Identities/MBR-000678

Gold, golden identity

Omar Ortiz

5 source records from 3 feeds.

MBR-000678Verified5 records

Golden record

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

First nameENR: Omar
Middle name—: —
Last nameENR: Ortiz
Date of birthENR: 1956-02-23
GenderENR: F
Member IDENR: UHC-62827-27
SSNENR: •••-••-9349
PhoneENR: 3804356776
EmailENR: omar.ortiz57@icloud.com
AddressENR: 2029 Ridge Rd
CityENR: Nashville
StateENR: TN
ZIPENR: 37239
GroupENR: GRP-5793
PlanENR: MEDICARE-ADV-B

Min confidence

1.00

Sources

ENR ×2TPA ×1CLM ×2

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
ENR-130497	ENR	2026-01-03	Omar Ortizflagged	1956-02-23	UHC-62827-27	3804356776	2029 Ridge Rd, Nashville, TN	Scored	1.00	—
TPA-60266	TPA	2026-01-04	Omar Ortizflagged	1956-02-23	—	—	2029 Ridge Rd, Nashville, TN	Scored	1.00	—
CLM-423328	CLM	2026-01-16	Omar Ortizflagged	1956-02-23	—	—	2029 Ridge Rd, Nashville, TN	Scored	1.00	—
ENR-130498	ENR	2026-03-10	Omar Ortizflagged	1956-02-23	UHC-62827-27	3804356776	2029 Ridge Rd, Nashville, TN	Scored	1.00	—
CLM-423329	CLM	2026-10-17	Omar Ortizflagged	1956-02-23	UHC-62827-27	—	2029 Ridge Rd, Nashville, TN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶TPA-60266TPACLM-423328CLM1.00Scoredweighted 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

▶TPA-60266TPACLM-423329CLM1.00Scoredweighted 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-423328CLMCLM-423329CLM1.00Scoredweighted 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

▶TPA-60266TPAENR-130498ENR1.00Scoredweighted 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-130497ENRTPA-60266TPA1.00Scoredweighted 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-130497ENRCLM-423329CLM0.99RuleD1 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

▶ENR-130498ENRCLM-423329CLM0.99RuleD1 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

▶ENR-130497ENRENR-130498ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶ENR-130497ENRCLM-423328CLM0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-423328CLMENR-130498ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Omar Ortiz: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000036, Eligibility engine
Orphan claim re-pointedExecuted
CLM-423328 → UHC-62827-27 (Omar Ortiz)
ACT-008631, Claims processor
Duplicate member record retiredExecuted
Omar Ortiz: 2 enrollment records collapsed into UHC-62827-27
ACT-021782, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb6690eb848
scoring_agent, CLM-423329, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:54:38Record linked automatically2f87c2c026
scoring_agent, ENR-130498, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:54:38Record linked automaticallyb0cfbe62d2
scoring_agent, CLM-423328, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:54:38Record linked automaticallyaf6c1f892f
scoring_agent, TPA-60266, identity id MBR-000678, confidence 1, method probabilistic, matched record ENR-130497, policy version 1
2026-10-19 19:54:38Record linked automaticallyec77946d3c
scoring_agent, ENR-130497, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:52:08Record linked automaticallyf5aaa5e0a2
scoring_agent, CLM-423329, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:52:08Record linked automatically0bc70c83e1
scoring_agent, ENR-130498, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:52:08Record linked automaticallya7ce3d8b08
scoring_agent, CLM-423328, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:52:08Record linked automatically5e9fb4ae01
scoring_agent, TPA-60266, identity id MBR-000678, confidence 1, method probabilistic, matched record ENR-130497, policy version 1
2026-10-19 19:52:08Record linked automatically791067e753
scoring_agent, ENR-130497, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:45:41Record linked automatically397afce4a7
scoring_agent, CLM-423329, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:45:41Record linked automatically0e1adc65cb
scoring_agent, ENR-130498, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:45:41Record linked automaticallyabc8e5e8b9
scoring_agent, CLM-423328, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:45:41Record linked automatically811701ba4e
scoring_agent, TPA-60266, identity id MBR-000678, confidence 1, method probabilistic, matched record ENR-130497, policy version 1
2026-10-19 19:45:41Record linked automaticallyd8daff61d0
scoring_agent, ENR-130497, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:32:31Record linked automaticallyc5b79c174f
scoring_agent, CLM-423329, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:32:31Record linked automatically0e6f1663a0
scoring_agent, ENR-130498, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:32:31Record linked automaticallybc032eb705
scoring_agent, CLM-423328, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:32:31Record linked automatically08126d2406
scoring_agent, TPA-60266, identity id MBR-000678, confidence 1, method probabilistic, matched record ENR-130497, policy version 1
2026-10-19 19:32:31Record linked automatically0543ab8436
scoring_agent, ENR-130497, identity id MBR-000678, confidence 1, method probabilistic, matched record TPA-60266, policy version 1
2026-10-19 19:31:28Record linked automatically9e04fb5a23
matching_agent, CLM-423328, identity id MBR-025477, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26872
2026-10-19 19:31:28Record linked automatically861c9c897e
matching_agent, ENR-130497, identity id MBR-021721, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130496
2026-10-19 19:31:28Record linked automatically2eb2cb8268
scoring_agent, ENR-130498, identity id MBR-021055, confidence 1, method probabilistic, matched record TPA-60183, policy version 1
2026-10-19 19:31:28Record linked automatically4cdcb55e98
scoring_agent, TPA-60266, identity id MBR-009549, confidence 1, method probabilistic, matched record TPA-60267, policy version 1
2026-10-19 19:31:28Record linked automaticallyee10c29e1d
scoring_agent, CLM-423329, identity id MBR-001333, confidence 1, method probabilistic, matched record TPA-60260, policy version 1

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-2026-034428	2026-09-27	Evergreen Family Practice in network	99395, 99214	$433.00	$243.46	Approved	Approved
CLM-2026-027622	2025-12-16	Unity Digestive Health Center in network	43239	$1,978.00	$596.52	Approved	Approved