Identities/MBR-023835
Gold, golden identity

Sofia Ramirez

3 source records from 2 feeds.

MBR-023835Verified3 records

Golden record

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

First nameENR
Sofia
Middle name—
—
Last nameENR
Ramirez
Date of birthENR
1976-11-13
GenderENR
M
Member IDENR
UHC-92206-23
SSNENR
•••-••-5440
PhoneENR
4826615372
EmailENR
sofia.ramirez@icloud.com
AddressCLM
8190 Camelback Rd
CityENR
Jacksonville
StateENR
FL
ZIPENR
32240
GroupENR
GRP-0445
PlanENR
MEDICARE-ADV-A
Min confidence
0.94
Sources
ENR ×1CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.941.00ENRENR-123639CLMCLM-417965CLMCLM-417966IDMBR-023835
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-123639ENR2026-04-03Sofia Ramirezflagged1976-11-13UHC-92206-2348266153728190 Camelback Rd Apt 37, Jacksonville, FLScored1.00—
CLM-417965CLM2026-08-08Sofia Ramirezflagged1976-11-13—48266153728190 Camelback Rd # 946, Jacksonville, FLScored0.94—
CLM-417966CLM2026-09-16Sofia Ramirezflagged1976-11-13——8190 Camelback Rd, Jacksonville, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-123639ENRCLM-417966CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-123639ENRCLM-417965CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-417965CLMCLM-417966CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-417965 → UHC-92206-23 (Sofia Ramirez)
    ACT-003407, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-417966 → UHC-92206-23 (Sofia Ramirez)
    ACT-009870, Claims processor
  • Outreach address correctedProposed
    Sofia Ramirez: 8190 Camelback Rd Apt 37, Jacksonville → 8190 Camelback Rd, Jacksonville
    ACT-012526, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyfd3735f96b
    scoring_agent, CLM-417966, identity id MBR-023835, confidence 1, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5b7a1fa7aa
    scoring_agent, CLM-417965, identity id MBR-023835, confidence 0.94, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4f91c7ee55
    scoring_agent, ENR-123639, identity id MBR-023835, confidence 1, method probabilistic, matched record CLM-417966, policy version 1
  • 2026-10-19 19:52:09Record linked automatically21a930645a
    scoring_agent, CLM-417966, identity id MBR-023835, confidence 1, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:52:09Record linked automatically58f7b0f640
    scoring_agent, CLM-417965, identity id MBR-023835, confidence 0.94, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb5f65b61e6
    scoring_agent, ENR-123639, identity id MBR-023835, confidence 1, method probabilistic, matched record CLM-417966, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5e157efe30
    scoring_agent, CLM-417966, identity id MBR-023835, confidence 1, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:45:42Record linked automatically64e71fc1b5
    scoring_agent, CLM-417965, identity id MBR-023835, confidence 0.94, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:45:42Record linked automatically7938a45461
    scoring_agent, ENR-123639, identity id MBR-023835, confidence 1, method probabilistic, matched record CLM-417966, policy version 1
  • 2026-10-19 19:32:31Record linked automatically58afde8dba
    scoring_agent, CLM-417966, identity id MBR-023835, confidence 1, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5c3db5a7ea
    scoring_agent, CLM-417965, identity id MBR-023835, confidence 0.94, method probabilistic, matched record ENR-123639, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd3eda6471d
    scoring_agent, ENR-123639, identity id MBR-023835, confidence 1, method probabilistic, matched record CLM-417966, policy version 1
  • 2026-10-19 19:31:28Record linked automatically09479e6ee5
    scoring_agent, CLM-417966, identity id MBR-035641, confidence 1, method probabilistic, matched record TPA-57856, policy version 1
  • 2026-10-19 19:31:28Record linked automatically98762e5cff
    scoring_agent, ENR-123639, identity id MBR-020021, confidence 1, method probabilistic, matched record PRV-25272, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf49c85209f
    matching_agent, CLM-417965, identity id MBR-000971, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123519

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0324962026-03-02Unity Diagnostic Imaging
in network
77067, 74177$2,034.00—DeniedDenied
CLM-2026-0078142026-07-07Sunrise Medical Group
in network
99214$204.00—Needs reviewNeeds review
CLM-2026-0078132026-07-07Sunrise Medical Group
in network
99214$204.00$106.48ApprovedApproved