Gold, golden identity
Harold Ramirez
5 source records from 4 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Harold
- Middle name—
- —
- Last nameENR
- Ramirez
- Date of birthENR
- 1943-04-28
- GenderENR
- F
- Member IDENR
- UHC-18546-96
- SSNENR
- •••-••-0302
- PhoneENR
- 7223160778
- EmailPRV
- harold.ramirez@outlook.com
- AddressPRV
- 6606 Forest Ave
- CityPRV
- Charlotte
- StatePRV
- NC
- ZIPPRV
- 28260
- GroupENR
- GRP-4984
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.99
Sources
PRV ×1ENR ×1CLM ×2TPA ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-26881 | PRV | 2026-02-07 | Harold Ramirezflagged | 1943-04-28 | UHC-18546-96 | 7223160778 | 6606 Forest Ave, Charlotte, NC | Scored | 1.00 | — |
| ENR-130482 | ENR | 2026-06-05 | Harold Ramirezflagged | 1943-04-28 | UHC-18546-96 | 7223160778 | 4674 Apache Blvd Apt 12, Fresno, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-423321 | CLM | 2026-07-16 | Harold Ramirezflagged | 1943-04-28 | UHC-18546-96 | — | — | Rule | 0.99 | D1 member id + dob exact |
| CLM-423320 | CLM | 2026-08-19 | Harold Ramirezflagged | 1943-04-28 | — | 7223160778 | — | Scored | 1.00 | — |
| TPA-60263 | TPA | 2026-09-13 | Harold Ramirezflagged | 1943-04-28 | — | 7223160778 | 6606 Forest Ave, Charlotte, NC | Scored | 1.00 | — |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-26881PRVCLM-423320CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-423320CLMTPA-60263TPA 1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-26881PRVCLM-423321CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-130482ENRCLM-423321CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-26881PRVENR-130482ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-130482ENRCLM-423320CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-423321CLMCLM-423320CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
▶CLM-423321CLMTPA-60263TPA 0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||||||
▶ENR-130482ENRTPA-60263TPA 0.79Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-423320 → UHC-18546-96 (Harold Ramirez)ACT-003418, Claims processor
- Outreach address correctedProposedHarold Ramirez: 4674 Apache Blvd Apt 12, Fresno → 6606 Forest Ave, CharlotteACT-011498, Outreach
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically83e0344a3fscoring_agent, TPA-60263, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-22 12:43:54Record linked automatically35c60e780bscoring_agent, CLM-423320, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-22 12:43:54Record linked automatically7ca3df2ca6matching_agent, CLM-423321, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-22 12:43:54Record linked automatically3c7cfd8aaamatching_agent, ENR-130482, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-22 12:43:54Record linked automaticallyf9c76b7de4scoring_agent, PRV-26881, identity id MBR-011089, confidence 1, method probabilistic, matched record CLM-423320, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyf683b64856scoring_agent, TPA-60263, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:54:38Record linked automaticallye92c55cf0escoring_agent, CLM-423320, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:54:38Record linked automatically214bcb98cematching_agent, CLM-423321, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:54:38Record linked automatically79b355e4fematching_agent, ENR-130482, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:54:38Record linked automatically3a5cb254c9scoring_agent, PRV-26881, identity id MBR-011089, confidence 1, method probabilistic, matched record CLM-423320, policy version 1
- 2026-10-19 19:52:09Record linked automatically2df1511040scoring_agent, TPA-60263, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc7aa7aae2escoring_agent, CLM-423320, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:52:09Record linked automatically5d074f1e48matching_agent, CLM-423321, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:52:09Record linked automatically15d4b42df1matching_agent, ENR-130482, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:52:09Record linked automaticallyc8aff6ccfescoring_agent, PRV-26881, identity id MBR-011089, confidence 1, method probabilistic, matched record CLM-423320, policy version 1
- 2026-10-19 19:45:42Record linked automatically22b44c3ee3scoring_agent, TPA-60263, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:45:42Record linked automatically159fd58609scoring_agent, CLM-423320, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyd2ccace6d9matching_agent, CLM-423321, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:45:42Record linked automatically1deb79d2admatching_agent, ENR-130482, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:45:42Record linked automatically88f93550c6scoring_agent, PRV-26881, identity id MBR-011089, confidence 1, method probabilistic, matched record CLM-423320, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyec4117a32bscoring_agent, TPA-60263, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:32:31Record linked automaticallya418fe31d2scoring_agent, CLM-423320, identity id MBR-011089, confidence 1, method probabilistic, matched record PRV-26881, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyea8529f941matching_agent, CLM-423321, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:32:31Record linked automatically69bbdcbb19matching_agent, ENR-130482, identity id MBR-011089, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26881
- 2026-10-19 19:32:31Record linked automaticallye42d1cd586scoring_agent, PRV-26881, identity id MBR-011089, confidence 1, method probabilistic, matched record CLM-423320, policy version 1
- 2026-10-19 19:31:28Record linked automatically23e07e0970matching_agent, ENR-130482, identity id MBR-043968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130481
- 2026-10-19 19:31:28Record linked automatically75d20ae832scoring_agent, CLM-423321, identity id MBR-025757, confidence 1, method probabilistic, matched record ENR-130710, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyf9daa39d8ematching_agent, PRV-26881, identity id MBR-019057, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130770
- 2026-10-19 19:31:28Record linked automatically69b3518025scoring_agent, TPA-60263, identity id MBR-017985, confidence 0.92, method probabilistic, matched record ENR-130725, policy version 1
- 2026-10-19 19:31:28Record linked automatically348b723c3ascoring_agent, CLM-423320, identity id MBR-012771, confidence 1, method probabilistic, matched record CLM-423319, 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-2026-007875 | 2026-07-23 | Lakeside Physical Therapy in network | 97110 | $177.00 | $89.74 | Approved | Approved |
| CLM-2026-022096 | 2026-06-13 | Unity Counseling Center in network | 90834 | $182.00 | $72.84 | Approved | Approved |