Identities/MBR-031132
Gold, golden identity

James V Ruiz

3 source records from 2 feeds.

MBR-031132Verified3 records

Golden record

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

First nameENR
James
Middle nameENR
V
Last nameENR
Ruiz
Date of birthENR
1964-01-24
GenderENR
F
Member IDENR
UHC-52381-87
SSNENR
•••-••-4279
PhoneENR
5363070659
EmailENR
james.ruiz66@yahoo.com
AddressENR
7819 Spring St
CityENR
Jacksonville
StateENR
FL
ZIPENR
32203
GroupENR
GRP-5889
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
ENR ×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

0.990.990.99ENRENR-128154CLMCLM-421502CLMCLM-421501IDMBR-031132
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
ENR-128154ENR2026-05-17James Ruizflagged1964-01-24UHC-52381-8753630706597819 Spring St, Jacksonville, FLRule0.99D1 member id + dob exact
CLM-421502CLM2026-08-27Jams Ruizflagged1964-01-24UHC-52381-8753630706597819 Spring St, Jacksonville, FLScored0.99—
CLM-421501CLM2026-09-13James Ruizflagged1964-01-24——7819 Spring St, Jacksonville, FLScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421502CLMCLM-421501CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-128154ENRCLM-421502CLM0.99RuleD1 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
▶ENR-128154ENRCLM-421501CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    James Ruiz: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-001162, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-421501 → UHC-52381-87 (James Ruiz)
    ACT-004199, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically0353e675b1
    scoring_agent, CLM-421501, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421502, policy version 1
  • 2026-10-19 19:54:38Record linked automatically34a82ff7fb
    scoring_agent, CLM-421502, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421501, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyda58905367
    matching_agent, ENR-128154, identity id MBR-031132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421502
  • 2026-10-19 19:52:09Record linked automatically32175bd599
    scoring_agent, CLM-421501, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421502, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyeab6a64b7f
    scoring_agent, CLM-421502, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421501, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc22cbd39d9
    matching_agent, ENR-128154, identity id MBR-031132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421502
  • 2026-10-19 19:45:42Record linked automatically8b9226ee4c
    scoring_agent, CLM-421501, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421502, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyedd54205c2
    scoring_agent, CLM-421502, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421501, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0ba091b717
    matching_agent, ENR-128154, identity id MBR-031132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421502
  • 2026-10-19 19:32:31Record linked automatically360d5310c2
    scoring_agent, CLM-421501, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421502, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybd30e02cc8
    scoring_agent, CLM-421502, identity id MBR-031132, confidence 0.99, method probabilistic, matched record CLM-421501, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd416a1d9f8
    matching_agent, ENR-128154, identity id MBR-031132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421502
  • 2026-10-19 19:31:28Record linked automatically7e55cb7749
    matching_agent, CLM-421502, identity id MBR-027396, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421503
  • 2026-10-19 19:31:28Record linked automaticallyd57a5a0838
    matching_agent, CLM-421501, identity id MBR-010803, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-128271
  • 2026-10-19 19:31:28Record linked automatically118b311f84
    matching_agent, ENR-128154, identity id MBR-005018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-128155

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0109272026-08-31Mesa Internal Medicine Associates
in network
70553$2,502.00—Needs reviewNeeds review
CLM-2026-0104572026-07-26Unity Primary Care Associates
in network
99203, 99213$405.00$226.10ApprovedApproved