Identities/MBR-011548

Gold, golden identity

Natalie L Ramos

5 source records from 3 feeds.

MBR-011548Verified5 records

Golden record

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

First nameENR: Natalie
Middle namePRV: L
Last nameENR: Ramos
Date of birthENR: 1987-04-27
GenderENR: M
Member IDENR: UHC-03397-06
SSNENR: •••-••-3756
PhoneENR: 2699171269
EmailPRV: natalie.ramos50@outlook.com
AddressPRV: 926 Spring St
CityPRV: Tempe
StatePRV: AZ
ZIP—: —
GroupENR: GRP-5866
PlanENR: NAVIGATE-HMO

Min confidence

0.93

Sources

CLM ×3PRV ×1ENR ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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-418616	CLM	2026-02-08	Natalie Ramosflagged	1987-04-27	—	2699171269	8649 Broadway, Seattle, WA	Scored	1.00	—
CLM-418617	CLM	2026-03-24	Nataile Ramosflagged	1987-04-27	UHC-03397-06	—	8649 Broadway, Seattle, WA	Scored	1.00	—
PRV-25523	PRV	2026-07-04	Natalie Ramosflagged	1987-04-27	—	—	926 Spring St, Tempe, AZ	Scored	0.93	—
ENR-124494	ENR	2026-09-10	Natalie Ramosflagged	1987-04-27	UHC-03397-06	2699171269	8649 Broadway, Seattle, WA	Scored	1.00	—
CLM-418618	CLM	2026-09-23	Natalie Ramosflagged	1987-04-27	UHC-03397-06	—	926 Spring St, 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

Score

Method

Rule

Decision

▶CLM-418616CLMENR-124494ENR1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418616CLMCLM-418617CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418617CLMCLM-418618CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-124494ENRCLM-418618CLM0.99RuleD1 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	0.00	2	different

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418617CLMENR-124494ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-25523PRVCLM-418618CLM0.93Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418616CLMCLM-418618CLM0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶PRV-25523PRVENR-124494ENR0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-418616CLMPRV-25523PRV0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-418617CLMPRV-25523PRV0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418616 → UHC-03397-06 (Natalie Ramos)
ACT-003212, Claims processor
Outreach address correctedProposed
Natalie Ramos: 8649 Broadway, Seattle → 926 Spring St, Tempe
ACT-011548, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically83de8095f8
matching_agent, CLM-418618, identity id MBR-011548, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418617
2026-10-19 19:54:38Record linked automatically5b3ea86fcb
scoring_agent, ENR-124494, identity id MBR-011548, confidence 1, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:54:38Record linked automaticallye09a3778d1
scoring_agent, PRV-25523, identity id MBR-011548, confidence 0.93, method probabilistic, matched record CLM-418618, policy version 1
2026-10-19 19:54:38Record linked automatically32900c8fad
scoring_agent, CLM-418617, identity id MBR-011548, confidence 1.00, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:54:38Record linked automatically10f1c5bef0
scoring_agent, CLM-418616, identity id MBR-011548, confidence 1, method probabilistic, matched record ENR-124494, policy version 1
2026-10-19 19:52:09Record linked automatically111dae57b2
matching_agent, CLM-418618, identity id MBR-011548, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418617
2026-10-19 19:52:09Record linked automatically7ab843b9a5
scoring_agent, ENR-124494, identity id MBR-011548, confidence 1, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:52:09Record linked automaticallyc00b63968d
scoring_agent, PRV-25523, identity id MBR-011548, confidence 0.93, method probabilistic, matched record CLM-418618, policy version 1
2026-10-19 19:52:09Record linked automatically7ba0d9f640
scoring_agent, CLM-418617, identity id MBR-011548, confidence 1.00, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:52:09Record linked automatically12380d6c70
scoring_agent, CLM-418616, identity id MBR-011548, confidence 1, method probabilistic, matched record ENR-124494, policy version 1
2026-10-19 19:45:42Record linked automaticallyb4aec5bce2
matching_agent, CLM-418618, identity id MBR-011548, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418617
2026-10-19 19:45:42Record linked automatically59f16bc887
scoring_agent, ENR-124494, identity id MBR-011548, confidence 1, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:45:42Record linked automatically6dc7332108
scoring_agent, PRV-25523, identity id MBR-011548, confidence 0.93, method probabilistic, matched record CLM-418618, policy version 1
2026-10-19 19:45:42Record linked automatically4a9bcbb79c
scoring_agent, CLM-418617, identity id MBR-011548, confidence 1.00, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:45:42Record linked automatically477ebf776e
scoring_agent, CLM-418616, identity id MBR-011548, confidence 1, method probabilistic, matched record ENR-124494, policy version 1
2026-10-19 19:32:31Record linked automatically620c10ce51
matching_agent, CLM-418618, identity id MBR-011548, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418617
2026-10-19 19:32:31Record linked automatically28db4ae2c7
scoring_agent, ENR-124494, identity id MBR-011548, confidence 1, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:32:31Record linked automatically8006f3ca50
scoring_agent, PRV-25523, identity id MBR-011548, confidence 0.93, method probabilistic, matched record CLM-418618, policy version 1
2026-10-19 19:32:31Record linked automaticallybe545e601b
scoring_agent, CLM-418617, identity id MBR-011548, confidence 1.00, method probabilistic, matched record CLM-418616, policy version 1
2026-10-19 19:32:31Record linked automatically4d6534397e
scoring_agent, CLM-418616, identity id MBR-011548, confidence 1, method probabilistic, matched record ENR-124494, policy version 1
2026-10-19 19:31:28Record linked automatically60f64a1392
matching_agent, CLM-418617, identity id MBR-029348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124347
2026-10-19 19:31:28Record linked automatically9f006bdfac
matching_agent, PRV-25523, identity id MBR-027921, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124775
2026-10-19 19:31:28Record linked automatically5b6330bc77
matching_agent, CLM-418618, identity id MBR-024613, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124348

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-016819	2026-09-11	Harbor Clinical Laboratories out of network	80061	$58.00	—	Denied	Denied
CLM-2026-034356	2026-03-20	Northgate Medical Group in network	99203, 99214, 99395	$743.00	$420.66	Approved	Approved
CLM-2026-007106	2026-01-10	Meadow Heart Institute in network	93458, 93015	$6,567.00	$1,757.85	Approved	Approved