Alice T Ortiz

4 source records from 2 feeds.

MBR-000574Verified4 recordsOpen steward case

Golden record

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

First nameENR: Alice
Middle nameCLM: T
Last nameENR: Ortiz
Date of birthENR: 1971-04-13
GenderENR: F
Member IDENR: UHC-15710-14
SSNENR: •••-••-8516
PhoneENR: 6908508979
EmailENR: alice.ortiz24@hotmail.com
AddressENR: 152 Maple Ave
CityENR: Seattle
StateENR: WA
ZIPENR: 98195
GroupENR: GRP-4059
PlanENR: MEDICARE-ADV-A

Min confidence

1.00

Sources

CLM ×3ENR ×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-431267	CLM	2026-01-02	Alice Ortizflagged	1971-04-13	—	6908508979	152 Maple Ave, Seattle, WA	Scored	1.00	—
CLM-431270	CLM	2026-04-06	Alice Ortizflagged	1971-04-13	UHC-15710-14	—	152 Maple Ave, Seattle, WA	Scored	1.00	—
ENR-141059	ENR	2026-04-18	Alice Ortizflagged	1971-04-13	UHC-15710-14	6908508979	152 Maple Ave, Seattle, WA	Scored	1.00	—
CLM-431268	CLM	2026-06-28	Alice Ortizflagged	1971-04-13	—	6908508979	152 Maple Ave, Seattle, WA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-431267CLMCLM-431268CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431270CLMCLM-431268CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-141059ENRCLM-431268CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431267CLMCLM-431270CLM1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-431267CLMENR-141059ENR1.00Scoredweighted similarityAuto-linked

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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-431270CLMENR-141059ENR0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-431268 → UHC-15710-14 (Alice Ortiz)
ACT-002585, Claims processor
Orphan claim re-pointedExecuted
CLM-431267 → UHC-15710-14 (Alice Ortiz)
ACT-006774, Claims processor
Care coordination outreachProposed
Alice Ortiz: 3 claims, no attributed provider
ACT-017807, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyd43d91d414
scoring_agent, CLM-431268, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:54:38Record linked automaticallyfb15338f5a
scoring_agent, ENR-141059, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:54:38Record linked automatically80de9b41d1
scoring_agent, CLM-431270, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:54:38Record linked automatically3183197dd0
scoring_agent, CLM-431267, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431270, policy version 1
2026-10-19 19:52:08Record linked automatically561e687692
scoring_agent, CLM-431268, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:52:08Record linked automaticallyaa2a596d7b
scoring_agent, ENR-141059, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:52:08Record linked automatically5ad8f09ee3
scoring_agent, CLM-431270, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:52:08Record linked automatically1dcbc68647
scoring_agent, CLM-431267, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431270, policy version 1
2026-10-19 19:45:41Record linked automaticallyc56b671be8
scoring_agent, CLM-431268, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:45:41Record linked automatically99ac0f96ae
scoring_agent, ENR-141059, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:45:41Record linked automatically74d347cddb
scoring_agent, CLM-431270, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:45:41Record linked automaticallya2232d6869
scoring_agent, CLM-431267, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431270, policy version 1
2026-10-19 19:32:31Record linked automaticallyf51c47c04f
scoring_agent, CLM-431268, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:32:31Record linked automatically20d333660d
scoring_agent, ENR-141059, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:32:31Record linked automaticallye620906315
scoring_agent, CLM-431270, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431267, policy version 1
2026-10-19 19:32:31Record linked automaticallya78c6af10c
scoring_agent, CLM-431267, identity id MBR-000574, confidence 1, method probabilistic, matched record CLM-431270, policy version 1
2026-10-19 19:31:28Record linked automaticallyfb8eb5d83c
matching_agent, CLM-431267, identity id MBR-015615, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141251
2026-10-19 19:31:28Record linked automaticallyc99c04b04c
matching_agent, CLM-431268, identity id MBR-011210, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431269
2026-10-19 19:31:28Record linked automatically392518f5c4
matching_agent, CLM-431270, identity id MBR-009939, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141263
2026-10-19 19:31:28Record linked automatically47693f581a
matching_agent, ENR-141059, identity id MBR-009025, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431133

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-2026-004737	2026-06-08	Meadow Primary Care Associates in network	99214, 36415, 90471	$306.00	$149.72	Approved	Approved
CLM-2026-007436	2026-04-04	Sunrise Diabetes Center in network	83036	$45.00	$0.00	Approved	Approved
CLM-2026-020480	2025-12-22	Unity Imaging Center out of network	77067	$416.00	$0.00	Approved	Approved