James N Ortiz

3 source records from 2 feeds.

MBR-000676Verified3 records

Golden record

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

First nameENR: James
Middle nameENR: N
Last nameCLM: Ortiz
Date of birthCLM: 1940-06-28
GenderENR: F
Member IDENR: UHC-18976-70
SSNENR: •••-••-9750
PhoneENR: 5575874242
Email—: —
AddressENR: 7211 Desert Sky Blvd
CityENR: Phoenix
StateENR: AZ
ZIP—: —
GroupENR: GRP-9260
PlanENR: SELECT-EPO

Min confidence

0.96

Sources

CLM ×2ENR ×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-426130	CLM	2026-01-03	James Ortizflagged	1940-06-28	UHC-18976-70	—	—	Rule	0.97	D2 ssn4 + dob + last name
ENR-134234	ENR	2026-03-04	James Orizflagged	—	UHC-18976-70	5575874242	7211 Desert Sky Blvd, Phoenix, AZ	Rule	0.96	D3 member id + name
CLM-426129	CLM	2026-07-08	James Ortizflagged	1940-06-28	—	5575874242	7211 Desert Sky Blvd, Phoenix, AZ	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶CLM-426130 CLMCLM-426129CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-426130 CLMENR-134234ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight
Name	0.97	3
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-134234ENRCLM-426129CLM0.92Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-426129 → UHC-18976-70 (James Ortiz)
ACT-003268, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:52Record linked automaticallyc5a02649d4
matching_agent, CLM-426129, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426130
2026-10-22 12:43:52Record linked automaticallyf3857b3b89
matching_agent, ENR-134234, identity id MBR-000676, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426130
2026-10-22 12:43:52Record linked automaticallydfb0d97570
matching_agent, CLM-426130, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426129
2026-10-19 19:54:38Record linked automatically67c2627e2a
matching_agent, CLM-426129, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426130
2026-10-19 19:54:38Record linked automaticallyce6d141312
matching_agent, ENR-134234, identity id MBR-000676, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426130
2026-10-19 19:54:38Record linked automaticallybec350cf35
matching_agent, CLM-426130, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426129
2026-10-19 19:52:08Record linked automatically1838fb32a2
matching_agent, CLM-426129, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426130
2026-10-19 19:52:08Record linked automatically7287494e50
matching_agent, ENR-134234, identity id MBR-000676, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426130
2026-10-19 19:52:08Record linked automatically5553410c24
matching_agent, CLM-426130, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426129
2026-10-19 19:45:41Record linked automatically82d5f7ccbf
matching_agent, CLM-426129, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426130
2026-10-19 19:45:41Record linked automatically18157b47b7
matching_agent, ENR-134234, identity id MBR-000676, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426130
2026-10-19 19:45:41Record linked automaticallyb20a95a4a9
matching_agent, CLM-426130, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426129
2026-10-19 19:32:31Record linked automatically6182cd68d8
matching_agent, CLM-426129, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426130
2026-10-19 19:32:31Record linked automatically5deda05f3e
matching_agent, ENR-134234, identity id MBR-000676, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-426130
2026-10-19 19:32:31Record linked automatically76e3880d37
matching_agent, CLM-426130, identity id MBR-000676, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426129
2026-10-19 19:31:28Record linked automaticallyd8551734d6
matching_agent, ENR-134234, identity id MBR-022136, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-425927
2026-10-19 19:31:28Record linked automatically5fca5a2e3b
scoring_agent, CLM-426129, identity id MBR-018617, confidence 0.92, method probabilistic, matched record CLM-426128, policy version 1
2026-10-19 19:31:28Record linked automaticallyee15611e5e
matching_agent, CLM-426130, identity id MBR-014018, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-426132

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-2026-007322	2026-07-05	Valley Rehabilitation Center in network	97110, 97161	$459.00	$264.58	Approved	Approved
CLM-2026-004857	2025-12-09	Lakeside Medical Group in network	99213, 90471	$253.00	$136.86	Approved	Approved