Identities/MBR-007713
Gold, golden identity

Tyler B Ramirez

4 source records from 2 feeds.

MBR-007713Verified4 records

Golden record

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

First nameENR
Tyler
Middle nameENR
B
Last nameCLM
Ramirez
Date of birthENR
1947-05-20
GenderCLM
M
Member IDENR
UHC-08984-12
SSNENR
•••-••-2788
Phone—
—
EmailENR
tyler.ramirez@outlook.com
AddressENR
2916 Bayshore Dr
CityENR
Fresno
StateENR
CA
ZIPENR
93768
GroupENR
GRP-1551
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.97
Sources
ENR ×1CLM ×3
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.990.990.97ENRENR-118417CLMCLM-414061CLMCLM-414062CLMCLM-414060IDMBR-007713
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-118417ENR2026-01-26Tyler Ramrezflagged1947-05-20UHC-08984-12—2916 Bayshore Dr, Fresno, CARule0.97D2 ssn4 + dob + last name
CLM-414061CLM2026-02-25Tyler Ramirezflagged1946-05-20UHC-08984-12—2916 Bayshore Dr, Fresno, CARule0.99D1 member id + dob exact
CLM-414062CLM2026-02-25Tyler Ramirezflagged1946-05-20UHC-08984-12—2916 Bayshore Dr, Fresno, CARule0.99D1 member id + dob exact
CLM-414060CLM2026-06-08Tyler Ramirezflagged1947-05-20——2916 Bayshore Dr, Fresno, CARule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414061CLMCLM-414062CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-118417 ENRCLM-414060CLM0.97RuleD2 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-118417 ENRCLM-414061CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-118417 ENRCLM-414062CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.503one_digit
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-414061CLMCLM-414060CLM0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414062CLMCLM-414060CLM0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.503one_digit
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414060 → UHC-08984-12 (Tyler Ramirez)
    ACT-007957, Claims processor
  • Care coordination outreachProposed
    Tyler Ramirez: 3 claims, no attributed provider
    ACT-018386, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically0564905c43
    matching_agent, CLM-414060, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118417
  • 2026-10-22 12:43:54Record linked automaticallybb07279bf6
    matching_agent, CLM-414062, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414061
  • 2026-10-22 12:43:54Record linked automatically307ff8a8e4
    matching_agent, CLM-414061, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414062
  • 2026-10-22 12:43:54Record linked automatically08a26380ff
    matching_agent, ENR-118417, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414060
  • 2026-10-19 19:54:38Record linked automatically1a8d223228
    matching_agent, CLM-414060, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118417
  • 2026-10-19 19:54:38Record linked automatically8fa5fafc8c
    matching_agent, CLM-414062, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414061
  • 2026-10-19 19:54:38Record linked automatically48b19ae2e4
    matching_agent, CLM-414061, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414062
  • 2026-10-19 19:54:38Record linked automaticallya8d0b9a9d3
    matching_agent, ENR-118417, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414060
  • 2026-10-19 19:52:09Record linked automatically0f3caec04a
    matching_agent, CLM-414060, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118417
  • 2026-10-19 19:52:09Record linked automatically6b04fbb5e9
    matching_agent, CLM-414062, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414061
  • 2026-10-19 19:52:09Record linked automatically16ad95279c
    matching_agent, CLM-414061, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414062
  • 2026-10-19 19:52:09Record linked automatically9c40a34ef4
    matching_agent, ENR-118417, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414060
  • 2026-10-19 19:45:42Record linked automatically484224eace
    matching_agent, CLM-414060, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118417
  • 2026-10-19 19:45:42Record linked automatically74d8fb3be3
    matching_agent, CLM-414062, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414061
  • 2026-10-19 19:45:42Record linked automatically8118a63461
    matching_agent, CLM-414061, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414062
  • 2026-10-19 19:45:42Record linked automatically7d59c95650
    matching_agent, ENR-118417, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414060
  • 2026-10-19 19:32:31Record linked automaticallyf12dae66e7
    matching_agent, CLM-414060, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118417
  • 2026-10-19 19:32:31Record linked automatically2268007dd7
    matching_agent, CLM-414062, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414061
  • 2026-10-19 19:32:31Record linked automatically7a0e05cb10
    matching_agent, CLM-414061, identity id MBR-007713, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414062
  • 2026-10-19 19:32:31Record linked automatically6d5ef55713
    matching_agent, ENR-118417, identity id MBR-007713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414060
  • 2026-10-19 19:31:28Record linked automatically8d2600a08d
    matching_agent, CLM-414061, identity id MBR-034320, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-118470
  • 2026-10-19 19:31:28Record linked automaticallyf887cfa569
    matching_agent, CLM-414062, identity id MBR-007835, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-24141
  • 2026-10-19 19:31:28Record linked automatically41e2ba917a
    matching_agent, CLM-414060, identity id MBR-000586, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118468

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0250902026-05-20Cornerstone Internal Medicine Associates
in network
70553$2,312.00—Needs reviewNeeds review
CLM-2026-0240262026-02-06Valley Rehabilitation Center
in network
97110, 97014$220.00$106.40ApprovedApproved
CLM-2026-0175812026-02-12Sunrise Community Hospital
out of network
99283$803.00$211.35ApprovedApproved