Identities/MBR-011638

Gold, golden identity

Ryan Jimenez

5 source records from 4 feeds.

MBR-011638Verified5 records

Golden record

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

First nameENR: Ryan
Middle name—: —
Last nameENR: Jimenez
Date of birthENR: 1955-06-10
GenderENR: M
Member IDENR: UHC-81271-92
SSN—: —
PhoneENR: 2765095753
EmailENR: ryan.jimenez91@yahoo.com
AddressPRV: 2708 Forest Ave Apt 1
CityENR: Denver
StateENR: CO
ZIPENR: 80294
GroupENR: GRP-1969
PlanENR: NAVIGATE-HMO

Min confidence

1.00

Sources

PRV ×2TPA ×1ENR ×1CLM ×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
PRV-21153	PRV	2026-02-09	Ryan Jimenezflagged	1955-06-10	—	—	2708 Forest Ave, Denver, CO	Scored	1.00	—
TPA-51761	TPA	2026-02-14	Ryan Jimenezflagged	1955-06-10	—	2765095753	2708 Forest Ave, Denver, CO	Scored	1.00	—
ENR-105323	ENR	2026-03-03	Ryan Jimenezflagged	1955-06-10	UHC-81271-92	2765095753	2708 Forest Ave, Denver, CO	Scored	1.00	—
CLM-404071	CLM	2026-03-04	Ryan Jimenezflagged	1955-06-10	—	2765095753	2708 Forest Ave, Denver, CO	Scored	1.00	—
PRV-21152	PRV	2026-03-23	Ryan Jimenezflagged	1955-06-10	UHC-81271-92	2765095753	2708 Forest Ave Apt 1, Denver, CO	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-21153PRVCLM-404071CLM1.00Scoredweighted 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-51761TPACLM-404071CLM1.00Scoredweighted 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

▶ENR-105323ENRCLM-404071CLM1.00Scoredweighted 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-21153PRVENR-105323ENR1.00Scoredweighted 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-51761TPAENR-105323ENR1.00Scoredweighted 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-21153PRVPRV-21152PRV1.00Scoredweighted 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-51761TPAPRV-21152PRV1.00Scoredweighted 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-404071CLMPRV-21152PRV1.00Scoredweighted 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-21153PRVTPA-51761TPA1.00Scoredweighted 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

▶ENR-105323ENRPRV-21152PRV0.99RuleD1 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

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-404071 → UHC-81271-92 (Ryan Jimenez)
ACT-003684, Claims processor
Outreach address correctedProposed
Ryan Jimenez: 2708 Forest Ave, Denver → 2708 Forest Ave Apt 1, Denver
ACT-011559, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically916c5514e6
scoring_agent, PRV-21152, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:54:38Record linked automaticallyc89e438ef0
scoring_agent, CLM-404071, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:54:38Record linked automatically84029fcff8
scoring_agent, ENR-105323, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:54:38Record linked automaticallyab85cc7ed5
scoring_agent, TPA-51761, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:54:38Record linked automaticallyefdb14510c
scoring_agent, PRV-21153, identity id MBR-011638, confidence 1, method probabilistic, matched record TPA-51761, policy version 1
2026-10-19 19:52:09Record linked automatically0121b64fb5
scoring_agent, PRV-21152, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:52:09Record linked automatically953a385612
scoring_agent, CLM-404071, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:52:09Record linked automatically21a95e8ab1
scoring_agent, ENR-105323, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:52:09Record linked automaticallyfb380fc17b
scoring_agent, TPA-51761, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:52:09Record linked automatically5f5db89bc2
scoring_agent, PRV-21153, identity id MBR-011638, confidence 1, method probabilistic, matched record TPA-51761, policy version 1
2026-10-19 19:45:42Record linked automaticallya68db4b4de
scoring_agent, PRV-21152, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:45:42Record linked automaticallyec694bb2f2
scoring_agent, CLM-404071, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:45:42Record linked automaticallya7cfd6c329
scoring_agent, ENR-105323, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:45:42Record linked automatically529f126982
scoring_agent, TPA-51761, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:45:42Record linked automatically22ebe1c304
scoring_agent, PRV-21153, identity id MBR-011638, confidence 1, method probabilistic, matched record TPA-51761, policy version 1
2026-10-19 19:32:31Record linked automaticallyefa677b647
scoring_agent, PRV-21152, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:32:31Record linked automatically8ebb17ae9f
scoring_agent, CLM-404071, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:32:31Record linked automatically061750f0c5
scoring_agent, ENR-105323, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:32:31Record linked automatically75908354bf
scoring_agent, TPA-51761, identity id MBR-011638, confidence 1, method probabilistic, matched record PRV-21153, policy version 1
2026-10-19 19:32:31Record linked automatically6c2565d581
scoring_agent, PRV-21153, identity id MBR-011638, confidence 1, method probabilistic, matched record TPA-51761, policy version 1
2026-10-19 19:31:28Record linked automatically6fd3fdfdcb
scoring_agent, PRV-21152, identity id MBR-024602, confidence 1, method probabilistic, matched record ENR-104930, policy version 1
2026-10-19 19:31:28Record linked automatically7be585c95a
scoring_agent, TPA-51761, identity id MBR-015181, confidence 1, method probabilistic, matched record ENR-105107, policy version 1
2026-10-19 19:31:28Record linked automatically2fa5824f53
scoring_agent, ENR-105323, identity id MBR-012270, confidence 1, method probabilistic, matched record TPA-51841, policy version 1
2026-10-19 19:31:28Record linked automatically5656898f8f
matching_agent, PRV-21153, identity id MBR-004515, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-104933
2026-10-19 19:31:28Record linked automatically2bcbfe505d
matching_agent, CLM-404071, identity id MBR-003731, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404072

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-2026-008836	2026-02-09	Mesa Orthopedic Specialists in network	20610	$180.00	$36.60	Approved	Approved