Identities/MBR-011534

Gold, golden identity

Ralph A Ruiz

5 source records from 4 feeds.

MBR-011534Verified5 recordsOpen steward case

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: Ruiz
Date of birthENR: 1950-05-14
GenderENR: M
Member IDENR: UHC-42464-05
SSNENR: •••-••-7499
PhoneENR: 8179605979
EmailENR: ralph.ruiz@proton.me
AddressENR: 5738 Valley View Dr
CityENR: Mesa
StateENR: AZ
ZIPENR: 85298
GroupENR: GRP-6814
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

TPA ×1PRV ×1CLM ×2ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-60771	TPA	2026-02-08	Ralph Ruizflagged	1950-05-14	—	8179605979	5738 Valley View Dr Apt 28, Mesa, AZ	Scored	1.00	—
PRV-27195	PRV	2026-06-02	Ralph Ruizflagged	1950-05-14	—	8179605979	5738 Valley View Dr, Mesa, AZ	Scored	1.00	—
CLM-424444	CLM	2026-06-19	Ralph Ruizflagged	1950-05-14	UHC-42464-05	8179605979	5738 Valley View Dr, Mesa, AZ	Scored	1.00	—
ENR-131954	ENR	2026-07-28	Ralph Ruizflagged	1950-05-14	UHC-42464-05	8179605979	5738 Valley View Dr, Mesa, AZ	Scored	1.00	—
CLM-424443	CLM	2026-10-14	Ralph Rizflagged	1950-05-14	UHC-42464-05	8179605979	5738 Valley View Dr, Mesa, AZ	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

▶TPA-60771TPACLM-424444CLM1.00Scoredweighted 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

▶PRV-27195PRVCLM-424444CLM1.00Scoredweighted 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-60771TPAENR-131954 ENR1.00Scoredweighted 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

▶PRV-27195PRVENR-131954 ENR1.00Scoredweighted 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-60771TPAPRV-27195PRV1.00Scoredweighted 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-424444CLMCLM-424443CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-131954 ENRCLM-424443CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.95	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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-424444CLMENR-131954 ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-60771TPACLM-424443CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-27195PRVCLM-424443CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.95	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically76429754d4
matching_agent, CLM-424443, identity id MBR-011534, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424444
2026-10-19 19:54:38Record linked automaticallyf9533f6672
scoring_agent, ENR-131954, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:54:38Record linked automatically326d3d83e3
scoring_agent, CLM-424444, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:54:38Record linked automaticallye93e285202
scoring_agent, PRV-27195, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:54:38Record linked automaticallyb2ae2f317c
scoring_agent, TPA-60771, identity id MBR-011534, confidence 1, method probabilistic, matched record PRV-27195, policy version 1
2026-10-19 19:52:09Record linked automaticallyf1dd1ab8ac
matching_agent, CLM-424443, identity id MBR-011534, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424444
2026-10-19 19:52:09Record linked automatically15aab0535f
scoring_agent, ENR-131954, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:52:09Record linked automaticallye32c654bd8
scoring_agent, CLM-424444, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:52:09Record linked automatically0bc6af3019
scoring_agent, PRV-27195, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:52:09Record linked automatically322fe4c31c
scoring_agent, TPA-60771, identity id MBR-011534, confidence 1, method probabilistic, matched record PRV-27195, policy version 1
2026-10-19 19:45:42Record linked automatically98f232f23c
matching_agent, CLM-424443, identity id MBR-011534, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424444
2026-10-19 19:45:42Record linked automatically091196f618
scoring_agent, ENR-131954, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:45:42Record linked automaticallyd7dc9b36be
scoring_agent, CLM-424444, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:45:42Record linked automatically27502ed5e4
scoring_agent, PRV-27195, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:45:42Record linked automatically124ff71039
scoring_agent, TPA-60771, identity id MBR-011534, confidence 1, method probabilistic, matched record PRV-27195, policy version 1
2026-10-19 19:32:31Record linked automatically14783771ea
matching_agent, CLM-424443, identity id MBR-011534, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424444
2026-10-19 19:32:31Record linked automaticallyf1965476a2
scoring_agent, ENR-131954, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:32:31Record linked automatically3f748f8336
scoring_agent, CLM-424444, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:32:31Record linked automaticallye7003bc6cb
scoring_agent, PRV-27195, identity id MBR-011534, confidence 1, method probabilistic, matched record TPA-60771, policy version 1
2026-10-19 19:32:31Record linked automaticallyb729646225
scoring_agent, TPA-60771, identity id MBR-011534, confidence 1, method probabilistic, matched record PRV-27195, policy version 1
2026-10-19 19:31:28Record linked automatically936e5a3986
matching_agent, ENR-131954, identity id MBR-045168, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-424282
2026-10-19 19:31:28Record linked automatically030b2d48d9
matching_agent, TPA-60771, identity id MBR-015399, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-132204
2026-10-19 19:31:28Record linked automatically17e0ac8434
matching_agent, CLM-424444, identity id MBR-009086, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132166
2026-10-19 19:31:28Record linked automatically2e4071ca18
scoring_agent, PRV-27195, identity id MBR-007439, confidence 1, method probabilistic, matched record CLM-424391, 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-2026-002142	2026-09-09	Lakeside Medical Group out of network	99214	$289.00	$100.05	Approved	Approved
CLM-2026-020039	2026-05-19	Meadow Family Practice in network	36415, 99203	$202.00	$116.56	Approved	Approved