Identities/MBR-022951
Gold, golden identity

Danielle Ramirez

5 source records from 3 feeds.

MBR-022951Verified5 records

Golden record

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

First nameENR
Danielle
Middle name—
—
Last nameENR
Ramirez
Date of birthENR
1954-01-10
GenderENR
F
Member IDENR
UHC-25825-42
SSNTPA
•••-••-2579
PhoneCLM
2959054328
EmailENR
danielle.ramirez@aol.com
AddressENR
9333 Lincoln Way
CityENR
Eden Prairie
StateENR
MN
ZIPENR
55363
GroupENR
GRP-6864
PlanENR
MEDICARE-ADV-A
Min confidence
0.96
Sources
CLM ×3TPA ×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

0.961.001.001.000.99CLMCLM-414403TPATPA-56359ENRENR-118959CLMCLM-414402CLMCLM-414401IDMBR-022951
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
CLM-414403CLM2026-03-30Danielle Ramirezflagged—UHC-25825-422959054328—Rule0.96D3 member id + name
TPA-56359TPA2026-04-11Danielle Ramirezflagged1954-01-10—29590543289333 Lincoln Way, Eden Prairie, MNScored1.00—
ENR-118959ENR2026-05-13Danielle Ramirezflagged1954-01-10UHC-25825-42—9333 Lincoln Way, Eden Prairie, MNScored1.00—
CLM-414402CLM2026-05-21Danielle Ramirezflagged1954-01-10—29590543289333 Lincoln Way, Eden Prairie, MNScored1.00—
CLM-414401CLM2026-10-07Danialle Ramirezflagged1954-01-10—29590543289333 Lincoln Way, Eden Prairie, MNScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-56359TPACLM-414402CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118959ENRCLM-414402CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56359TPAENR-118959ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-56359TPACLM-414401CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414402CLMCLM-414401CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-118959ENRCLM-414401CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414403CLMENR-118959ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414403CLMCLM-414401CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name0.973
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-414403CLMCLM-414402CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare
▶CLM-414403CLMTPA-56359TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414402 → UHC-25825-42 (Danielle Ramirez)
    ACT-002389, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414401 → UHC-25825-42 (Danielle Ramirez)
    ACT-005645, Claims processor
  • Care coordination outreachProposed
    Danielle Ramirez: 3 claims, no attributed provider
    ACT-019216, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically993cbb30a5
    scoring_agent, CLM-414401, identity id MBR-022951, confidence 0.99, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfec9f7ded6
    scoring_agent, CLM-414402, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:54:38Record linked automatically43ff0fa63d
    scoring_agent, ENR-118959, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:54:38Record linked automatically187e4da53c
    scoring_agent, TPA-56359, identity id MBR-022951, confidence 1, method probabilistic, matched record CLM-414402, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye73da74696
    matching_agent, CLM-414403, identity id MBR-022951, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118959
  • 2026-10-19 19:52:09Record linked automatically6c1af83ccd
    scoring_agent, CLM-414401, identity id MBR-022951, confidence 0.99, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:52:09Record linked automatically23858871c4
    scoring_agent, CLM-414402, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd13039ada5
    scoring_agent, ENR-118959, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:52:09Record linked automatically83251140cf
    scoring_agent, TPA-56359, identity id MBR-022951, confidence 1, method probabilistic, matched record CLM-414402, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye404624c28
    matching_agent, CLM-414403, identity id MBR-022951, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118959
  • 2026-10-19 19:45:42Record linked automatically38df4d67e9
    scoring_agent, CLM-414401, identity id MBR-022951, confidence 0.99, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyad5033142d
    scoring_agent, CLM-414402, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically75b7e2d043
    scoring_agent, ENR-118959, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:45:42Record linked automatically9b5b3edb86
    scoring_agent, TPA-56359, identity id MBR-022951, confidence 1, method probabilistic, matched record CLM-414402, policy version 1
  • 2026-10-19 19:45:42Record linked automatically70f3aa9b43
    matching_agent, CLM-414403, identity id MBR-022951, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118959
  • 2026-10-19 19:32:31Record linked automaticallybeded2dfff
    scoring_agent, CLM-414401, identity id MBR-022951, confidence 0.99, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfc2bdb5d99
    scoring_agent, CLM-414402, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2a0957d14d
    scoring_agent, ENR-118959, identity id MBR-022951, confidence 1, method probabilistic, matched record TPA-56359, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2818c3cd76
    scoring_agent, TPA-56359, identity id MBR-022951, confidence 1, method probabilistic, matched record CLM-414402, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc7102a2f27
    matching_agent, CLM-414403, identity id MBR-022951, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-118959
  • 2026-10-19 19:31:28Record linked automatically609fd84873
    matching_agent, TPA-56359, identity id MBR-039327, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119191
  • 2026-10-19 19:31:28Record linked automatically011e6b4a0d
    matching_agent, CLM-414401, identity id MBR-037724, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118880
  • 2026-10-19 19:31:28Record linked automatically6415e4acd6
    matching_agent, ENR-118959, identity id MBR-027441, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-414456
  • 2026-10-19 19:31:28Record linked automatically06d0be72b2
    scoring_agent, CLM-414403, identity id MBR-014179, confidence 0.94, method probabilistic, matched record ENR-118886, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5323084382
    scoring_agent, CLM-414402, identity id MBR-012027, confidence 1, method probabilistic, matched record ENR-118884, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0162662026-09-02Sunrise Internal Medicine Associates
in network
80053, 99215$347.00$185.14ApprovedApproved
CLM-2026-0039302026-05-17Cornerstone Internal Medicine Associates
in network
99232$177.00$0.00ApprovedApproved
CLM-2026-0337822026-03-06Meadow Reference Lab
in network
87086, 85025$104.00$0.00ApprovedApproved