Identities/MBR-017033
Gold, golden identity

Ralph Q Ruiz

4 source records from 3 feeds.

MBR-017033Verified4 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
Q
Last nameENR
Ruiz
Date of birthENR
1954-06-03
GenderENR
M
Member IDENR
UHC-43941-81
SSNENR
•••-••-9474
PhoneENR
3688264206
EmailENR
ralph.ruiz@hotmail.com
AddressENR
777 Lake View Rd
CityENR
Fresno
StateENR
CA
ZIPCLM
93760
GroupENR
GRP-0833
PlanENR
MEDICARE-ADV-B
Min confidence
0.94
Sources
TPA ×1ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.980.941.001.00TPATPA-57316ENRENR-121852CLMCLM-416640CLMCLM-416639IDMBR-017033
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
TPA-57316TPA2026-03-02Ralph Ruzflagged1954-06-03——777 Lake View Rd, Fresno, CAScored0.98—
ENR-121852ENR2026-05-18Ralph Ruizflagged1954-06-03UHC-43941-813688264206777 Lake View Rd, Fresno, CAScored0.94—
CLM-416640CLM2026-07-18Ralph Ruizflagged1954-06-03—3688264206777 Lake View Rd, Fresno, CAScored1.00—
CLM-416639CLM2026-09-15Ralph Ruizflagged1954-06-03—3688264206777 Lake View Rd, Fresno, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-416640CLMCLM-416639CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57316TPACLM-416639CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-57316TPACLM-416640CLM0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-121852ENRCLM-416639CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-121852ENRCLM-416640CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57316TPAENR-121852ENR0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416640 → UHC-43941-81 (Ralph Ruiz)
    ACT-001938, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416639 → UHC-43941-81 (Ralph Ruiz)
    ACT-009756, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7b5280f573
    scoring_agent, CLM-416639, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4bf93f32df
    scoring_agent, CLM-416640, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416639, policy version 1
  • 2026-10-19 19:54:38Record linked automatically08de1b7d99
    scoring_agent, ENR-121852, identity id MBR-017033, confidence 0.94, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:54:38Record linked automatically31383bf2f5
    scoring_agent, TPA-57316, identity id MBR-017033, confidence 0.98, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:52:09Record linked automatically449c8adb77
    scoring_agent, CLM-416639, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4fdd4bb291
    scoring_agent, CLM-416640, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416639, policy version 1
  • 2026-10-19 19:52:09Record linked automatically97ee053ca7
    scoring_agent, ENR-121852, identity id MBR-017033, confidence 0.94, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyaed7e02483
    scoring_agent, TPA-57316, identity id MBR-017033, confidence 0.98, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0d0084e3c1
    scoring_agent, CLM-416639, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf507d42aab
    scoring_agent, CLM-416640, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416639, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5b4c151ea0
    scoring_agent, ENR-121852, identity id MBR-017033, confidence 0.94, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye0e46736fb
    scoring_agent, TPA-57316, identity id MBR-017033, confidence 0.98, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya97f9f2098
    scoring_agent, CLM-416639, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyeeb5516860
    scoring_agent, CLM-416640, identity id MBR-017033, confidence 1, method probabilistic, matched record CLM-416639, policy version 1
  • 2026-10-19 19:32:31Record linked automatically528ba74179
    scoring_agent, ENR-121852, identity id MBR-017033, confidence 0.94, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5153215538
    scoring_agent, TPA-57316, identity id MBR-017033, confidence 0.98, method probabilistic, matched record CLM-416640, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallydb459ba4b9
    scoring_agent, TPA-57316, identity id MBR-029542, confidence 1, method probabilistic, matched record TPA-57317, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd00b9e38f8
    matching_agent, ENR-121852, identity id MBR-018753, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416688
  • 2026-10-19 19:31:28Record linked automaticallybffe8eaddd
    matching_agent, CLM-416640, identity id MBR-005444, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416638
  • 2026-10-19 19:31:28Record linked automatically676c04d581
    scoring_agent, CLM-416639, identity id MBR-005444, confidence 0.93, method probabilistic, matched record CLM-416638, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0320192026-08-09Meadow Diagnostic Imaging
out of network
77067, 71046, 70553$2,809.00—Needs reviewNeeds review
CLM-2026-0023822026-06-29Cornerstone Imaging Center
in network
77067, 70553$2,519.00$513.40ApprovedApproved