Identities/MBR-035738
Gold, golden identity

Mason Ramirez

4 source records from 3 feeds.

MBR-035738Verified4 records

Golden record

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

First nameENR
Mason
Middle name—
—
Last nameENR
Ramirez
Date of birthENR
1964-05-03
GenderENR
F
Member IDENR
UHC-58089-01
SSNENR
•••-••-0105
PhoneCLM
5135642570
EmailENR
mason.ramirez@gmail.com
AddressENR
3165 Spring St
CityENR
Fresno
StateENR
CA
ZIP—
—
GroupENR
GRP-7674
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.001.000.99CLMCLM-407487ENRENR-109813TPATPA-53282CLMCLM-407488IDMBR-035738
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-407487CLM2026-06-21Mason Ramirezflagged1964-05-03—51356425703165 Spring St, Fresno, CAScored1.00—
ENR-109813ENR2026-07-13Mason Ramirezflagged1964-05-03UHC-58089-01—3165 Spring St, Fresno, CAScored1.00—
TPA-53282TPA2026-07-29Mason Ramirezflagged1964-05-03——3165 Spring St, Fresno, CAScored1.00—
CLM-407488CLM2026-09-01Mason Ramirezflagged1964-05-03UHC-58089-01—3165 Spring St, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407487CLM TPA-53282TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-109813ENRTPA-53282TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-109813ENRCLM-407488CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407487CLM ENR-109813ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407487CLM CLM-407488CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-53282TPACLM-407488CLM0.93Scoredweighted 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-407487 → UHC-58089-01 (Mason Ramirez)
    ACT-008961, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:39Record linked automatically5f8d0e0ad7
    matching_agent, CLM-407488, identity id MBR-035738, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109813
  • 2026-10-19 19:54:39Record linked automatically2996fc8266
    scoring_agent, TPA-53282, identity id MBR-035738, confidence 1, method probabilistic, matched record CLM-407487, policy version 1
  • 2026-10-19 19:54:39Record linked automatically9c2639c0ba
    scoring_agent, ENR-109813, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyead1e67124
    scoring_agent, CLM-407487, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:52:09Record linked automatically998447f4b5
    matching_agent, CLM-407488, identity id MBR-035738, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109813
  • 2026-10-19 19:52:09Record linked automaticallyda9c2cb9b4
    scoring_agent, TPA-53282, identity id MBR-035738, confidence 1, method probabilistic, matched record CLM-407487, policy version 1
  • 2026-10-19 19:52:09Record linked automatically69e6b92cff
    scoring_agent, ENR-109813, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2c75edaf2f
    scoring_agent, CLM-407487, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc091832c14
    matching_agent, CLM-407488, identity id MBR-035738, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109813
  • 2026-10-19 19:45:42Record linked automaticallye74f983a44
    scoring_agent, TPA-53282, identity id MBR-035738, confidence 1, method probabilistic, matched record CLM-407487, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeeee23492a
    scoring_agent, ENR-109813, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd10f684057
    scoring_agent, CLM-407487, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyba5bb2088e
    matching_agent, CLM-407488, identity id MBR-035738, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-109813
  • 2026-10-19 19:32:31Record linked automaticallyeb3b2caf62
    scoring_agent, TPA-53282, identity id MBR-035738, confidence 1, method probabilistic, matched record CLM-407487, policy version 1
  • 2026-10-19 19:32:31Record linked automatically46a79d86d0
    scoring_agent, ENR-109813, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyea77ea336d
    scoring_agent, CLM-407487, identity id MBR-035738, confidence 1, method probabilistic, matched record TPA-53282, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf0ef32d049
    matching_agent, ENR-109813, identity id MBR-033400, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407501
  • 2026-10-19 19:31:28Record linked automaticallyc0e5168740
    scoring_agent, TPA-53282, identity id MBR-017627, confidence 1, method probabilistic, matched record TPA-53280, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc1252a0ff1
    matching_agent, CLM-407488, identity id MBR-010416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-407487
  • 2026-10-19 19:31:28Record linked automatically160bee98c3
    matching_agent, CLM-407487, identity id MBR-010416, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-22208

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0279992026-08-10Sunrise Behavioral Health
in network
90837, 90834, 90791$775.00—Needs reviewNeeds review
CLM-2026-0288482026-05-13Pinecrest Medical Group
in network
99232$184.00$0.00ApprovedApproved