Identities/MBR-001377

Gold, golden identity

Evelyn Ramos

5 source records from 2 feeds.

MBR-001377Verified5 records

Golden record

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

First nameENR: Evelyn
Middle name—: —
Last nameENR: Ramos
Date of birthENR: 1970-12-02
GenderENR: F
Member IDENR: UHC-77500-44
SSNENR: •••-••-1472
PhoneENR: 9374247729
EmailENR: evelyn.ramos@icloud.com
AddressENR: 330 Baseline Rd
CityENR: Orlando
StateENR: FL
ZIPENR: 32832
GroupENR: GRP-7522
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

ENR ×1CLM ×4

Updated

2026-10-22 12:43:43

run-mvjj6udb

Identity graph

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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
ENR-111449	ENR	2026-01-05	Evelyn Ramosflagged	1970-12-02	UHC-77500-44	9374247729	330 Baseline Rd, Orlando, FL	Scored	1.00	—
CLM-408686	CLM	2026-02-25	Evelyn Ramosflagged	1970-12-02	—	—	330 Baseline Rd, Orlando, FL	Scored	1.00	—
CLM-408688	CLM	2026-03-11	Evelyn Ramosflagged	1970-12-02	—	—	330 Baseline Rd, Orlando, FL	Scored	1.00	—
CLM-408687	CLM	2026-04-16	Evelyn Ramosflagged	1970-12-02	UHC-77500-44	—	330 Baseline Rd, Orlando, FL	Scored	1.00	—
CLM-408685	CLM	2026-09-08	Evelyn Ramosflagged	1970-12-02	UHC-77500-44	—	330 Baseline Rd, Orlando, FL	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-408686CLM CLM-408685CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-111449ENRCLM-408686CLM 1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408686CLM CLM-408687CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408688 CLMCLM-408687CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-408686CLM CLM-408688 CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-111449ENRCLM-408685CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-408687CLMCLM-408685CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111449ENRCLM-408687CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-408688 CLMCLM-408685CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-111449ENRCLM-408688 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-408686 → UHC-77500-44 (Evelyn Ramos)
ACT-002667, Claims processor
Orphan claim re-pointedExecuted
CLM-408688 → UHC-77500-44 (Evelyn Ramos)
ACT-004758, Claims processor
Care coordination outreachProposed
Evelyn Ramos: 4 claims, no attributed provider
ACT-017880, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically0a003f3523
scoring_agent, CLM-408685, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-22 12:43:53Record linked automaticallyce6874ef8d
scoring_agent, CLM-408687, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-22 12:43:53Record linked automatically533119a9ae
scoring_agent, CLM-408688, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-22 12:43:53Record linked automatically06acae5920
scoring_agent, CLM-408686, identity id MBR-001377, confidence 1, method probabilistic, matched record ENR-111449, policy version 1
2026-10-22 12:43:53Record linked automatically1c99b6cca9
scoring_agent, ENR-111449, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:54:38Record linked automaticallyf3fe8d0d7a
scoring_agent, CLM-408685, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:54:38Record linked automatically161f5de415
scoring_agent, CLM-408687, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:54:38Record linked automatically19e51624d5
scoring_agent, CLM-408688, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:54:38Record linked automaticallya887520c7d
scoring_agent, CLM-408686, identity id MBR-001377, confidence 1, method probabilistic, matched record ENR-111449, policy version 1
2026-10-19 19:54:38Record linked automaticallyd4036d9a37
scoring_agent, ENR-111449, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:52:08Record linked automatically769538ad0c
scoring_agent, CLM-408685, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:52:08Record linked automatically6ae8ed5654
scoring_agent, CLM-408687, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:52:08Record linked automaticallya09dcc6791
scoring_agent, CLM-408688, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:52:08Record linked automatically1c9f3e6a39
scoring_agent, CLM-408686, identity id MBR-001377, confidence 1, method probabilistic, matched record ENR-111449, policy version 1
2026-10-19 19:52:08Record linked automatically2553ace2ca
scoring_agent, ENR-111449, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:45:41Record linked automaticallyec7d756f08
scoring_agent, CLM-408685, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:45:41Record linked automatically25a26e0ff9
scoring_agent, CLM-408687, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:45:41Record linked automaticallyf4019ef999
scoring_agent, CLM-408688, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:45:41Record linked automaticallyc929900946
scoring_agent, CLM-408686, identity id MBR-001377, confidence 1, method probabilistic, matched record ENR-111449, policy version 1
2026-10-19 19:45:41Record linked automaticallya0866b36a2
scoring_agent, ENR-111449, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:32:31Record linked automatically4efcc24e09
scoring_agent, CLM-408685, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:32:31Record linked automatically0a6acb7039
scoring_agent, CLM-408687, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:32:31Record linked automaticallyf876c8aa89
scoring_agent, CLM-408688, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:32:31Record linked automatically25d2c7cd5b
scoring_agent, CLM-408686, identity id MBR-001377, confidence 1, method probabilistic, matched record ENR-111449, policy version 1
2026-10-19 19:32:31Record linked automaticallyb2dfd87a93
scoring_agent, ENR-111449, identity id MBR-001377, confidence 1, method probabilistic, matched record CLM-408686, policy version 1
2026-10-19 19:31:28Record linked automaticallyab26fc7417
matching_agent, ENR-111449, identity id MBR-032719, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-408702
2026-10-19 19:31:28Record linked automatically3ae8e45b15
scoring_agent, CLM-408688, identity id MBR-022574, confidence 1, method probabilistic, matched record CLM-408687, policy version 1
2026-10-19 19:31:28Record linked automaticallydd6a7beee7
scoring_agent, CLM-408687, identity id MBR-022574, confidence 1, method probabilistic, matched record CLM-408688, policy version 1
2026-10-19 19:31:28Record linked automatically139551e50d
scoring_agent, CLM-408686, identity id MBR-003533, confidence 0.99, method probabilistic, matched record TPA-53843, policy version 1

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-005218	2026-08-13	Sunrise Internal Medicine Associates in network	80053	$49.00	$0.38	Approved	Approved
CLM-2026-019196	2026-03-27	Canyon Medical Group in network	99214	$250.00	$125.00	Approved	Approved
CLM-2026-012992	2026-01-25	Sunrise Imaging Center in network	76700, 71046, 70553	$3,378.00	$1,130.59	Approved	Approved
CLM-2026-005023	2026-02-19	Lakeside Internal Medicine Associates in network	99214	$230.00	$112.60	Approved	Approved