Ralph N Jimenez

4 source records from 3 feeds.

MBR-010395Verified4 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: N
Last nameENR: Jimenez
Date of birthENR: 1998-04-11
GenderENR: M
Member IDENR: UHC-41438-71
SSNENR: •••-••-2135
PhoneENR: 5707458691
EmailENR: ralph.jimenez@aol.com
AddressENR: 9714 Church St
CityENR: Sacramento
StateENR: CA
ZIP—: —
GroupENR: GRP-6899
PlanENR: SELECT-EPO

Min confidence

0.93

Sources

ENR ×1CLM ×2TPA ×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
ENR-113637	ENR	2026-02-04	Ralph Jimenezflagged	1998-04-11	UHC-41438-71	5707458691	9714 Church St, Sacramento, CA	Scored	1.00	—
CLM-410371	CLM	2026-05-20	Ralph Jimenezflagged	1998-04-11	—	5707458691	—	Scored	1.00	—
TPA-54532	TPA	2026-06-27	Ralph Jimenezflagged	1998-04-11	—	5707458691	9714 Church St, Sacramento, CA	Scored	1.00	—
CLM-410372	CLM	2026-08-13	Ralph Jimenezflagged	1998-04-11	—	—	9714 Church St, Sacramento, CA	Scored	0.93	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-113637ENRTPA-54532TPA1.00Scoredweighted 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-410371CLMTPA-54532TPA1.00Scoredweighted 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

▶ENR-113637ENRCLM-410371CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-113637ENRCLM-410372CLM0.93Scoredweighted 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

▶TPA-54532TPACLM-410372CLM0.93Scoredweighted 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-410371CLMCLM-410372CLM0.83Scoredweighted 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-410372 → UHC-41438-71 (Ralph Jimenez)
ACT-003972, Claims processor
Orphan claim re-pointedExecuted
CLM-410371 → UHC-41438-71 (Ralph Jimenez)
ACT-006660, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically72528e3a1e
scoring_agent, CLM-410372, identity id MBR-010395, confidence 0.93, method probabilistic, matched record ENR-113637, policy version 1
2026-10-22 12:43:54Record linked automaticallye5e3d438f7
scoring_agent, TPA-54532, identity id MBR-010395, confidence 1, method probabilistic, matched record ENR-113637, policy version 1
2026-10-22 12:43:54Record linked automatically313f02a438
scoring_agent, CLM-410371, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-22 12:43:54Record linked automaticallyada5c519ff
scoring_agent, ENR-113637, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:54:38Record linked automatically334386b374
scoring_agent, CLM-410372, identity id MBR-010395, confidence 0.93, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:54:38Record linked automaticallyefde9e86d1
scoring_agent, TPA-54532, identity id MBR-010395, confidence 1, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:54:38Record linked automatically86b6cfa835
scoring_agent, CLM-410371, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:54:38Record linked automaticallya74d99307f
scoring_agent, ENR-113637, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:52:09Record linked automatically78a6d43fe5
scoring_agent, CLM-410372, identity id MBR-010395, confidence 0.93, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:52:09Record linked automaticallya1a17d4323
scoring_agent, TPA-54532, identity id MBR-010395, confidence 1, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:52:09Record linked automatically0e94f9c785
scoring_agent, CLM-410371, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:52:09Record linked automatically7fe00df21f
scoring_agent, ENR-113637, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:45:42Record linked automaticallyd6c4c0fcb8
scoring_agent, CLM-410372, identity id MBR-010395, confidence 0.93, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:45:42Record linked automatically6579c26421
scoring_agent, TPA-54532, identity id MBR-010395, confidence 1, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:45:42Record linked automaticallybc1ef0bfb8
scoring_agent, CLM-410371, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:45:42Record linked automaticallyf79ffc8d3d
scoring_agent, ENR-113637, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:32:31Record linked automatically0fda8b2932
scoring_agent, CLM-410372, identity id MBR-010395, confidence 0.93, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:32:31Record linked automaticallye1803578af
scoring_agent, TPA-54532, identity id MBR-010395, confidence 1, method probabilistic, matched record ENR-113637, policy version 1
2026-10-19 19:32:31Record linked automaticallyed152b448f
scoring_agent, CLM-410371, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:32:31Record linked automatically6ece65a8c6
scoring_agent, ENR-113637, identity id MBR-010395, confidence 1, method probabilistic, matched record TPA-54532, policy version 1
2026-10-19 19:31:28Record linked automatically580845dda1
matching_agent, TPA-54532, identity id MBR-014476, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-113425
2026-10-19 19:31:28Record linked automatically24ff743442
matching_agent, CLM-410372, identity id MBR-010805, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-113693
2026-10-19 19:31:28Record linked automaticallybb22c9254b
scoring_agent, CLM-410371, identity id MBR-003393, confidence 1, method probabilistic, matched record ENR-113692, 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-2026-010119	2026-07-25	Pinecrest Primary Care Associates in network	90471	$39.00	$0.00	Approved	Approved
CLM-2026-020020	2026-04-25	Heritage Orthopedic Specialists in network	99213	$236.00	$86.32	Approved	Approved