Identities/MBR-006369
Gold, golden identity

Ronald Ramos

2 source records from 2 feeds.

MBR-006369Verified2 records

Golden record

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

First nameENR
Ronald
Middle name—
—
Last nameENR
Ramos
Date of birthENR
1957-11-19
GenderENR
F
Member IDENR
UHC-86887-23
SSNENR
•••-••-2924
PhoneENR
7915597980
EmailENR
ronald.ramos95@proton.me
AddressENR
2775 Palm Dr
CityENR
Plano
StateENR
TX
ZIP—
—
GroupENR
GRP-4176
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.97ENRENR-122634CLMCLM-417185IDMBR-006369
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
ENR-122634ENR2026-01-21Ronald Ramosflagged1957-11-19UHC-86887-2379155979802775 Palm Dr, Plano, TXRule0.97D2 ssn4 + dob + last name
CLM-417185CLM2026-05-15Ronald Ramosflagged1957-11-19———Rule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶ENR-122634ENRCLM-417185 CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Email1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417185 → UHC-86887-23 (Ronald Ramos)
    ACT-005160, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically2c76da2958
    matching_agent, CLM-417185, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122634
  • 2026-10-22 12:43:53Record linked automatically5e2ba4a50c
    matching_agent, ENR-122634, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417185
  • 2026-10-19 19:54:38Record linked automatically8ccfc2e614
    matching_agent, CLM-417185, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122634
  • 2026-10-19 19:54:38Record linked automatically0e47c9e0a5
    matching_agent, ENR-122634, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417185
  • 2026-10-19 19:52:09Record linked automatically3711dc3992
    matching_agent, CLM-417185, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122634
  • 2026-10-19 19:52:09Record linked automatically0a077e4222
    matching_agent, ENR-122634, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417185
  • 2026-10-19 19:45:42Record linked automaticallya6ec501ee4
    matching_agent, CLM-417185, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122634
  • 2026-10-19 19:45:42Record linked automatically299d12c04c
    matching_agent, ENR-122634, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417185
  • 2026-10-19 19:32:31Record linked automatically599668b0af
    matching_agent, CLM-417185, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-122634
  • 2026-10-19 19:32:31Record linked automatically39d62cee2b
    matching_agent, ENR-122634, identity id MBR-006369, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-417185
  • 2026-10-19 19:31:28Record linked automaticallyda66d2a84c
    matching_agent, ENR-122634, identity id MBR-024265, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-417289
  • 2026-10-19 19:31:28Record linked automaticallydc6d0cd1f7
    matching_agent, CLM-417185, identity id MBR-006657, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-122490

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0144642026-04-18Heritage Internal Medicine Associates
in network
99232$183.00$0.00ApprovedApproved