Gold, golden identity
Aan Ramos
2 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-24677 | PRV | 2026-07-26 | Aan Ramosflagged | 1999-04-02 | UHC-76630-85 | 7625368976 | 3586 Bayshore Dr, Chandler, AZ | Scored | 0.99 | — |
| CLM-415800 | CLM | 2026-09-17 | Alan Ramosflagged | 1999-04-02 | — | 7625368976 | 3586 Bayshore Dr, Chandler, AZ | Scored | 0.99 | — |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶PRV-24677PRVCLM-415800CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-415800 → UHC-76630-85 (Aan Ramos)ACT-005154, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:39Record linked automatically3de6e81bc3scoring_agent, CLM-415800, identity id MBR-039677, confidence 0.99, method probabilistic, matched record PRV-24677, policy version 1
- 2026-10-19 19:54:39Record linked automaticallyb3bcc4ca67scoring_agent, PRV-24677, identity id MBR-039677, confidence 0.99, method probabilistic, matched record CLM-415800, policy version 1
- 2026-10-19 19:52:09Record linked automatically7a022f9d2escoring_agent, CLM-415800, identity id MBR-039677, confidence 0.99, method probabilistic, matched record PRV-24677, policy version 1
- 2026-10-19 19:52:09Record linked automatically17830f4fa5scoring_agent, PRV-24677, identity id MBR-039677, confidence 0.99, method probabilistic, matched record CLM-415800, policy version 1
- 2026-10-19 19:45:42Record linked automatically73e75f5b67scoring_agent, CLM-415800, identity id MBR-039677, confidence 0.99, method probabilistic, matched record PRV-24677, policy version 1
- 2026-10-19 19:45:42Record linked automatically72d92b2e85scoring_agent, PRV-24677, identity id MBR-039677, confidence 0.99, method probabilistic, matched record CLM-415800, policy version 1
- 2026-10-19 19:32:31Record linked automatically5be7c76db5scoring_agent, CLM-415800, identity id MBR-039677, confidence 0.99, method probabilistic, matched record PRV-24677, policy version 1
- 2026-10-19 19:32:31Record linked automatically77c47972c1scoring_agent, PRV-24677, identity id MBR-039677, confidence 0.99, method probabilistic, matched record CLM-415800, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyab2d921c16scoring_agent, PRV-24677, identity id MBR-016840, confidence 1, method probabilistic, matched record PRV-24679, policy version 1
- 2026-10-19 19:31:28Record linked automatically26c188309bmatching_agent, CLM-415800, identity id MBR-009282, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-120687
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-2026-014456 | 2026-08-08 | Heritage Internal Medicine Associates in network | 80053 | $84.00 | — | Needs review | Needs review |
| CLM-2026-014455 | 2026-08-08 | Heritage Internal Medicine Associates in network | 80053 | $84.00 | $22.08 | Approved | Approved |