Identities/MBR-034474
Gold, golden identity

Virginia K Ramos

3 source records from 3 feeds.

MBR-034474Verified3 records

Golden record

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

First nameENR
Virginia
Middle nameENR
K
Last nameENR
Ramos
Date of birthENR
1989-04-27
GenderENR
M
Member IDENR
UHC-68765-49
SSN—
—
PhoneENR
9145286030
EmailENR
virginia.ramos29@outlook.com
AddressENR
1476 Indian School Rd
CityENR
San Diego
StateENR
CA
ZIPENR
92124
GroupENR
GRP-9685
PlanENR
OPTIONS-PPO
Min confidence
1.00
Sources
ENR ×1CLM ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.001.001.00ENRENR-138273CLMCLM-429176TPATPA-62899IDMBR-034474
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-138273ENR2026-06-11Virginia Ramosflagged1989-04-27UHC-68765-4991452860301476 Indian School Rd, San Diego, CAScored1.00—
CLM-429176CLM2026-08-27Virginia Ramosflagged1989-04-27—91452860301476 Indian School Rd, San Diego, CAScored1.00—
TPA-62899TPA2026-10-04Virginia Ramosflagged1989-04-27———Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-138273ENRCLM-429176CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138273ENRTPA-62899TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-429176CLMTPA-62899TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-429176 → UHC-68765-49 (Virginia Ramos)
    ACT-003202, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallyad86807e13
    scoring_agent, TPA-62899, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-22 12:43:55Record linked automaticallyd4981bec10
    scoring_agent, CLM-429176, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-22 12:43:55Record linked automatically26dcd3f822
    scoring_agent, ENR-138273, identity id MBR-034474, confidence 1, method probabilistic, matched record CLM-429176, policy version 1
  • 2026-10-19 19:54:39Record linked automatically4b61523edf
    scoring_agent, TPA-62899, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallybee7983d9b
    scoring_agent, CLM-429176, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallybb0340c286
    scoring_agent, ENR-138273, identity id MBR-034474, confidence 1, method probabilistic, matched record CLM-429176, policy version 1
  • 2026-10-19 19:52:09Record linked automatically578b25bed1
    scoring_agent, TPA-62899, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:52:09Record linked automatically49ffe05575
    scoring_agent, CLM-429176, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:52:09Record linked automatically56ede1547f
    scoring_agent, ENR-138273, identity id MBR-034474, confidence 1, method probabilistic, matched record CLM-429176, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyad06925085
    scoring_agent, TPA-62899, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyfa63755825
    scoring_agent, CLM-429176, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:45:42Record linked automatically61f328ca15
    scoring_agent, ENR-138273, identity id MBR-034474, confidence 1, method probabilistic, matched record CLM-429176, policy version 1
  • 2026-10-19 19:32:31Record linked automatically54c0ab6bae
    scoring_agent, TPA-62899, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4a5098b194
    scoring_agent, CLM-429176, identity id MBR-034474, confidence 1, method probabilistic, matched record ENR-138273, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf8eda3e72d
    scoring_agent, ENR-138273, identity id MBR-034474, confidence 1, method probabilistic, matched record CLM-429176, policy version 1
  • 2026-10-19 19:31:28Record linked automatically407ee32a23
    matching_agent, ENR-138273, identity id MBR-040163, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138274
  • 2026-10-19 19:31:28Record linked automaticallyab42cea0fc
    scoring_agent, TPA-62899, identity id MBR-013629, confidence 1, method probabilistic, matched record CLM-429409, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb7d38df0a5
    matching_agent, CLM-429176, identity id MBR-000550, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138536

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0070742026-08-03Desert Cardiovascular Associates
in network
93224$417.00$183.54ApprovedApproved