Identities/MBR-002916
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

0.991.001.001.00PRVPRV-26761CLMCLM-422859ENRENR-129900CLMCLM-422860IDMBR-002916
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

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
PRV-26761PRV2026-01-10Cynthia Oretgaflagged2002-07-08UHC-54454-5925744577243415 Canyon Rd, Nashville, TNScored0.99—
CLM-422859CLM2026-08-09Cynthia Ortegaflagged2002-07-08UHC-54454-592574457724—Scored1.00—
ENR-129900ENR2026-10-01Cynthia Ortegaflagged2002-07-08UHC-54454-5925744577243415 Canyon Rd, Nashville, TNScored1.00—
CLM-422860CLM2026-10-02Cynthia Ortegaflagged2002-07-08—25744577243415 Canyon Rd, Nashville, TNScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-422859CLMCLM-422860CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-129900ENRCLM-422860CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-26761PRVCLM-422860CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-26761PRVCLM-422859CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-26761PRVENR-129900ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-422859CLMENR-129900ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Cynthia Ortega: 2 plan codes across sources → canonical MEDICARE-ADV-A
    ACT-000143, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-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 automatically6594dbcb2f
    scoring_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 automatically4876fa9e23
    scoring_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 automaticallycf77be06ba
    scoring_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 automatically489e717d12
    scoring_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 automatically8e4c008629
    scoring_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 automatically7d5a80982c
    scoring_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 automatically311bb031a1
    scoring_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 automatically813f014e9f
    scoring_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 automaticallyc07638f08f
    scoring_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 automatically7222d1c69f
    scoring_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 automaticallyd4ceb2ab06
    scoring_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 automatically98691e2261
    scoring_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 automatically07b809faea
    scoring_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 automaticallye92d151003
    scoring_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 automaticallyd6b984d255
    scoring_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 automatically64a11f37b3
    scoring_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 automatically61fcf27b9d
    matching_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 automatically8080831fac
    scoring_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 automaticallyfbf175f2cb
    scoring_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 automatically4564a85034
    scoring_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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0047232026-09-13Northgate Cardiovascular Associates
in network
99214, 93224$570.00$303.40ApprovedApproved
CLM-2026-0189072026-08-06Harbor Clinical Laboratories
in network
80061, 87086$102.00$0.00ApprovedApproved