Janice Ramirez

4 source records from 3 feeds.

MBR-012717Verified4 records

Golden record

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

First namePRV: Janice
Middle name—: —
Last namePRV: Ramirez
Date of birthPRV: 1973-02-17
GenderPRV: M
Member IDPRV: UHC-60736-65
SSNPRV: •••-••-5284
PhonePRV: 2633376732
EmailPRV: janice.ramirez38@aol.com
AddressPRV: 4673 Sunset Blvd
CityPRV: Eden Prairie
StatePRV: MN
ZIP—: —
GroupCLM: GRP-4974
PlanCLM: MEDICARE-ADV-A

Min confidence

0.94

Sources

CLM ×1PRV ×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
CLM-403694	CLM	2026-02-13	Janice Ramirezflagged	1973-02-17	UHC-60736-65	—	4673 Sunset Blvd, Eden Prairie, MN	Rule	0.99	D1 member id + dob exact
PRV-21040	PRV	2026-02-21	Janice Ramirezflagged	1973-02-17	UHC-60736-65	2633376732	4673 Sunset Blvd, Eden Prairie, MN	Rule	0.99	D1 member id + dob exact
PRV-21039	PRV	2026-02-21	Janice Ramirezflagged	1973-02-17	UHC-60736-65	2633376732	4673 Sunset Blvd, Eden Prairie, MN	Rule	0.99	D1 member id + dob exact
TPA-51603	TPA	2026-07-12	Janice Ramirezflagged	1973-02-17	—	—	4673 Sunset Blvd, Eden Prairie, MN	Scored	0.94	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-403694CLMPRV-21039PRV0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21040PRVPRV-21039PRV0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-403694CLMPRV-21040PRV0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-21040PRVTPA-51603TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-21039PRVTPA-51603TPA0.94Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-403694CLMTPA-51603TPA0.93Scoredweighted 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

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automaticallye389437719
scoring_agent, TPA-51603, identity id MBR-012717, confidence 0.94, method probabilistic, matched record PRV-21040, policy version 1
2026-10-22 12:43:54Record linked automatically5cb4b7c67c
matching_agent, PRV-21039, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-22 12:43:54Record linked automatically32c9839009
matching_agent, PRV-21040, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-22 12:43:54Record linked automatically32228918da
matching_agent, CLM-403694, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21040
2026-10-19 19:54:38Record linked automaticallya6b46617c8
scoring_agent, TPA-51603, identity id MBR-012717, confidence 0.94, method probabilistic, matched record PRV-21040, policy version 1
2026-10-19 19:54:38Record linked automatically4089d2bfe0
matching_agent, PRV-21039, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:54:38Record linked automatically0967c6592d
matching_agent, PRV-21040, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:54:38Record linked automatically4e175962e9
matching_agent, CLM-403694, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21040
2026-10-19 19:52:09Record linked automaticallya8477cdab2
scoring_agent, TPA-51603, identity id MBR-012717, confidence 0.94, method probabilistic, matched record PRV-21040, policy version 1
2026-10-19 19:52:09Record linked automatically2aff477479
matching_agent, PRV-21039, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:52:09Record linked automatically0ac18f03f6
matching_agent, PRV-21040, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:52:09Record linked automatically5c058bf0bd
matching_agent, CLM-403694, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21040
2026-10-19 19:45:42Record linked automatically02bc6d187e
scoring_agent, TPA-51603, identity id MBR-012717, confidence 0.94, method probabilistic, matched record PRV-21040, policy version 1
2026-10-19 19:45:42Record linked automaticallya5533cc59d
matching_agent, PRV-21039, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:45:42Record linked automatically41f503dbbf
matching_agent, PRV-21040, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:45:42Record linked automatically1c2237f202
matching_agent, CLM-403694, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21040
2026-10-19 19:32:31Record linked automaticallyf232465d3b
scoring_agent, TPA-51603, identity id MBR-012717, confidence 0.94, method probabilistic, matched record PRV-21040, policy version 1
2026-10-19 19:32:31Record linked automaticallyf53e1bd6cf
matching_agent, PRV-21039, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:32:31Record linked automatically817cda9df1
matching_agent, PRV-21040, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-403694
2026-10-19 19:32:31Record linked automatically5501b4c977
matching_agent, CLM-403694, identity id MBR-012717, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-21040
2026-10-19 19:31:28Record linked automaticallyb37dfe45ce
scoring_agent, TPA-51603, identity id MBR-029334, confidence 1, method probabilistic, matched record PRV-21086, policy version 1
2026-10-19 19:31:28Record linked automatically87d9c97d74
scoring_agent, CLM-403694, identity id MBR-021803, confidence 1, method probabilistic, matched record TPA-51663, policy version 1
2026-10-19 19:31:28Record linked automatically753815a826
scoring_agent, PRV-21040, identity id MBR-005278, confidence 1, method probabilistic, matched record CLM-403426, policy version 1

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-2026-020411	2026-01-05	Riverside GI Associates in network	88305, 43239	$1,650.00	$0.00	Approved	Approved