Identities/MBR-040792
Gold, golden identity

Diane E Ruiz

3 source records from 2 feeds.

MBR-040792Verified3 records

Golden record

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

First nameENR
Diane
Middle nameCLM
E
Last nameENR
Ruiz
Date of birthENR
1948-05-15
GenderCLM
M
Member IDENR
UHC-80079-74
SSNCLM
•••-••-6000
PhoneENR
9608903234
EmailENR
diane.ruiz@proton.me
AddressENR
6629 Spring St
CityENR
Seattle
StateENR
WA
ZIPENR
98155
GroupENR
GRP-4103
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.00ENRENR-139342CLMCLM-430014CLMCLM-430013IDMBR-040792
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-139342ENR2026-08-06Diane Ruizflagged1948-05-15UHC-80079-7496089032346629 Spring St, Seattle, WAScored1.00—
CLM-430014CLM2026-09-19Diane Ruizflagged1948-05-15UHC-80079-74—6629 Spring St, Seattle, WARule0.99D1 member id + dob exact
CLM-430013CLM2026-09-26Diane Ruizflagged1948-05-15———Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-139342ENRCLM-430013CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-139342ENRCLM-430014CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-430014CLMCLM-430013CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-430013 → UHC-80079-74 (Diane Ruiz)
    ACT-010050, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automatically61657fb893
    scoring_agent, CLM-430013, identity id MBR-040792, confidence 1, method probabilistic, matched record ENR-139342, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallyd0bb32767c
    matching_agent, CLM-430014, identity id MBR-040792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139342
  • 2026-10-22 12:43:55Record linked automaticallya68e4b402c
    scoring_agent, ENR-139342, identity id MBR-040792, confidence 1, method probabilistic, matched record CLM-430013, policy version 1
  • 2026-10-19 19:54:39Record linked automatically51c7c8f464
    scoring_agent, CLM-430013, identity id MBR-040792, confidence 1, method probabilistic, matched record ENR-139342, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallye9d146b6eb
    matching_agent, CLM-430014, identity id MBR-040792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139342
  • 2026-10-19 19:54:39Record linked automatically2f5a5c3055
    scoring_agent, ENR-139342, identity id MBR-040792, confidence 1, method probabilistic, matched record CLM-430013, policy version 1
  • 2026-10-19 19:52:09Record linked automatically03ac4b46a3
    scoring_agent, CLM-430013, identity id MBR-040792, confidence 1, method probabilistic, matched record ENR-139342, policy version 1
  • 2026-10-19 19:52:09Record linked automatically07bd2401a0
    matching_agent, CLM-430014, identity id MBR-040792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139342
  • 2026-10-19 19:52:09Record linked automatically57a75f9964
    scoring_agent, ENR-139342, identity id MBR-040792, confidence 1, method probabilistic, matched record CLM-430013, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0e9c19c933
    scoring_agent, CLM-430013, identity id MBR-040792, confidence 1, method probabilistic, matched record ENR-139342, policy version 1
  • 2026-10-19 19:45:42Record linked automatically8d5c3cb98f
    matching_agent, CLM-430014, identity id MBR-040792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139342
  • 2026-10-19 19:45:42Record linked automatically709f83f10b
    scoring_agent, ENR-139342, identity id MBR-040792, confidence 1, method probabilistic, matched record CLM-430013, policy version 1
  • 2026-10-19 19:32:31Record linked automatically156faa81cc
    scoring_agent, CLM-430013, identity id MBR-040792, confidence 1, method probabilistic, matched record ENR-139342, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8eee6e3663
    matching_agent, CLM-430014, identity id MBR-040792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-139342
  • 2026-10-19 19:32:31Record linked automatically300978d789
    scoring_agent, ENR-139342, identity id MBR-040792, confidence 1, method probabilistic, matched record CLM-430013, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya98fe48239
    matching_agent, CLM-430013, identity id MBR-022883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430015
  • 2026-10-19 19:31:28Record linked automatically48757173f5
    matching_agent, CLM-430014, identity id MBR-022883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430015

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0331552026-08-19Canyon Primary Care Associates
in network
99395, 99203, 36415$601.00$352.62ApprovedApproved
CLM-2026-0091872026-09-06Evergreen Internal Medicine Associates
in network
99215$331.00$185.22ApprovedApproved