Gold, golden identity
Cynthia Ortega
4 source records from 3 feeds.
MBR-002916Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Cynthia
- Middle name—
- —
- Last nameENR
- Ortega
- Date of birthENR
- 2002-07-08
- GenderPRV
- F
- Member IDENR
- UHC-54454-59
- SSNENR
- •••-••-9529
- PhoneENR
- 2574457724
- EmailCLM
- cynthia.ortega58@outlook.com
- AddressENR
- 3415 Canyon Rd
- CityENR
- Nashville
- StateENR
- TN
- ZIPENR
- 37299
- GroupENR
- GRP-8236
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.99
Sources
PRV ×1CLM ×2ENR ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| PRV-26761 | PRV | 2026-01-10 | Cynthia Oretgaflagged | 2002-07-08 | UHC-54454-59 | 2574457724 | 3415 Canyon Rd, Nashville, TN | Scored | 0.99 | — |
| CLM-422859 | CLM | 2026-08-09 | Cynthia Ortegaflagged | 2002-07-08 | UHC-54454-59 | 2574457724 | — | Scored | 1.00 | — |
| ENR-129900 | ENR | 2026-10-01 | Cynthia Ortegaflagged | 2002-07-08 | UHC-54454-59 | 2574457724 | 3415 Canyon Rd, Nashville, TN | Scored | 1.00 | — |
| CLM-422860 | CLM | 2026-10-02 | Cynthia Ortegaflagged | 2002-07-08 | — | 2574457724 | 3415 Canyon Rd, Nashville, TN | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-422859CLMCLM-422860CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-129900ENRCLM-422860CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-26761PRVCLM-422860CLM0.99Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-26761PRVCLM-422859CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶PRV-26761PRVENR-129900ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-422859CLMENR-129900ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Eligibility conflict resolvedProposedCynthia Ortega: 2 plan codes across sources → canonical MEDICARE-ADV-AACT-000143, Eligibility engine
- Orphan claim re-pointedExecutedCLM-422860 → UHC-54454-59 (Cynthia Ortega)ACT-002584, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically6594dbcb2fscoring_agent, CLM-422860, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422859, policy version 1
- 2026-10-19 19:54:38Record linked automatically4876fa9e23scoring_agent, ENR-129900, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:54:38Record linked automaticallycf77be06bascoring_agent, CLM-422859, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:54:38Record linked automatically489e717d12scoring_agent, PRV-26761, identity id MBR-002916, confidence 0.99, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:52:08Record linked automatically8e4c008629scoring_agent, CLM-422860, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422859, policy version 1
- 2026-10-19 19:52:08Record linked automatically7d5a80982cscoring_agent, ENR-129900, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:52:08Record linked automatically311bb031a1scoring_agent, CLM-422859, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:52:08Record linked automatically813f014e9fscoring_agent, PRV-26761, identity id MBR-002916, confidence 0.99, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyc07638f08fscoring_agent, CLM-422860, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422859, policy version 1
- 2026-10-19 19:45:41Record linked automatically7222d1c69fscoring_agent, ENR-129900, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyd4ceb2ab06scoring_agent, CLM-422859, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:45:41Record linked automatically98691e2261scoring_agent, PRV-26761, identity id MBR-002916, confidence 0.99, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:32:31Record linked automatically07b809faeascoring_agent, CLM-422860, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422859, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye92d151003scoring_agent, ENR-129900, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyd6b984d255scoring_agent, CLM-422859, identity id MBR-002916, confidence 1, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:32:31Record linked automatically64a11f37b3scoring_agent, PRV-26761, identity id MBR-002916, confidence 0.99, method probabilistic, matched record CLM-422860, policy version 1
- 2026-10-19 19:31:28Record linked automatically61fcf27b9dmatching_agent, CLM-422859, identity id MBR-044160, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-130097
- 2026-10-19 19:31:28Record linked automatically8080831facscoring_agent, CLM-422860, identity id MBR-011264, confidence 1.00, method probabilistic, matched record TPA-60052, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyfbf175f2cbscoring_agent, PRV-26761, identity id MBR-004162, confidence 1, method probabilistic, matched record CLM-422939, policy version 1
- 2026-10-19 19:31:28Record linked automatically4564a85034scoring_agent, ENR-129900, identity id MBR-003579, confidence 1, method probabilistic, matched record TPA-59982, 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-2026-004723 | 2026-09-13 | Northgate Cardiovascular Associates in network | 99214, 93224 | $570.00 | $303.40 | Approved | Approved |
| CLM-2026-018907 | 2026-08-06 | Harbor Clinical Laboratories in network | 80061, 87086 | $102.00 | $0.00 | Approved | Approved |