Identities/MBR-036076
Gold, golden identity

Yuki A Ruiz

4 source records from 3 feeds.

MBR-036076Verified4 records

Golden record

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

First nameENR
Yuki
Middle nameCLM
A
Last nameENR
Ruiz
Date of birthENR
1972-03-21
GenderENR
M
Member IDENR
UHC-19041-11
SSNENR
•••-••-2902
PhoneCLM
5823605516
EmailENR
yuki.ruiz22@gmail.com
AddressENR
6056 Ridge Rd
CityENR
Nashville
StateENR
TN
ZIPENR
37257
GroupENR
GRP-5255
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99CLMCLM-429827CLMCLM-429826TPATPA-63166ENRENR-139111IDMBR-036076
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-429827CLM2026-06-24Yuki Ruizflagged1972-03-21UHC-19041-11—6056 Ridge Rd, Nashville, TNScored0.99—
CLM-429826CLM2026-07-14Yuki Ruizflagged1972-03-21UHC-19041-1158236055166056 Ridge Rd, Nashville, TNScored0.99—
TPA-63166TPA2026-07-17Yukki Ruizflagged1972-03-21——6056 Ridge Rd, Nashville, TNScored0.99—
ENR-139111ENR2026-09-03Yuki Ruizflagged1972-03-21UHC-19041-11—6056 Ridge Rd, Nashville, TNRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429827CLMTPA-63166TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429826CLMTPA-63166TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429827CLMCLM-429826CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429827CLMENR-139111ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429826CLMENR-139111ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63166TPAENR-139111ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Yuki Ruiz: 2 plan codes across sources → canonical NAVIGATE-HMO
    ACT-001257, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically5249723bf3
    matching_agent, ENR-139111, identity id MBR-036076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429827
  • 2026-10-19 19:54:39Record linked automatically1d0bfa8698
    scoring_agent, TPA-63166, identity id MBR-036076, confidence 0.99, method probabilistic, matched record CLM-429827, policy version 1
  • 2026-10-19 19:54:39Record linked automatically352dc9ddbe
    scoring_agent, CLM-429826, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyaa3f54683c
    scoring_agent, CLM-429827, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:52:09Record linked automatically4c01682e67
    matching_agent, ENR-139111, identity id MBR-036076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429827
  • 2026-10-19 19:52:09Record linked automatically5e8f20f566
    scoring_agent, TPA-63166, identity id MBR-036076, confidence 0.99, method probabilistic, matched record CLM-429827, policy version 1
  • 2026-10-19 19:52:09Record linked automatically40cc65b6d7
    scoring_agent, CLM-429826, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:52:09Record linked automatically024ab2c0ba
    scoring_agent, CLM-429827, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:45:42Record linked automatically10482ed775
    matching_agent, ENR-139111, identity id MBR-036076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429827
  • 2026-10-19 19:45:42Record linked automaticallya81f4b9ebb
    scoring_agent, TPA-63166, identity id MBR-036076, confidence 0.99, method probabilistic, matched record CLM-429827, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5b5f8bca55
    scoring_agent, CLM-429826, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8a111a178f
    scoring_agent, CLM-429827, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02df5c063b
    matching_agent, ENR-139111, identity id MBR-036076, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429827
  • 2026-10-19 19:32:31Record linked automatically3acc569d2f
    scoring_agent, TPA-63166, identity id MBR-036076, confidence 0.99, method probabilistic, matched record CLM-429827, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1b685965f7
    scoring_agent, CLM-429826, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:32:31Record linked automatically65f77fd36e
    scoring_agent, CLM-429827, identity id MBR-036076, confidence 0.99, method probabilistic, matched record TPA-63166, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyaf88e11d24
    scoring_agent, TPA-63166, identity id MBR-027863, confidence 1, method probabilistic, matched record TPA-63167, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyeb4e5688fa
    matching_agent, CLM-429827, identity id MBR-015191, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139387
  • 2026-10-19 19:31:28Record linked automaticallye1c621f0ca
    scoring_agent, ENR-139111, identity id MBR-007363, confidence 1, method probabilistic, matched record TPA-62999, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0234992026-07-11Lakeside Bone and Joint Center
in network
29881$8,085.00$3,327.22ApprovedApproved
CLM-2026-0208872026-06-14Sunrise Medical Group
in network
90471$39.00$4.18ApprovedApproved