Identities/MBR-019601
Gold, golden identity

Vincent Ruiz

3 source records from 2 feeds.

MBR-019601Verified3 records

Golden record

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

First nameENR
Vincent
Middle name—
—
Last nameENR
Ruiz
Date of birthENR
1975-11-21
GenderCLM
M
Member IDENR
UHC-94110-47
SSNENR
•••-••-3274
PhoneENR
2148579912
Email—
—
AddressENR
1151 Park Pl
CityENR
Sacramento
StateENR
CA
ZIPENR
95854
GroupENR
GRP-0337
PlanENR
MEDICARE-ADV-A
Min confidence
0.97
Sources
CLM ×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

1.001.000.97CLMCLM-413700CLMCLM-413701ENRENR-117922IDMBR-019601
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-413700CLM2026-03-14Vincent Ruizflagged1975-11-21——4505 Indian School Rd, Plano, TXScored1.00—
CLM-413701CLM2026-07-05Vincent Ruizflagged1975-11-21—21485799124505 Indian School Rd, Plano, TXScored1.00—
ENR-117922ENR2026-08-31Vincent Ruizflagged1975-11-21UHC-94110-4721485799121151 Park Pl, Sacramento, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413700CLMCLM-413701CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413701CLMENR-117922ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413700CLMENR-117922ENR0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Vincent Ruiz: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000821, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413701 → UHC-94110-47 (Vincent Ruiz)
    ACT-004012, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-413700 → UHC-94110-47 (Vincent Ruiz)
    ACT-004074, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically9832f7e8a1
    matching_agent, ENR-117922, identity id MBR-019601, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413701
  • 2026-10-19 19:54:38Record linked automatically06d721b356
    scoring_agent, CLM-413701, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413700, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfc9ad96615
    scoring_agent, CLM-413700, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413701, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb02046736a
    matching_agent, ENR-117922, identity id MBR-019601, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413701
  • 2026-10-19 19:52:09Record linked automaticallyb594cb5e69
    scoring_agent, CLM-413701, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413700, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyffe5438c06
    scoring_agent, CLM-413700, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413701, policy version 1
  • 2026-10-19 19:45:42Record linked automatically92c16dc954
    matching_agent, ENR-117922, identity id MBR-019601, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413701
  • 2026-10-19 19:45:42Record linked automaticallyd3985122f3
    scoring_agent, CLM-413701, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413700, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2efa5eaee1
    scoring_agent, CLM-413700, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413701, policy version 1
  • 2026-10-19 19:32:31Record linked automatically57584f35db
    matching_agent, ENR-117922, identity id MBR-019601, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413701
  • 2026-10-19 19:32:31Record linked automaticallyf9dbc28201
    scoring_agent, CLM-413701, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413700, policy version 1
  • 2026-10-19 19:32:31Record linked automatically81b0c6b459
    scoring_agent, CLM-413700, identity id MBR-019601, confidence 1, method probabilistic, matched record CLM-413701, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6d89d92f13
    matching_agent, CLM-413701, identity id MBR-013962, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413702
  • 2026-10-19 19:31:28Record linked automatically1cf5e8d2a7
    matching_agent, CLM-413700, identity id MBR-002245, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118040

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0102822026-06-25Cornerstone Bone and Joint Center
in network
29881$6,698.00$1,355.29ApprovedApproved
CLM-2026-0104852026-02-13Heritage Medical Group
in network
80053, 99215$376.00$193.12ApprovedApproved