Identities/MBR-010658
Gold, golden identity

Theresa G Ruiz

4 source records from 2 feeds.

MBR-010658Verified4 records

Golden record

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

First nameENR
Theresa
Middle nameENR
G
Last nameENR
Ruiz
Date of birthENR
1938-05-07
GenderENR
F
Member IDENR
UHC-19329-14
SSNENR
•••-••-6595
PhoneENR
8887560910
EmailENR
theresa.ruiz@icloud.com
AddressENR
5807 Bayshore Dr
CityENR
Columbus
StateENR
OH
ZIPENR
43290
GroupENR
GRP-8443
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

1.001.001.000.99CLMCLM-419720CLMCLM-419722CLMCLM-419721ENRENR-125962IDMBR-010658
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
CLM-419720CLM2026-02-05Theresa Ruizflagged—UHC-19329-1488875609105807 Bayshore Dr, Columbus, OHScored1.00—
CLM-419722CLM2026-06-11Theresa Ruizflagged1938-05-07——5807 Bayshore Dr, Columbus, OHScored1.00—
CLM-419721CLM2026-08-12Theresa Ruizflagged1938-05-07UHC-19329-1488875609105807 Bayshore Dr, Columbus, OHScored1.00—
ENR-125962ENR2026-08-24Theresa Ruizflagged1938-05-07UHC-19329-1488875609105807 Bayshore Dr, Columbus, OHRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-419722CLMCLM-419721CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-419720CLMCLM-419722CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419721CLMENR-125962ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419722CLMENR-125962ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-419720CLMCLM-419721CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-419720CLMENR-125962ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-419722 → UHC-19329-14 (Theresa Ruiz)
    ACT-006356, Claims processor
  • Care coordination outreachProposed
    Theresa Ruiz: 3 claims, no attributed provider
    ACT-018573, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallybcb4120e84
    matching_agent, ENR-125962, identity id MBR-010658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419721
  • 2026-10-22 12:43:54Record linked automaticallyea94c14cba
    scoring_agent, CLM-419721, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-22 12:43:54Record linked automatically47b3abf0e5
    scoring_agent, CLM-419722, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419721, policy version 1
  • 2026-10-22 12:43:54Record linked automatically33dc797721
    scoring_agent, CLM-419720, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1efe8be442
    matching_agent, ENR-125962, identity id MBR-010658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419721
  • 2026-10-19 19:54:38Record linked automatically9580d6d1aa
    scoring_agent, CLM-419721, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd04ded9f05
    scoring_agent, CLM-419722, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419721, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6048794c0d
    scoring_agent, CLM-419720, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallya6aad9ae65
    matching_agent, ENR-125962, identity id MBR-010658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419721
  • 2026-10-19 19:52:09Record linked automatically414a04dd04
    scoring_agent, CLM-419721, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1ee8282274
    scoring_agent, CLM-419722, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419721, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb081eb935e
    scoring_agent, CLM-419720, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyedf56597bd
    matching_agent, ENR-125962, identity id MBR-010658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419721
  • 2026-10-19 19:45:42Record linked automatically6ec87d3b7d
    scoring_agent, CLM-419721, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4601605803
    scoring_agent, CLM-419722, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419721, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0c23fdc645
    scoring_agent, CLM-419720, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:32:31Record linked automatically25e41b025d
    matching_agent, ENR-125962, identity id MBR-010658, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-419721
  • 2026-10-19 19:32:31Record linked automaticallyb0f1e7e88a
    scoring_agent, CLM-419721, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:32:31Record linked automatically509d2ffa2e
    scoring_agent, CLM-419722, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419721, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1bad928ff0
    scoring_agent, CLM-419720, identity id MBR-010658, confidence 1, method probabilistic, matched record CLM-419722, policy version 1
  • 2026-10-19 19:31:28Record linked automatically4380d9221f
    matching_agent, ENR-125962, identity id MBR-011941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-58623
  • 2026-10-19 19:31:28Record linked automatically2d6db11921
    scoring_agent, CLM-419721, identity id MBR-010057, confidence 1, method probabilistic, matched record PRV-25773, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya09aae4ada
    scoring_agent, CLM-419720, identity id MBR-010057, confidence 1, method probabilistic, matched record PRV-25773, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0f48a0e32a
    matching_agent, CLM-419722, identity id MBR-005941, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-125870

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0343832026-07-11Harbor Reference Lab
in network
85025, 80053, 83036$151.00$0.00ApprovedApproved
CLM-2026-0188922026-06-02Mesa Internal Medicine Associates
in network
80053, 93000, 99214$355.00$200.10ApprovedApproved
CLM-2026-0138602026-02-01Mesa Diabetes Center
in network
99214, 95251$471.00$252.02ApprovedApproved