Gold, golden identity
Michelle Ramos
3 source records from 2 feeds.
MBR-032088Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Michelle
- Middle name—
- —
- Last namePRV
- Ramos
- Date of birthPRV
- 1976-07-08
- GenderPRV
- M
- Member IDPRV
- UHC-95677-22
- SSNCLM
- •••-••-1569
- PhonePRV
- 5908119462
- Email—
- —
- AddressPRV
- 7537 Park Pl
- CityPRV
- Charlotte
- StatePRV
- NC
- ZIPPRV
- 28246
- GroupCLM
- GRP-4146
- PlanCLM
- OPTIONS-PPO
Min confidence
0.99
Sources
CLM ×2PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-432207 | CLM | 2026-05-24 | Michelle Ramosflagged | 1976-07-08 | UHC-95677-22 | — | 7537 Park Pl, Charlotte, NC | Rule | 0.99 | D1 member id + dob exact |
| PRV-29413 | PRV | 2026-05-28 | Michelle Ramosflagged | 1976-07-08 | UHC-95677-22 | 5908119462 | 7537 Park Pl, Charlotte, NC | Rule | 0.99 | D1 member id + dob exact |
| CLM-432208 | CLM | 2026-08-23 | Michelle Ramosflagged | 1976-07-08 | UHC-95677-22 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-432207CLMCLM-432208CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶PRV-29413PRV CLM-432208CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-432207CLMPRV-29413PRV 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
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
- 2026-10-22 12:43:54Record linked automatically9b990a6cf0matching_agent, CLM-432208, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-22 12:43:54Record linked automatically71cae96aadmatching_agent, PRV-29413, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-22 12:43:54Record linked automaticallyf8ab190edfmatching_agent, CLM-432207, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29413
- 2026-10-19 19:54:38Record linked automaticallyea4bd7e4c7matching_agent, CLM-432208, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:54:38Record linked automaticallyee528596a5matching_agent, PRV-29413, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:54:38Record linked automatically27f0631d59matching_agent, CLM-432207, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29413
- 2026-10-19 19:52:09Record linked automatically6783a2c02amatching_agent, CLM-432208, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:52:09Record linked automatically42e7dd08b1matching_agent, PRV-29413, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:52:09Record linked automatically12faec51fbmatching_agent, CLM-432207, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29413
- 2026-10-19 19:45:42Record linked automaticallya485fb1e58matching_agent, CLM-432208, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:45:42Record linked automatically3b7094ac6ematching_agent, PRV-29413, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:45:42Record linked automatically0ebcf47396matching_agent, CLM-432207, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29413
- 2026-10-19 19:32:31Record linked automaticallye02ee69048matching_agent, CLM-432208, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:32:31Record linked automatically8a0ca1d50bmatching_agent, PRV-29413, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432207
- 2026-10-19 19:32:31Record linked automaticallya964d430d2matching_agent, CLM-432207, identity id MBR-032088, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29413
- 2026-10-19 19:31:28Record linked automatically9f5b7b4bd2scoring_agent, CLM-432207, identity id MBR-034329, confidence 1, method probabilistic, matched record ENR-142453, policy version 1
- 2026-10-19 19:31:28Record linked automatically1b58d29070matching_agent, PRV-29413, identity id MBR-008743, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142578
Claims for this member
Claims attached through the identity graph; holds follow open steward cases automatically
| Claim | Service | Provider | Procedures | Billed | Plan paid | Rules | Status |
|---|---|---|---|---|---|---|---|
| CLM-2026-033229 | 2026-07-15 | Sunrise Cardiovascular Associates in network | 70553 | $2,905.00 | — | Needs review | Needs review |
| CLM-2026-023625 | 2026-05-21 | Evergreen Counseling Center in network | 90791, 90837, 90834 | $779.00 | $442.98 | Approved | Approved |