Identities/MBR-027172

Gold, golden identity

Ralph Mejia

5 source records from 2 feeds.

MBR-027172Verified5 records

Golden record

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

First nameENR: Ralph
Middle name—: —
Last nameENR: Mejia
Date of birthENR: 1955-01-02
GenderENR: F
Member IDENR: UHC-24782-47
SSNCLM: •••-••-6947
PhoneENR: 3845363782
EmailENR: ralph.mejia@gmail.com
AddressENR: 9551 Willow Ct
CityENR: Dallas
StateENR: TX
ZIPENR: 75228
GroupENR: GRP-5217
PlanENR: MEDICARE-ADV-A

Min confidence

0.99

Sources

CLM ×4ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
CLM-431997	CLM	2026-04-22	Ralph Mejiaflagged	1955-01-02	UHC-24782-47	3845363782	9551 Willow Ct, Dallas, TX	Rule	0.99	D1 member id + dob exact
CLM-431998	CLM	2026-06-09	Ralph Mejiaflagged	1955-01-02	—	3845363782	9551 Willow Ct, Dallas, TX	Scored	1.00	—
CLM-432000	CLM	2026-07-08	Ralph Mejiaflagged	1955-01-02	UHC-24782-47	3845363782	9551 Willow Ct, Dallas, TX	Scored	1.00	—
CLM-431999	CLM	2026-09-09	Ralph Mejiaflagged	1955-01-02	UHC-24782-47	—	—	Rule	0.99	D1 member id + dob exact
ENR-141994	ENR	2026-10-05	Ralph Mejiaflagged	1955-01-02	UHC-24782-47	3845363782	9551 Willow Ct, Dallas, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431998CLMCLM-432000CLM1.00Scoredweighted 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-431998CLMENR-141994ENR1.00Scoredweighted 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-431997CLMCLM-431999CLM0.99RuleD1 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
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-432000CLMCLM-431999CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431997CLMCLM-432000CLM0.99RuleD1 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

▶CLM-431997CLMENR-141994ENR0.99RuleD1 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

▶CLM-432000CLMENR-141994ENR0.99RuleD1 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

▶CLM-431999CLMENR-141994ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431997CLMCLM-431998CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-431998CLMCLM-431999CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431998 → UHC-24782-47 (Ralph Mejia)
ACT-009939, Claims processor
Care coordination outreachProposed
Ralph Mejia: 4 claims, no attributed provider
ACT-019361, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallycab336fda5
scoring_agent, ENR-141994, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-22 12:43:54Record linked automaticallyd2641a47fe
matching_agent, CLM-431999, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431997
2026-10-22 12:43:54Record linked automaticallye6ad9cd40c
scoring_agent, CLM-432000, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-22 12:43:54Record linked automatically80749ec5ec
scoring_agent, CLM-431998, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-432000, policy version 1
2026-10-22 12:43:54Record linked automatically3c797de062
matching_agent, CLM-431997, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432000
2026-10-19 19:54:38Record linked automatically48313911a9
scoring_agent, ENR-141994, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:54:38Record linked automaticallyad27742247
matching_agent, CLM-431999, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431997
2026-10-19 19:54:38Record linked automatically5cb1f4eff9
scoring_agent, CLM-432000, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:54:38Record linked automaticallyad6ab2b960
scoring_agent, CLM-431998, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-432000, policy version 1
2026-10-19 19:54:38Record linked automatically23b7930e40
matching_agent, CLM-431997, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432000
2026-10-19 19:52:09Record linked automatically4e9f8477df
scoring_agent, ENR-141994, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:52:09Record linked automaticallyd64a88a20e
matching_agent, CLM-431999, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431997
2026-10-19 19:52:09Record linked automatically18c2e59d21
scoring_agent, CLM-432000, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:52:09Record linked automaticallyc8b5c22052
scoring_agent, CLM-431998, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-432000, policy version 1
2026-10-19 19:52:09Record linked automaticallyd1968a3c01
matching_agent, CLM-431997, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432000
2026-10-19 19:45:42Record linked automaticallyb0ba6fac2a
scoring_agent, ENR-141994, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:45:42Record linked automatically037d39bbe0
matching_agent, CLM-431999, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431997
2026-10-19 19:45:42Record linked automaticallya0eaae6098
scoring_agent, CLM-432000, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:45:42Record linked automaticallyb564c2a29a
scoring_agent, CLM-431998, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-432000, policy version 1
2026-10-19 19:45:42Record linked automatically8a79ec1cdb
matching_agent, CLM-431997, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432000
2026-10-19 19:32:31Record linked automaticallyf46728564b
scoring_agent, ENR-141994, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:32:31Record linked automatically01c91fce5f
matching_agent, CLM-431999, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431997
2026-10-19 19:32:31Record linked automaticallyc36946826b
scoring_agent, CLM-432000, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-431998, policy version 1
2026-10-19 19:32:31Record linked automatically22f969a3ff
scoring_agent, CLM-431998, identity id MBR-027172, confidence 1, method probabilistic, matched record CLM-432000, policy version 1
2026-10-19 19:32:31Record linked automatically4e5e79eeac
matching_agent, CLM-431997, identity id MBR-027172, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432000
2026-10-19 19:31:28Record linked automaticallyf7bd94d073
matching_agent, CLM-432000, identity id MBR-032409, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142238
2026-10-19 19:31:28Record linked automatically931bb5a7e5
matching_agent, CLM-431999, identity id MBR-026431, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142236
2026-10-19 19:31:28Record linked automaticallybc78e8f94a
scoring_agent, CLM-431998, identity id MBR-013685, confidence 0.97, method probabilistic, matched record PRV-29329, policy version 1
2026-10-19 19:31:28Record linked automaticallyc1152b4a6f
matching_agent, CLM-431997, identity id MBR-002102, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142233

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-2026-005578	2026-08-04	Mesa Internal Medicine Associates in network	99214	$245.00	$131.90	Approved	Approved
CLM-2026-001460	2026-06-11	Lakeside Internal Medicine Associates in network	93000	$100.00	$42.00	Approved	Approved
CLM-2026-032767	2026-05-15	Evergreen Primary Care Associates in network	90471, 36415	$53.00	$12.86	Approved	Approved
CLM-2026-028030	2026-04-16	Heritage Primary Care Associates in network	99203	$196.00	$101.52	Approved	Approved