Identities/MBR-003955
Gold, golden identity

Judith M Ramirez

4 source records from 3 feeds.

MBR-003955Verified4 records

Golden record

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

First nameENR
Judith
Middle nameENR
M
Last nameENR
Ramirez
Date of birthENR
1964-11-02
GenderENR
F
Member IDENR
UHC-78656-78
SSNENR
•••-••-0003
PhoneENR
8357923498
EmailENR
judith.ramirez@yahoo.com
AddressENR
1023 Canyon Rd
CityENR
Mesa
StateENR
AZ
ZIPENR
85283
GroupENR
GRP-2962
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
TPA ×1ENR ×2CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.961.001.00TPATPA-51194ENRENR-103562ENRENR-103563CLMCLM-402767IDMBR-003955
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
TPA-51194TPA2026-01-13Judith Ramirezflagged1964-11-02——1023 Canyon Rd, Mesa, AZScored1.00—
ENR-103562ENR2026-02-27Judith Ramirezflagged—UHC-78656-78—1023 Canyon Rd, Mesa, AZRule0.96D3 member id + name
ENR-103563ENR2026-06-09Judith Ramirezflagged1964-11-02UHC-78656-7883579234981023 Canyon Rd, Mesa, AZScored1.00—
CLM-402767CLM2026-08-01Judith Ramirezflagged1964-11-02UHC-78656-78—1023 Canyon Rd, Mesa, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-51194TPACLM-402767CLM 1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-51194TPAENR-103563ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-103563ENRCLM-402767CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-103562ENRCLM-402767CLM 0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-103562ENRENR-103563ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-51194TPAENR-103562ENR0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Judith Ramirez: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000198, Eligibility engine
  • Duplicate member record retiredExecuted
    Judith Ramirez: 2 enrollment records collapsed into UHC-78656-78
    ACT-022319, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically3c23f4ff85
    scoring_agent, CLM-402767, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:54:38Record linked automatically584d14641c
    scoring_agent, ENR-103563, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallycadfd2f332
    matching_agent, ENR-103562, identity id MBR-003955, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103563
  • 2026-10-19 19:54:38Record linked automatically8375bdd362
    scoring_agent, TPA-51194, identity id MBR-003955, confidence 1, method probabilistic, matched record ENR-103563, policy version 1
  • 2026-10-19 19:52:08Record linked automatically39fe6ca203
    scoring_agent, CLM-402767, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:52:08Record linked automatically92f83a77e3
    scoring_agent, ENR-103563, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:52:08Record linked automatically14d60a0ff1
    matching_agent, ENR-103562, identity id MBR-003955, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103563
  • 2026-10-19 19:52:08Record linked automaticallya87dddeed4
    scoring_agent, TPA-51194, identity id MBR-003955, confidence 1, method probabilistic, matched record ENR-103563, policy version 1
  • 2026-10-19 19:45:42Record linked automatically17e65e18aa
    scoring_agent, CLM-402767, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:45:42Record linked automatically50287f0408
    scoring_agent, ENR-103563, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallybb3acbca3d
    matching_agent, ENR-103562, identity id MBR-003955, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103563
  • 2026-10-19 19:45:42Record linked automaticallyf598d799c4
    scoring_agent, TPA-51194, identity id MBR-003955, confidence 1, method probabilistic, matched record ENR-103563, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfb287ea981
    scoring_agent, CLM-402767, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya2dec8ab75
    scoring_agent, ENR-103563, identity id MBR-003955, confidence 1, method probabilistic, matched record TPA-51194, policy version 1
  • 2026-10-19 19:32:31Record linked automatically39c3e640a5
    matching_agent, ENR-103562, identity id MBR-003955, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-103563
  • 2026-10-19 19:32:31Record linked automatically02652fd7fa
    scoring_agent, TPA-51194, identity id MBR-003955, confidence 1, method probabilistic, matched record ENR-103563, policy version 1
  • 2026-10-19 19:31:28Record linked automatically977d889988
    matching_agent, ENR-103563, identity id MBR-034631, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402721
  • 2026-10-19 19:31:28Record linked automaticallyf624cb36e8
    matching_agent, CLM-402767, identity id MBR-013924, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-103614

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0166662026-07-08Lakeside Imaging Center
in network
70553, 76700$3,013.00—Needs reviewNeeds review