Identities/MBR-004230
Gold, golden identity

Evelyn Ramos

3 source records from 2 feeds.

MBR-004230Verified3 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 birthCLM
1989-05-05
GenderENR
M
Member IDENR
UHC-70497-07
SSNENR
•••-••-5563
PhoneENR
6395603325
EmailENR
evelyn.ramos21@yahoo.com
AddressENR
8644 Elm St
CityENR
Plano
StateENR
TX
ZIPCLM
75019
GroupENR
GRP-4998
PlanENR
CORE-HMO
Min confidence
0.93
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.931.00CLMCLM-420348ENRENR-126755CLMCLM-420349IDMBR-004230
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-420348CLM2026-01-14Evelyn Ramosflagged1989-05-05—63956033258644 Elm St, Plano, TXScored1.00—
ENR-126755ENR2026-10-01Evelyn Ramosflagged—UHC-70497-0763956033258644 Elm St, Plano, TXScored0.93—
CLM-420349CLM2026-10-16Evelyn Ramosflagged1989-05-05—63956033258644 Elm St, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-420348CLMCLM-420349CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-126755ENRCLM-420349CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-420348CLMENR-126755ENR0.91Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-420348 → UHC-70497-07 (Evelyn Ramos)
    ACT-004539, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-420349 → UHC-70497-07 (Evelyn Ramos)
    ACT-010440, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically645807636d
    scoring_agent, CLM-420349, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420348, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb0de9ad973
    scoring_agent, ENR-126755, identity id MBR-004230, confidence 0.93, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:54:38Record linked automatically474cae62d4
    scoring_agent, CLM-420348, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:52:08Record linked automatically50d92c95e0
    scoring_agent, CLM-420349, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420348, policy version 1
  • 2026-10-19 19:52:08Record linked automatically01542fd22b
    scoring_agent, ENR-126755, identity id MBR-004230, confidence 0.93, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:52:08Record linked automatically89cacd4319
    scoring_agent, CLM-420348, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:45:42Record linked automatically071c19baa1
    scoring_agent, CLM-420349, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420348, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyaf4afbff01
    scoring_agent, ENR-126755, identity id MBR-004230, confidence 0.93, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyccbff5a258
    scoring_agent, CLM-420348, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyea44701a79
    scoring_agent, CLM-420349, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420348, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyae3a68ef82
    scoring_agent, ENR-126755, identity id MBR-004230, confidence 0.93, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:32:31Record linked automatically298c27a081
    scoring_agent, CLM-420348, identity id MBR-004230, confidence 1, method probabilistic, matched record CLM-420349, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1350afa93d
    matching_agent, CLM-420349, identity id MBR-011795, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420348
  • 2026-10-19 19:31:28Record linked automatically4891576bf9
    matching_agent, CLM-420348, identity id MBR-011795, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25957
  • 2026-10-19 19:31:28Record linked automatically54dad666ce
    matching_agent, ENR-126755, identity id MBR-001285, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420387

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0346062026-09-25Evergreen Medical Group
in network
99395, 99213$411.00—Needs reviewNeeds review
CLM-2026-0121562025-12-23Mesa Internal Medicine Associates
out of network
93000, 80053$177.00—DeniedDenied