Identities/MBR-028973
Gold, golden identity

Frances P Ruiz

3 source records from 1 feed.

MBR-028973Verified3 records

Golden record

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

First nameCLM
Frances
Middle nameCLM
P
Last nameCLM
Ruiz
Date of birthCLM
1949-05-28
GenderCLM
M
Member IDCLM
UHC-20383-93
SSN—
—
PhoneCLM
4406663884
Email—
—
AddressCLM
4560 Cedar Ln
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85215
GroupCLM
GRP-6249
PlanCLM
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.99CLMCLM-421128CLMCLM-421126CLMCLM-421127IDMBR-028973
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-421128CLM2026-05-03Frances Ruizflagged1949-05-28UHC-20383-9344066638844560 Cedar Ln, Mesa, AZRule0.99D1 member id + dob exact
CLM-421126CLM2026-05-31Frnces Ruizflagged1949-05-28UHC-20383-9344066638844560 Cedar Ln, Mesa, AZRule0.99D1 member id + dob exact
CLM-421127CLM2026-09-22Frances Ruizflagged1949-05-28UHC-20383-9344066638844560 Cedar Ln, Mesa, AZRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421128CLMCLM-421126CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421128CLMCLM-421127CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-421126CLMCLM-421127CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Care coordination outreachProposed
    Frances Ruiz: 3 claims, no attributed provider
    ACT-019423, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically0794950785
    matching_agent, CLM-421127, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-22 12:43:54Record linked automaticallyd972f5b217
    matching_agent, CLM-421126, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-22 12:43:54Record linked automaticallydae5a0661f
    matching_agent, CLM-421128, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421126
  • 2026-10-19 19:54:38Record linked automaticallyf36001d5b6
    matching_agent, CLM-421127, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:54:38Record linked automatically6e8fd3b51b
    matching_agent, CLM-421126, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:54:38Record linked automaticallyce08c5f824
    matching_agent, CLM-421128, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421126
  • 2026-10-19 19:52:09Record linked automatically4af30e1811
    matching_agent, CLM-421127, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:52:09Record linked automatically9ea828be0a
    matching_agent, CLM-421126, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:52:09Record linked automatically7d6bf4e046
    matching_agent, CLM-421128, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421126
  • 2026-10-19 19:45:42Record linked automatically1e14b4ca89
    matching_agent, CLM-421127, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:45:42Record linked automatically87629d74c7
    matching_agent, CLM-421126, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:45:42Record linked automatically57b3797a7e
    matching_agent, CLM-421128, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421126
  • 2026-10-19 19:32:31Record linked automatically0081124856
    matching_agent, CLM-421127, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:32:31Record linked automatically84c9c3767b
    matching_agent, CLM-421126, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421128
  • 2026-10-19 19:32:31Record linked automaticallyf4c26057ec
    matching_agent, CLM-421128, identity id MBR-028973, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421126
  • 2026-10-19 19:31:28Record linked automatically5f2ffa520c
    scoring_agent, CLM-421126, identity id MBR-026144, confidence 0.94, method probabilistic, matched record PRV-26198, policy version 1
  • 2026-10-19 19:31:28Record linked automatically396185570e
    scoring_agent, CLM-421127, identity id MBR-001391, confidence 0.97, method probabilistic, matched record ENR-127714, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc670b4ccd6
    scoring_agent, CLM-421128, identity id MBR-001391, confidence 1, method probabilistic, matched record TPA-59219, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0159622026-09-11Summit Internal Medicine Associates
in network
99232$203.00$0.00ApprovedApproved
CLM-2026-0145682026-05-15Heritage Primary Care Associates
in network
99395, 99203$530.00$308.60ApprovedApproved
CLM-2026-0065512026-04-26Sunrise Orthopedic Specialists
in network
27447$44,799.00—Needs reviewNeeds review