Identities/MBR-009057

Gold, golden identity

Adam Z Ruiz

5 source records from 4 feeds.

MBR-009057Verified5 records

Golden record

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

First nameENR: Adam
Middle nameENR: Z
Last nameENR: Ruiz
Date of birthENR: 2002-03-19
GenderPRV: M
Member IDENR: UHC-93885-30
SSNENR: •••-••-9004
PhoneENR: 5249089026
EmailENR: adam.ruiz@gmail.com
AddressENR: 4394 Apache Blvd
CityENR: Charlotte
StateENR: NC
ZIP—: —
GroupENR: GRP-3481
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×2TPA ×1PRV ×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-417634	CLM	2026-01-31	Adam Ruizflagged	2002-03-19	—	—	4394 Apache Blvd, Charlotte, NC	Scored	1.00	—
TPA-57787	TPA	2026-03-01	Adam Ruizflagged	2002-03-19	UHC-93885-30	5249089026	—	Scored	1.00	—
PRV-25224	PRV	2026-04-12	Adam Ruizflagged	2002-03-19	—	5249089026	4394 Apache Blvd, Charlotte, NC	Scored	1.00	—
CLM-417633	CLM	2026-05-18	Adam Ruizflagged	2002-03-19	UHC-93885-30	—	4394 Apache Blvd, Charlotte, NC	Scored	1.00	—
ENR-123233	ENR	2026-06-15	Adam Ruizflagged	2002-03-19	UHC-93885-30	5249089026	4394 Apache Blvd, Charlotte, NC	Rule	0.99	D1 member id + dob exact

Evidence

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

Score

Method

Rule

Decision

▶CLM-417634CLMCLM-417633CLM1.00Scoredweighted 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

▶PRV-25224PRVCLM-417633CLM1.00Scoredweighted 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-417634CLMPRV-25224PRV1.00Scoredweighted 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-57787TPAPRV-25224PRV1.00Scoredweighted 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

▶TPA-57787TPACLM-417633CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-57787TPAENR-123233ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-417633CLMENR-123233ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-25224PRVENR-123233ENR0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-417634CLMENR-123233ENR0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-417634CLMTPA-57787TPA0.83Scoredweighted similaritySent to steward

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

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-417634 → UHC-93885-30 (Adam Ruiz)
ACT-009823, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically948b1b615a
matching_agent, ENR-123233, identity id MBR-009057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57787
2026-10-22 12:43:54Record linked automatically808eb67321
scoring_agent, CLM-417633, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-22 12:43:54Record linked automaticallyc87b007d13
scoring_agent, PRV-25224, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-22 12:43:54Record linked automatically35169d3698
scoring_agent, TPA-57787, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-22 12:43:54Record linked automatically1a34bd6263
scoring_agent, CLM-417634, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:54:38Record linked automaticallyce68372459
matching_agent, ENR-123233, identity id MBR-009057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57787
2026-10-19 19:54:38Record linked automatically7176b4169d
scoring_agent, CLM-417633, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:54:38Record linked automaticallyd762f33eb3
scoring_agent, PRV-25224, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:54:38Record linked automatically0cbafb62f5
scoring_agent, TPA-57787, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:54:38Record linked automaticallycd844f818e
scoring_agent, CLM-417634, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:52:09Record linked automatically5348b08dda
matching_agent, ENR-123233, identity id MBR-009057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57787
2026-10-19 19:52:09Record linked automaticallyc6692a575e
scoring_agent, CLM-417633, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:52:09Record linked automatically93fe2ef5de
scoring_agent, PRV-25224, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:52:09Record linked automatically1d00e24a9a
scoring_agent, TPA-57787, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:52:09Record linked automaticallyc3ec6167b5
scoring_agent, CLM-417634, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:45:42Record linked automatically56f59eb651
matching_agent, ENR-123233, identity id MBR-009057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57787
2026-10-19 19:45:42Record linked automaticallyc4fecdd456
scoring_agent, CLM-417633, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:45:42Record linked automatically1000ee4541
scoring_agent, PRV-25224, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:45:42Record linked automaticallye4f02d13f6
scoring_agent, TPA-57787, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:45:42Record linked automatically20e5547de8
scoring_agent, CLM-417634, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:32:31Record linked automaticallyabaf399f5f
matching_agent, ENR-123233, identity id MBR-009057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57787
2026-10-19 19:32:31Record linked automatically4964110179
scoring_agent, CLM-417633, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:32:31Record linked automaticallydc17a305c5
scoring_agent, PRV-25224, identity id MBR-009057, confidence 1, method probabilistic, matched record CLM-417634, policy version 1
2026-10-19 19:32:31Record linked automaticallya73f36574f
scoring_agent, TPA-57787, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:32:31Record linked automatically691a6a3692
scoring_agent, CLM-417634, identity id MBR-009057, confidence 1, method probabilistic, matched record PRV-25224, policy version 1
2026-10-19 19:31:28Record linked automatically6ca9711535
scoring_agent, PRV-25224, identity id MBR-026879, confidence 1, method probabilistic, matched record ENR-123365, policy version 1
2026-10-19 19:31:28Record linked automatically6be036c897
matching_agent, CLM-417634, identity id MBR-025626, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-123065
2026-10-19 19:31:28Record linked automaticallybe4ffc9b9c
scoring_agent, TPA-57787, identity id MBR-017258, confidence 1, method probabilistic, matched record TPA-57789, policy version 1
2026-10-19 19:31:28Record linked automaticallyabf97f10eb
matching_agent, CLM-417633, identity id MBR-012314, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-123063

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-2026-034408	2026-04-03	Meadow Diagnostic Imaging out of network	74177, 77067	$1,821.00	$454.86	Approved	Approved
CLM-2026-032308	2026-01-25	Unity Medical Group in network	99214, 99215	$711.00	$415.82	Approved	Approved