Identities/MBR-013368

Gold, golden identity

Diana Ramos

6 source records from 3 feeds.

MBR-013368Verified6 records

Golden record

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

First nameENR: Diana
Middle name—: —
Last nameENR: Ramos
Date of birthENR: 1994-10-07
GenderENR: M
Member IDENR: UHC-98291-09
SSNPRV: •••-••-5997
PhoneENR: 7007448006
EmailENR: diana.ramos78@yahoo.com
AddressPRV: 8705 Pine Dr
CityENR: Atlanta
StateENR: GA
ZIPENR: 30335
GroupENR: GRP-9409
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

PRV ×2CLM ×3ENR ×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
PRV-22048	PRV	2026-02-15	Diana Ramosflagged	1994-10-07	UHC-98291-09	7007448006	8705 Pine Dr, Atlanta, GA	Scored	1.00	—
CLM-406965	CLM	2026-02-27	Dinaa Ramosflagged	1994-10-07	UHC-98291-09	—	—	Rule	0.99	D1 member id + dob exact
ENR-109108	ENR	2026-05-06	Diana Ramosflagged	1994-10-07	UHC-98291-09	7007448006	8705 Pine Dr # 406, Atlanta, GA	Scored	1.00	—
CLM-406964	CLM	2026-06-01	Diana Ramosflagged	1994-10-07	UHC-98291-09	—	8705 Pine Dr, Atlanta, GA	Scored	1.00	—
PRV-22049	PRV	2026-09-30	Diana Ramosflagged	1994-10-07	—	—	8705 Pine Dr, Atlanta, GA	Scored	1.00	—
CLM-406963	CLM	2026-10-05	Diana Ramosflagged	1994-10-07	UHC-98291-09	7007448006	8705 Pine Dr, Atlanta, GA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-22049 PRVCLM-406963CLM1.00Scoredweighted 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

▶PRV-22048PRVPRV-22049 PRV1.00Scoredweighted 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

▶ENR-109108ENRPRV-22049 PRV1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-406964CLMPRV-22049 PRV1.00Scoredweighted 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

▶PRV-22048PRVCLM-406963CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406965CLMCLM-406963CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-109108ENRCLM-406963CLM0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406964CLMCLM-406963CLM0.99RuleD1 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

▶PRV-22048PRVCLM-406964CLM0.99RuleD1 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-406965CLMCLM-406964CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-109108ENRCLM-406964CLM0.99RuleD1 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

▶PRV-22048PRVCLM-406965CLM0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶PRV-22048PRVENR-109108ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-406965CLMENR-109108ENR0.99RuleD1 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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-406965CLMPRV-22049 PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.98	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Outreach address correctedProposed
Diana Ramos: 8705 Pine Dr # 406, Atlanta → 8705 Pine Dr, Atlanta
ACT-011710, Outreach

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically7406e5145e
scoring_agent, CLM-406963, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:54:38Record linked automaticallyed92cd1afe
scoring_agent, PRV-22049, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22048, policy version 1
2026-10-19 19:54:38Record linked automatically5c19efd9ef
scoring_agent, CLM-406964, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:54:38Record linked automatically15b9c69a82
scoring_agent, ENR-109108, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:54:38Record linked automatically0725f0764b
matching_agent, CLM-406965, identity id MBR-013368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22048
2026-10-19 19:54:38Record linked automatically2498d7d9cd
scoring_agent, PRV-22048, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:52:09Record linked automatically963bda7a60
scoring_agent, CLM-406963, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:52:09Record linked automatically2006ed40f3
scoring_agent, PRV-22049, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22048, policy version 1
2026-10-19 19:52:09Record linked automatically087a42af0d
scoring_agent, CLM-406964, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:52:09Record linked automaticallyf05d43cfc5
scoring_agent, ENR-109108, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:52:09Record linked automatically127052218b
matching_agent, CLM-406965, identity id MBR-013368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22048
2026-10-19 19:52:09Record linked automatically99fa897213
scoring_agent, PRV-22048, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:45:42Record linked automaticallyff5dbdf161
scoring_agent, CLM-406963, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:45:42Record linked automaticallyfc7456713d
scoring_agent, PRV-22049, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22048, policy version 1
2026-10-19 19:45:42Record linked automaticallya1c5d06195
scoring_agent, CLM-406964, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:45:42Record linked automatically33e3d5ae1a
scoring_agent, ENR-109108, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:45:42Record linked automatically980781bd01
matching_agent, CLM-406965, identity id MBR-013368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22048
2026-10-19 19:45:42Record linked automaticallyecf23ab5a5
scoring_agent, PRV-22048, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:32:31Record linked automatically0891595bae
scoring_agent, CLM-406963, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:32:31Record linked automaticallyc2399beea0
scoring_agent, PRV-22049, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22048, policy version 1
2026-10-19 19:32:31Record linked automaticallyc67650d7b7
scoring_agent, CLM-406964, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:32:31Record linked automatically33c9534161
scoring_agent, ENR-109108, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:32:31Record linked automatically5fae026042
matching_agent, CLM-406965, identity id MBR-013368, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22048
2026-10-19 19:32:31Record linked automatically472540d123
scoring_agent, PRV-22048, identity id MBR-013368, confidence 1, method probabilistic, matched record PRV-22049, policy version 1
2026-10-19 19:31:28Record linked automatically51cde1ed8a
matching_agent, PRV-22048, identity id MBR-038987, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-109034
2026-10-19 19:31:28Record linked automatically41e7c25f6f
matching_agent, CLM-406963, identity id MBR-031824, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-53096
2026-10-19 19:31:28Record linked automaticallycefd85123c
scoring_agent, ENR-109108, identity id MBR-027314, confidence 1, method probabilistic, matched record CLM-406936, policy version 1
2026-10-19 19:31:28Record linked automatically81e07dfd52
matching_agent, CLM-406964, identity id MBR-009692, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406966
2026-10-19 19:31:28Record linked automatically2cad8b1d4c
matching_agent, CLM-406965, identity id MBR-009692, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-406966
2026-10-19 19:31:28Record linked automatically6228d6495e
scoring_agent, PRV-22049, identity id MBR-000497, confidence 1, method probabilistic, matched record TPA-53063, 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-2026-004443	2026-09-15	Meadow Physical Therapy out of network	97110	$296.00	—	Denied	Denied
CLM-2026-012665	2026-05-09	Unity Digestive Health Center in network	88305	$210.00	$0.00	Approved	Approved
CLM-2026-029471	2026-01-22	Lakeside Clinical Laboratories in network	80061	$82.00	$0.00	Approved	Approved