Identities/MBR-009209

Gold, golden identity

Hannah F Ramos

5 source records from 3 feeds.

MBR-009209Verified5 records

Golden record

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

First nameENR: Hannah
Middle nameENR: F
Last nameENR: Ramos
Date of birthENR: 1952-09-18
GenderENR: M
Member IDENR: UHC-51097-46
SSNENR: •••-••-2571
PhoneENR: 5717159596
EmailENR: hannah.ramos@outlook.com
AddressENR: 8140 Broadway
CityENR: Tempe
StateENR: AZ
ZIP—: —
GroupENR: GRP-8154
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

TPA ×1CLM ×3ENR ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
TPA-63818	TPA	2026-01-31	Hannah Ramosflagged	1952-09-18	UHC-51097-46	—	8140 Broadway, Tempe, AZ	Scored	1.00	—
CLM-431280	CLM	2026-02-09	Hannah Ramosflagged	1952-09-18	—	—	8140 Broadway, Tempe, AZ	Scored	1.00	—
CLM-431279	CLM	2026-02-26	Hannah Ramosflagged	1952-09-18	UHC-51097-46	—	8140 Broadway, Tempe, AZ	Scored	1.00	—
ENR-141071	ENR	2026-06-13	Hannah Ramosflagged	1952-09-18	UHC-51097-46	5717159596	8140 Broadway, Tempe, AZ	Scored	1.00	—
CLM-431281	CLM	2026-07-07	Hananh Ramosflagged	1952-09-18	UHC-51097-46	5717159596	8140 Broadway, Tempe, AZ	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-431280CLMCLM-431279CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63818TPACLM-431280CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431280CLMENR-141071ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-63818TPACLM-431279CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-63818TPACLM-431281CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431279CLMCLM-431281CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-141071ENRCLM-431281CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-63818TPAENR-141071ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431279CLMENR-141071ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431280CLMCLM-431281CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431280 → UHC-51097-46 (Hannah Ramos)
ACT-003796, Claims processor
Care coordination outreachProposed
Hannah Ramos: 3 claims, no attributed provider
ACT-018490, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically5b1b59fd6b
matching_agent, CLM-431281, identity id MBR-009209, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63818
2026-10-22 12:43:54Record linked automaticallybf2f2344d3
scoring_agent, ENR-141071, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-22 12:43:54Record linked automatically98c4f08f31
scoring_agent, CLM-431279, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-22 12:43:54Record linked automaticallycfde07960e
scoring_agent, CLM-431280, identity id MBR-009209, confidence 1, method probabilistic, matched record TPA-63818, policy version 1
2026-10-22 12:43:54Record linked automatically8dfb90607a
scoring_agent, TPA-63818, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:54:38Record linked automatically4fa7169270
matching_agent, CLM-431281, identity id MBR-009209, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63818
2026-10-19 19:54:38Record linked automaticallydad41bd21a
scoring_agent, ENR-141071, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:54:38Record linked automaticallyb17b59bc79
scoring_agent, CLM-431279, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:54:38Record linked automatically17d1b86b06
scoring_agent, CLM-431280, identity id MBR-009209, confidence 1, method probabilistic, matched record TPA-63818, policy version 1
2026-10-19 19:54:38Record linked automatically5626d53995
scoring_agent, TPA-63818, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:52:09Record linked automatically918c2c55bd
matching_agent, CLM-431281, identity id MBR-009209, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63818
2026-10-19 19:52:09Record linked automatically92432c71b9
scoring_agent, ENR-141071, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:52:09Record linked automatically3426e62adc
scoring_agent, CLM-431279, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:52:09Record linked automatically3647f70d05
scoring_agent, CLM-431280, identity id MBR-009209, confidence 1, method probabilistic, matched record TPA-63818, policy version 1
2026-10-19 19:52:09Record linked automatically46d24ddb1d
scoring_agent, TPA-63818, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:45:42Record linked automatically0bd323015c
matching_agent, CLM-431281, identity id MBR-009209, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63818
2026-10-19 19:45:42Record linked automaticallyfc0590f359
scoring_agent, ENR-141071, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:45:42Record linked automatically0ece673fbe
scoring_agent, CLM-431279, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:45:42Record linked automatically3e287d4d71
scoring_agent, CLM-431280, identity id MBR-009209, confidence 1, method probabilistic, matched record TPA-63818, policy version 1
2026-10-19 19:45:42Record linked automatically7b08b48c53
scoring_agent, TPA-63818, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:32:31Record linked automaticallyb4054d1ad1
matching_agent, CLM-431281, identity id MBR-009209, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63818
2026-10-19 19:32:31Record linked automaticallya6cd1e3e35
scoring_agent, ENR-141071, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:32:31Record linked automaticallyf61670bd07
scoring_agent, CLM-431279, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:32:31Record linked automatically5d59aeeda4
scoring_agent, CLM-431280, identity id MBR-009209, confidence 1, method probabilistic, matched record TPA-63818, policy version 1
2026-10-19 19:32:31Record linked automatically0c6fc23011
scoring_agent, TPA-63818, identity id MBR-009209, confidence 1, method probabilistic, matched record CLM-431280, policy version 1
2026-10-19 19:31:28Record linked automatically6ad9482e70
matching_agent, ENR-141071, identity id MBR-030527, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29100
2026-10-19 19:31:28Record linked automaticallydc518e7635
matching_agent, TPA-63818, identity id MBR-026806, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141605
2026-10-19 19:31:28Record linked automaticallyf600d15eec
matching_agent, CLM-431279, identity id MBR-020955, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141275
2026-10-19 19:31:28Record linked automatically6aff7031bd
scoring_agent, CLM-431280, identity id MBR-017419, confidence 0.94, method probabilistic, matched record ENR-141279, policy version 1
2026-10-19 19:31:28Record linked automatically7e42c08189
matching_agent, CLM-431281, identity id MBR-006210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141283

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-2026-022618	2026-06-20	Unity Reference Lab in network	80061, 87086, 83036	$137.00	$0.00	Approved	Approved
CLM-2026-027562	2025-10-15	Riverside Community Hospital in network	99285, 96374, 71046	$3,118.00	—	Denied	Denied
CLM-2026-009394	2025-12-26	Northgate Reference Lab in network	87086, 80061	$107.00	$0.00	Approved	Approved