Identities/MBR-000233
Gold, golden identity

Tyler Ramirez

4 source records from 3 feeds.

MBR-000233Verified4 records

Golden record

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

First nameENR
Tyler
Middle name—
—
Last nameENR
Ramirez
Date of birthENR
1985-08-04
GenderENR
M
Member IDENR
UHC-12321-25
SSNENR
•••-••-5280
PhoneENR
8174637516
EmailENR
tyler.ramirez74@hotmail.com
AddressPRV
135 Church St
CityPRV
San Diego
StatePRV
CA
ZIPPRV
92111
GroupENR
GRP-7403
PlanENR
CORE-HMO
Min confidence
0.97
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.970.991.00CLMCLM-432786CLMCLM-432785ENRENR-143055PRVPRV-29585IDMBR-000233
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-432786CLM2026-01-01Tyler Ramirezflagged1985-08-04UHC-12321-258174637516135 Church St, San Diego, CAScored1.00—
CLM-432785CLM2026-07-08Tyler Ramirezflagged1985-08-04—8174637516970 Main St, Scottsdale, AZRule0.97D2 ssn4 + dob + last name
ENR-143055ENR2026-08-01Tyler Ramirezflagged1985-08-04UHC-12321-258174637516970 Main St, Scottsdale, AZRule0.99D1 member id + dob exact
PRV-29585PRV2026-08-18Tyler Ramirezflagged1985-08-04—8174637516135 Church St, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432786CLMPRV-29585PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432786CLMENR-143055ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.002different
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-432785CLMENR-143055ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-432786CLMCLM-432785CLM0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432785CLMPRV-29585PRV0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-143055ENRPRV-29585PRV0.79Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Tyler Ramirez: 2 plan codes across sources → canonical CORE-HMO
    ACT-000008, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-432785 → UHC-12321-25 (Tyler Ramirez)
    ACT-010384, Claims processor
  • Outreach address correctedProposed
    Tyler Ramirez: 970 Main St, Scottsdale → 135 Church St, San Diego
    ACT-010471, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyafac52883a
    scoring_agent, PRV-29585, identity id MBR-000233, confidence 1, method probabilistic, matched record CLM-432786, policy version 1
  • 2026-10-19 19:54:38Record linked automatically43fe15186d
    matching_agent, ENR-143055, identity id MBR-000233, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432786
  • 2026-10-19 19:54:38Record linked automatically82783d380f
    matching_agent, CLM-432785, identity id MBR-000233, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143055
  • 2026-10-19 19:54:38Record linked automatically69473b4431
    scoring_agent, CLM-432786, identity id MBR-000233, confidence 1, method probabilistic, matched record PRV-29585, policy version 1
  • 2026-10-19 19:52:08Record linked automatically1e1ad311c4
    scoring_agent, PRV-29585, identity id MBR-000233, confidence 1, method probabilistic, matched record CLM-432786, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb5f7869c12
    matching_agent, ENR-143055, identity id MBR-000233, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432786
  • 2026-10-19 19:52:08Record linked automatically68e8732301
    matching_agent, CLM-432785, identity id MBR-000233, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143055
  • 2026-10-19 19:52:08Record linked automatically46455d3375
    scoring_agent, CLM-432786, identity id MBR-000233, confidence 1, method probabilistic, matched record PRV-29585, policy version 1
  • 2026-10-19 19:45:41Record linked automatically5e37ea60b9
    scoring_agent, PRV-29585, identity id MBR-000233, confidence 1, method probabilistic, matched record CLM-432786, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyee1890f457
    matching_agent, ENR-143055, identity id MBR-000233, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432786
  • 2026-10-19 19:45:41Record linked automatically44a543aba2
    matching_agent, CLM-432785, identity id MBR-000233, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143055
  • 2026-10-19 19:45:41Record linked automaticallyadb3feb9fa
    scoring_agent, CLM-432786, identity id MBR-000233, confidence 1, method probabilistic, matched record PRV-29585, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb1f4f13b4
    scoring_agent, PRV-29585, identity id MBR-000233, confidence 1, method probabilistic, matched record CLM-432786, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyec710cb481
    matching_agent, ENR-143055, identity id MBR-000233, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432786
  • 2026-10-19 19:32:31Record linked automatically982ef12612
    matching_agent, CLM-432785, identity id MBR-000233, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-143055
  • 2026-10-19 19:32:31Record linked automatically1de9f8764f
    scoring_agent, CLM-432786, identity id MBR-000233, confidence 1, method probabilistic, matched record PRV-29585, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyaf3e794840
    scoring_agent, CLM-432785, identity id MBR-016609, confidence 1, method probabilistic, matched record ENR-143218, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3704de589c
    scoring_agent, CLM-432786, identity id MBR-010011, confidence 0.98, method probabilistic, matched record TPA-64335, policy version 1
  • 2026-10-19 19:31:28Record linked automatically05df809983
    matching_agent, ENR-143055, identity id MBR-006880, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143056

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0344032026-06-28Mesa Internal Medicine Associates
out of network
99232$176.00$0.00ApprovedApproved
CLM-2026-0038092025-12-23Harbor Imaging Center
in network
77067, 71046$562.00$0.00ApprovedApproved