Identities/MBR-011714
Gold, golden identity

Janice Z Ramos

4 source records from 3 feeds.

MBR-011714Verified4 records

Golden record

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

First nameENR
Janice
Middle nameENR
Z
Last nameENR
Ramos
Date of birthENR
1999-11-02
GenderENR
M
Member IDENR
UHC-65456-50
SSNCLM
•••-••-8624
PhoneENR
4708985083
EmailENR
janice.ramos@icloud.com
AddressENR
7210 Ocean Ave
CityENR
Atlanta
StateENR
GA
ZIPENR
30381
GroupENR
GRP-3895
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
TPA ×1CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.001.00TPATPA-57214CLMCLM-416444ENRENR-121598CLMCLM-416443IDMBR-011714
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
TPA-57214TPA2026-02-09Jaanice Ramosflagged1999-11-02—47089850837210 Ocean Ave, Atlanta, GAScored0.99—
CLM-416444CLM2026-07-13Janice Ramosflagged1999-11-02—47089850837210 Ocean Ave, Atlanta, GAScored1.00—
ENR-121598ENR2026-07-22Janice Ramosflagged1999-11-02UHC-65456-5047089850837210 Ocean Ave, Atlanta, GAScored1.00—
CLM-416443CLM2026-08-12Janice Ramosflagged1999-11-02—47089850837210 Ocean Ave, Atlanta, GAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-121598ENRCLM-416443CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416444CLMENR-121598ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57214TPACLM-416443CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57214TPACLM-416444CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-57214TPAENR-121598ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-416444CLMCLM-416443CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-416444 → UHC-65456-50 (Janice Ramos)
    ACT-005821, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-416443 → UHC-65456-50 (Janice Ramos)
    ACT-006784, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically2a780b77c1
    scoring_agent, CLM-416443, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyf6f593fb6c
    scoring_agent, ENR-121598, identity id MBR-011714, confidence 1, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:54:38Record linked automatically613131556e
    scoring_agent, CLM-416444, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya844cb7edc
    scoring_agent, TPA-57214, identity id MBR-011714, confidence 0.99, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3b8bea6825
    scoring_agent, CLM-416443, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1f80a0c237
    scoring_agent, ENR-121598, identity id MBR-011714, confidence 1, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc9efb0ebf5
    scoring_agent, CLM-416444, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye706427eb6
    scoring_agent, TPA-57214, identity id MBR-011714, confidence 0.99, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a0e7d942d
    scoring_agent, CLM-416443, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc0d88feae3
    scoring_agent, ENR-121598, identity id MBR-011714, confidence 1, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf905f0ce2d
    scoring_agent, CLM-416444, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallydb26d3f695
    scoring_agent, TPA-57214, identity id MBR-011714, confidence 0.99, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:32:31Record linked automatically40abe244f0
    scoring_agent, CLM-416443, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2abc0883a0
    scoring_agent, ENR-121598, identity id MBR-011714, confidence 1, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc9981a6a0c
    scoring_agent, CLM-416444, identity id MBR-011714, confidence 1, method probabilistic, matched record ENR-121598, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2d05ec7807
    scoring_agent, TPA-57214, identity id MBR-011714, confidence 0.99, method probabilistic, matched record CLM-416444, policy version 1
  • 2026-10-19 19:31:28Record linked automatically022820067e
    matching_agent, CLM-416444, identity id MBR-019383, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-121537
  • 2026-10-19 19:31:28Record linked automaticallybbcb0f6dbc
    scoring_agent, TPA-57214, identity id MBR-008225, confidence 1, method probabilistic, matched record TPA-57213, policy version 1
  • 2026-10-19 19:31:28Record linked automatically54cd9630f9
    scoring_agent, ENR-121598, identity id MBR-001953, confidence 1, method probabilistic, matched record TPA-57197, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0205252026-07-21Unity Physical Therapy
in network
97110, 97161$481.00$278.22ApprovedApproved
CLM-2026-0169132026-06-11Canyon Regional Medical Center
in network
99285$2,421.00$1,181.55ApprovedApproved