Identities/MBR-004120
Gold, golden identity

Gerald W Ramirez

5 source records from 2 feeds.

MBR-004120Verified5 records

Golden record

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

First nameENR
Gerald
Middle nameENR
W
Last nameENR
Ramirez
Date of birthENR
1975-05-28
GenderENR
F
Member IDENR
UHC-09097-49
SSNENR
•••-••-4424
PhoneENR
8484342645
EmailENR
gerald.ramirez@aol.com
AddressENR
7735 Ridge Rd
CityENR
Nashville
StateENR
TN
ZIPENR
37236
GroupENR
GRP-7057
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3ENR ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.990.99CLMCLM-409371ENRENR-112338ENRENR-112337CLMCLM-409370CLMCLM-409372IDMBR-004120
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-409371CLM2026-01-13Gerald Ramirezflagged1975-05-28UHC-09097-49—7735 Ridge Rd, Nashville, TNScored0.99—
ENR-112338ENR2026-03-22Gerald Ramirezflagged1975-05-28UHC-09097-4984843426457735 Ridge Rd, Nashville, TNRule0.99D1 member id + dob exact
ENR-112337ENR2026-03-28Gerald Ramirezflagged1975-05-28UHC-09097-4984843426457735 Ridge Rd, Nashville, TNRule0.99D1 member id + dob exact
CLM-409370CLM2026-06-10Gearld Ramirezflagged1975-05-28——7735 Ridge Rd Apt 26, Nashville, TNScored0.99—
CLM-409372CLM2026-06-11Gerald Ramirezflagged1975-05-28UHC-09097-49—7735 Ridge Rd, Nashville, TNScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-409371CLMCLM-409370 CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409370 CLMCLM-409372CLM 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-409371CLMCLM-409372CLM 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-112338ENRCLM-409372CLM 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-112337ENRCLM-409372CLM 0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-409371CLMENR-112337ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-112338ENRENR-112337ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-409371CLMENR-112338ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-112338ENRCLM-409370 CLM0.97RuleD2 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
▶ENR-112337ENRCLM-409370 CLM0.97RuleD2 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
    Gerald Ramirez: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000203, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-409370 → UHC-09097-49 (Gerald Ramirez)
    ACT-005050, Claims processor
  • Care coordination outreachProposed
    Gerald Ramirez: 3 claims, no attributed provider
    ACT-018099, Next-best-action
  • Duplicate member record retiredExecuted
    Gerald Ramirez: 2 enrollment records collapsed into UHC-09097-49
    ACT-022341, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallydf0e6159da
    scoring_agent, CLM-409372, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0ea60b338e
    scoring_agent, CLM-409370, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409371, policy version 1
  • 2026-10-19 19:54:38Record linked automatically68c465cd7b
    matching_agent, ENR-112337, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:54:38Record linked automaticallye8f35c8506
    matching_agent, ENR-112338, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:54:38Record linked automaticallyf207568399
    scoring_agent, CLM-409371, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:52:08Record linked automatically63e2fcde59
    scoring_agent, CLM-409372, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:52:08Record linked automatically07672937af
    scoring_agent, CLM-409370, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409371, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7ce051059f
    matching_agent, ENR-112337, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:52:08Record linked automaticallyf92098a15a
    matching_agent, ENR-112338, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:52:08Record linked automatically8ad1c20f4a
    scoring_agent, CLM-409371, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye023dfcf70
    scoring_agent, CLM-409372, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc41135f346
    scoring_agent, CLM-409370, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409371, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallycf07be98ce
    matching_agent, ENR-112337, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:45:42Record linked automatically9fc6568951
    matching_agent, ENR-112338, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:45:42Record linked automatically6c1b54c084
    scoring_agent, CLM-409371, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb39c8645cb
    scoring_agent, CLM-409372, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:32:31Record linked automatically0ad8a3b369
    scoring_agent, CLM-409370, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409371, policy version 1
  • 2026-10-19 19:32:31Record linked automatically071bc6cf21
    matching_agent, ENR-112337, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:32:31Record linked automatically0e13990440
    matching_agent, ENR-112338, identity id MBR-004120, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409371
  • 2026-10-19 19:32:31Record linked automaticallye30b082d5b
    scoring_agent, CLM-409371, identity id MBR-004120, confidence 0.99, method probabilistic, matched record CLM-409370, policy version 1
  • 2026-10-19 19:31:28Record linked automatically60bc08f0f7
    scoring_agent, CLM-409370, identity id MBR-021849, confidence 1, method probabilistic, matched record TPA-54180, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd663dc68b5
    scoring_agent, CLM-409371, identity id MBR-005848, confidence 1, method probabilistic, matched record PRV-22788, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0d917c4249
    matching_agent, CLM-409372, identity id MBR-005848, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-409373
  • 2026-10-19 19:31:28Record linked automatically2ef8177d9e
    matching_agent, ENR-112338, identity id MBR-001373, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-112339

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0145622026-05-08Meadow Heart Institute
in network
93306$1,051.00$100.02ApprovedApproved
CLM-2026-0140342026-05-10Lakeside Orthopedic Specialists
in network
99213$225.00$64.50ApprovedApproved
CLM-2026-0325032025-12-31Unity Cardiovascular Associates
in network
93224, 99214$563.00$274.06ApprovedApproved