Identities/MBR-015271
Gold, golden identity

Billy N Ramirez

6 source records from 2 feeds.

MBR-015271Verified6 records

Golden record

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

First nameENR
Billy
Middle nameENR
N
Last nameENR
Ramirez
Date of birthENR
1964-04-15
GenderENR
F
Member IDENR
UHC-43295-81
SSNENR
•••-••-6323
PhoneENR
9705343969
EmailENR
billy.ramirez@icloud.com
AddressENR
773 Union St
CityENR
Charlotte
StateENR
NC
ZIPENR
28213
GroupENR
GRP-7635
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×2CLM ×4
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.991.001.000.990.990.99ENRENR-127201CLMCLM-420684CLMCLM-420682CLMCLM-420681CLMCLM-420683ENRENR-127200IDMBR-015271
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
ENR-127201ENR2026-02-23Billy Ramirezflagged1964-04-15UHC-43295-81—773 Union St, Charlotte, NCRule0.99D1 member id + dob exact
CLM-420684CLM2026-04-20Billy Ramirezflagged1964-04-15UHC-43295-819705343969773 Union St, Charlotte, NCScored1.00—
CLM-420682CLM2026-06-04Billy Ramirezflagged1964-04-15——773 Union St, Charlotte, NCScored1.00—
CLM-420681CLM2026-06-07Billy Ramirezflagged1964-04-15UHC-43295-81—773 Union St, Charlotte, NCRule0.99D1 member id + dob exact
CLM-420683CLM2026-09-15Billy Ramirezflagged1964-04-15UHC-43295-81—773 Union St, Charlotte, NCRule0.99D1 member id + dob exact
ENR-127200ENR2026-10-01Billy Ramirezflagged1964-04-15UHC-43295-819705343969773 Union St, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-420684CLMCLM-420682CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-127201ENRCLM-420681CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-420684CLMCLM-420681CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-127201ENRCLM-420683CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-420684CLMCLM-420683CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420681CLMCLM-420683CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-127201ENRCLM-420684CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-127201ENRENR-127200ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-420684CLMENR-127200ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-420681CLMENR-127200ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-420683CLMENR-127200ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-420682CLMCLM-420681CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-127201ENRCLM-420682CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420682CLMCLM-420683CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-420682CLMENR-127200ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Billy Ramirez: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000656, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-420682 → UHC-43295-81 (Billy Ramirez)
    ACT-008953, Claims processor
  • Care coordination outreachProposed
    Billy Ramirez: 4 claims, no attributed provider
    ACT-018842, Next-best-action
  • Duplicate member record retiredExecuted
    Billy Ramirez: 2 enrollment records collapsed into UHC-43295-81
    ACT-023981, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically47f6f35ac7
    matching_agent, ENR-127200, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:54:38Record linked automatically7fbc2e0a8e
    matching_agent, CLM-420683, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:54:38Record linked automatically3a56c1ff22
    matching_agent, CLM-420681, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:54:38Record linked automatically5d6830a32b
    scoring_agent, CLM-420682, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420684, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9a30047a37
    scoring_agent, CLM-420684, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420682, policy version 1
  • 2026-10-19 19:54:38Record linked automatically881bc911e6
    matching_agent, ENR-127201, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420684
  • 2026-10-19 19:52:09Record linked automaticallyd0ce25537d
    matching_agent, ENR-127200, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:52:09Record linked automaticallyc40a42be70
    matching_agent, CLM-420683, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:52:09Record linked automatically4b432d597a
    matching_agent, CLM-420681, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:52:09Record linked automatically34deadd7da
    scoring_agent, CLM-420682, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420684, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf5c1469674
    scoring_agent, CLM-420684, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420682, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7ffca446a4
    matching_agent, ENR-127201, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420684
  • 2026-10-19 19:45:42Record linked automatically3d5b0fdb3d
    matching_agent, ENR-127200, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:45:42Record linked automaticallyab7e7159b5
    matching_agent, CLM-420683, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:45:42Record linked automatically53fad19411
    matching_agent, CLM-420681, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:45:42Record linked automatically2a84b3e818
    scoring_agent, CLM-420682, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420684, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeec48e44ac
    scoring_agent, CLM-420684, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420682, policy version 1
  • 2026-10-19 19:45:42Record linked automatically1a452956e1
    matching_agent, ENR-127201, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420684
  • 2026-10-19 19:32:31Record linked automaticallyd8aa947517
    matching_agent, ENR-127200, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:32:31Record linked automatically5fee0336bb
    matching_agent, CLM-420683, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:32:31Record linked automatically6b64703277
    matching_agent, CLM-420681, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127201
  • 2026-10-19 19:32:31Record linked automaticallybc7361df57
    scoring_agent, CLM-420682, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420684, policy version 1
  • 2026-10-19 19:32:31Record linked automatically405dd4626f
    scoring_agent, CLM-420684, identity id MBR-015271, confidence 1, method probabilistic, matched record CLM-420682, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9f2fc5590f
    matching_agent, ENR-127201, identity id MBR-015271, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420684
  • 2026-10-19 19:31:28Record linked automatically880817ca14
    matching_agent, CLM-420684, identity id MBR-031571, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127167
  • 2026-10-19 19:31:28Record linked automatically0cbedf9296
    scoring_agent, CLM-420681, identity id MBR-012440, confidence 1, method probabilistic, matched record CLM-420683, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7a3d752b9e
    matching_agent, CLM-420682, identity id MBR-012440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127164
  • 2026-10-19 19:31:28Record linked automatically69aa6ab97f
    scoring_agent, CLM-420683, identity id MBR-012440, confidence 1, method probabilistic, matched record ENR-127164, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya42eca8e4c
    scoring_agent, ENR-127201, identity id MBR-006291, confidence 1.00, method probabilistic, matched record TPA-59031, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0313072026-08-07Sunrise Medical Group
in network
80053$79.00$23.98ApprovedApproved
CLM-2026-0054732026-05-08Lakeside Dermatology Clinic
in network
17110$197.00$82.14ApprovedApproved
CLM-2026-0288162026-04-27Summit Imaging Center
in network
70553, 74177, 77067$4,412.00$1,479.79ApprovedApproved
CLM-2026-0022942026-03-17Northgate Medical Group
in network
99213, 36415, 99203$341.00$186.42ApprovedApproved