Gold, golden identity
Ryan Ramirez
3 source records from 1 feed.
MBR-004762Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-424493 | CLM | 2026-01-15 | Ryan Ramirezflagged | — | UHC-68274-91 | 2413339116 | 2106 Cedar Ln, Sacramento, CA | Rule | 0.96 | D3 member id + name |
| CLM-424494 | CLM | 2026-07-21 | Ryan Ramirezflagged | 1940-06-16 | — | — | 2106 Cedar Ln, Sacramento, CA | Scored | 1.00 | — |
| CLM-424492 | CLM | 2026-09-30 | Ryan Ramirezflagged | 1940-06-16 | UHC-68274-91 | — | 2106 Cedar Ln Apt 4, Sacramento, CA | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-424494CLMCLM-424492CLM 1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-424493CLMCLM-424492CLM 0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-424493CLMCLM-424494CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-424494 → UHC-68274-91 (Ryan Ramirez)ACT-009375, Claims processor
- Care coordination outreachProposedRyan Ramirez: 3 claims, no attributed providerACT-018144, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:53Record linked automatically756374c99fscoring_agent, CLM-424492, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-22 12:43:53Record linked automatically48bcd59654scoring_agent, CLM-424494, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424492, policy version 1
- 2026-10-22 12:43:53Record linked automatically586073f752matching_agent, CLM-424493, identity id MBR-004762, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424492
- 2026-10-19 19:54:38Record linked automatically093c4d1e01scoring_agent, CLM-424492, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-19 19:54:38Record linked automatically216bbce84dscoring_agent, CLM-424494, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424492, policy version 1
- 2026-10-19 19:54:38Record linked automatically9617a8aafematching_agent, CLM-424493, identity id MBR-004762, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424492
- 2026-10-19 19:52:08Record linked automatically8f488e6a33scoring_agent, CLM-424492, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-19 19:52:08Record linked automatically26d81fd303scoring_agent, CLM-424494, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424492, policy version 1
- 2026-10-19 19:52:08Record linked automatically8da3a618famatching_agent, CLM-424493, identity id MBR-004762, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424492
- 2026-10-19 19:45:42Record linked automatically4e83db7fe0scoring_agent, CLM-424492, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-19 19:45:42Record linked automatically67904cc3d5scoring_agent, CLM-424494, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424492, policy version 1
- 2026-10-19 19:45:42Record linked automatically8241c87642matching_agent, CLM-424493, identity id MBR-004762, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424492
- 2026-10-19 19:32:31Record linked automatically50772c3a6ascoring_agent, CLM-424492, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-19 19:32:31Record linked automatically8f699adaebscoring_agent, CLM-424494, identity id MBR-004762, confidence 1, method probabilistic, matched record CLM-424492, policy version 1
- 2026-10-19 19:32:31Record linked automatically38a3ff7aafmatching_agent, CLM-424493, identity id MBR-004762, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-424492
- 2026-10-19 19:31:28Record linked automaticallyacf93fccb5matching_agent, CLM-424492, identity id MBR-044649, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-132245
- 2026-10-19 19:31:28Record linked automatically841e263ec1scoring_agent, CLM-424493, identity id MBR-023695, confidence 0.99, method probabilistic, matched record CLM-424494, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyebcb43b5a3scoring_agent, CLM-424494, identity id MBR-023695, confidence 0.99, method probabilistic, matched record CLM-424493, 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-2026-017652 | 2026-08-29 | Meadow Medical Group in network | 99203 | $205.00 | $87.10 | Approved | Approved |
| CLM-2026-030649 | 2026-07-03 | Meadow Physical Therapy out of network | 97110 | $222.00 | $59.90 | Approved | Approved |
| CLM-2026-025542 | 2025-12-08 | Summit Regional Medical Center in network | 96374 | $235.00 | $0.00 | Approved | Approved |