026-09-15 | Ralph Lewisflagged | 1950-07-23 | UHC-43255-16 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-408108CLMCLM-408109CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-408109CLMCLM-408107CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶ENR-110676ENRCLM-408107CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-408109CLMENR-110676ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 4Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-408108CLMENR-110676ENR0.94Scoredweighted similarityAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||||||
▶CLM-408108CLMCLM-408107CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-408108 → UHC-43255-16 (Ralph Lewis)ACT-005919, Claims processor
- Care coordination outreachProposedRalph Lewis: 3 claims, no attributed providerACT-018459, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically731d05d023matching_agent, CLM-408107, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-22 12:43:54Record linked automaticallyc795040c17matching_agent, ENR-110676, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-22 12:43:54Record linked automatically5d08cd6342scoring_agent, CLM-408109, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408108, policy version 1
- 2026-10-22 12:43:54Record linked automatically1f85585686scoring_agent, CLM-408108, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408109, policy version 1
- 2026-10-19 19:54:38Record linked automatically89e8a3b193matching_agent, CLM-408107, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:54:38Record linked automatically690ba04dafmatching_agent, ENR-110676, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:54:38Record linked automatically67b35ea8cfscoring_agent, CLM-408109, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408108, policy version 1
- 2026-10-19 19:54:38Record linked automaticallye7896610d7scoring_agent, CLM-408108, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408109, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyf7dce62194matching_agent, CLM-408107, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:52:09Record linked automatically505bae4a24matching_agent, ENR-110676, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:52:09Record linked automaticallyed795fee1bscoring_agent, CLM-408109, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408108, policy version 1
- 2026-10-19 19:52:09Record linked automatically75356a5380scoring_agent, CLM-408108, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408109, policy version 1
- 2026-10-19 19:45:42Record linked automatically81640114d4matching_agent, CLM-408107, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:45:42Record linked automatically6bfc2d9b7cmatching_agent, ENR-110676, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:45:42Record linked automatically9d888dc4f6scoring_agent, CLM-408109, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408108, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyd8c5953ed3scoring_agent, CLM-408108, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408109, policy version 1
- 2026-10-19 19:32:31Record linked automatically1c23c94271matching_agent, CLM-408107, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:32:31Record linked automatically0683d7e677matching_agent, ENR-110676, identity id MBR-008751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408109
- 2026-10-19 19:32:31Record linked automaticallya42caa45d0scoring_agent, CLM-408109, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408108, policy version 1
- 2026-10-19 19:32:31Record linked automatically5f85837958scoring_agent, CLM-408108, identity id MBR-008751, confidence 1, method probabilistic, matched record CLM-408109, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyd3f6c6ea1bscoring_agent, CLM-408108, identity id MBR-028971, confidence 0.93, method probabilistic, matched record ENR-110634, policy version 1
- 2026-10-19 19:31:28Record linked automatically95bfa1ad31matching_agent, CLM-408107, identity id MBR-028971, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110634
- 2026-10-19 19:31:28Record linked automaticallyf5e0763147scoring_agent, CLM-408109, identity id MBR-028971, confidence 1, method probabilistic, matched record PRV-22385, policy version 1
- 2026-10-19 19:31:28Record linked automatically7a72b7f8a2scoring_agent, ENR-110676, identity id MBR-002475, confidence 1, method probabilistic, matched record TPA-53571, 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-2026-029490 | 2026-09-08 | Riverside Community Hospital in network | 99283, 99285 | $3,381.00 | $1,709.55 | Approved | Approved |
| CLM-2026-006283 | 2026-01-21 | Heritage Medical Group in network | 36415 | $19.00 | $0.00 | Approved | Approved |
| CLM-2026-017263 | 2026-01-22 | Pinecrest Medical Group in network | 36415, 99395, 90471 | $378.00 | $224.44 | Approved | Approved |