Identities/MBR-028139

Gold, golden identity

Sophia I Ramirez

5 source records from 4 feeds.

MBR-028139Verified5 records

Golden record

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

First nameENR: Sophia
Middle nameENR: I
Last nameENR: Ramirez
Date of birthENR: 1974-07-12
GenderENR: F
Member IDENR: UHC-63528-88
SSNENR: •••-••-5733
PhoneENR: 7196681436
EmailENR: sophia.ramirez57@icloud.com
AddressENR: 1154 Indian School Rd
CityENR: Dallas
StateENR: TX
ZIPENR: 75285
GroupENR: GRP-7771
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×2ENR ×1TPA ×1PRV ×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
CLM-400008	CLM	2026-04-28	Sophia Ramirezflagged	1974-07-12	UHC-63528-88	7196681436	—	Scored	1.00	—
CLM-400007	CLM	2026-04-28	Sophia Ramirezflagged	1974-07-12	UHC-63528-88	7196681436	—	Scored	1.00	—
ENR-100018	ENR	2026-08-22	Sophia Ramirezflagged	1974-07-12	UHC-63528-88	7196681436	1154 Indian School Rd, Dallas, TX	Scored	1.00	—
TPA-50004	TPA	2026-08-23	Sophia Ramirezflagged	1974-07-12	—	7196681436	1154 Indian School Rd, Dallas, TX	Scored	1.00	—
PRV-20005	PRV	2026-08-26	Sophia Ramirezflagged	—	—	7196681436	—	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶ENR-100018ENRPRV-20005PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50004TPAPRV-20005PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight
Name	1.00	3
Phone	1.00	1.5
Email	1.00	1.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400008CLMTPA-50004TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400007CLMTPA-50004TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-100018ENRTPA-50004TPA1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400008CLMCLM-400007CLM0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400008CLMENR-100018ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400007CLMENR-100018ENR0.99RuleD1 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400008CLMPRV-20005PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶CLM-400007CLMPRV-20005PRV0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

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

2026-10-19 19:54:38Record linked automaticallye1fdf756ff
scoring_agent, PRV-20005, identity id MBR-028139, confidence 1, method probabilistic, matched record ENR-100018, policy version 1
2026-10-19 19:54:38Record linked automaticallyfd73dd2d2b
scoring_agent, TPA-50004, identity id MBR-028139, confidence 1, method probabilistic, matched record CLM-400008, policy version 1
2026-10-19 19:54:38Record linked automatically812c4acf62
scoring_agent, ENR-100018, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:54:38Record linked automaticallya4eeafbee2
scoring_agent, CLM-400007, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:54:38Record linked automatically2f3b768e28
scoring_agent, CLM-400008, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:52:09Record linked automatically2502d04d90
scoring_agent, PRV-20005, identity id MBR-028139, confidence 1, method probabilistic, matched record ENR-100018, policy version 1
2026-10-19 19:52:09Record linked automatically3f56146558
scoring_agent, TPA-50004, identity id MBR-028139, confidence 1, method probabilistic, matched record CLM-400008, policy version 1
2026-10-19 19:52:09Record linked automatically9853094566
scoring_agent, ENR-100018, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:52:09Record linked automaticallyfd078c57d6
scoring_agent, CLM-400007, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:52:09Record linked automatically877feaa42f
scoring_agent, CLM-400008, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:45:42Record linked automatically50ea6acf2c
scoring_agent, PRV-20005, identity id MBR-028139, confidence 1, method probabilistic, matched record ENR-100018, policy version 1
2026-10-19 19:45:42Record linked automatically57e7b30956
scoring_agent, TPA-50004, identity id MBR-028139, confidence 1, method probabilistic, matched record CLM-400008, policy version 1
2026-10-19 19:45:42Record linked automatically43315f6868
scoring_agent, ENR-100018, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:45:42Record linked automaticallyc7ea2178c4
scoring_agent, CLM-400007, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:45:42Record linked automatically2240449bc7
scoring_agent, CLM-400008, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:32:31Record linked automaticallycc053cd207
scoring_agent, PRV-20005, identity id MBR-028139, confidence 1, method probabilistic, matched record ENR-100018, policy version 1
2026-10-19 19:32:31Record linked automatically094ecdbf59
scoring_agent, TPA-50004, identity id MBR-028139, confidence 1, method probabilistic, matched record CLM-400008, policy version 1
2026-10-19 19:32:31Record linked automatically9c1ae1de6a
scoring_agent, ENR-100018, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:32:31Record linked automatically78a8e432a9
scoring_agent, CLM-400007, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:32:31Record linked automatically196cb6df5c
scoring_agent, CLM-400008, identity id MBR-028139, confidence 1, method probabilistic, matched record TPA-50004, policy version 1
2026-10-19 19:31:28Record linked automatically15f25f6385
matching_agent, ENR-100018, identity id MBR-014063, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400020
2026-10-19 19:31:28Record linked automatically4f36baccf4
scoring_agent, TPA-50004, identity id MBR-011392, confidence 1, method probabilistic, matched record PRV-20004, policy version 1
2026-10-19 19:31:28Record linked automatically734bc873a7
matching_agent, CLM-400007, identity id MBR-011392, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20004
2026-10-19 19:31:28Record linked automatically26c0c32fa6
scoring_agent, PRV-20005, identity id MBR-007645, confidence 0.99, method probabilistic, matched record TPA-50008, 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-2026-023432	2026-03-16	Unity Community Hospital in network	99285, 99283	$2,518.00	$1,034.90	Approved	Approved
CLM-2026-010595	2026-03-17	Unity Medical Group in network	99214, 99215	$615.00	$341.30	Approved	Approved