Ana Ortega

4 source records from 3 feeds.

MBR-002978Verified4 records

Golden record

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

First nameENR: Ana
Middle name—: —
Last nameENR: Ortega
Date of birthENR: 1951-06-23
GenderPRV: M
Member IDENR: UHC-19282-90
SSNCLM: •••-••-8980
PhoneENR: 7299707135
EmailENR: ana.ortega@yahoo.com
AddressENR: 2539 Palm Dr
CityENR: Scottsdale
StateENR: AZ
ZIPENR: 85230
GroupENR: GRP-5033
PlanENR: CHOICE-PLUS-PPO

Min confidence

1.00

Sources

PRV ×2ENR ×1CLM ×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-22370	PRV	2026-01-10	Ana Ortegaflagged	1951-06-23	UHC-19282-90	7299707135	2539 Palm Dr, Scottsdale, AZ	Scored	1.00	—
ENR-110579	ENR	2026-04-10	Ana Ortegaflagged	1951-06-23	UHC-19282-90	7299707135	2539 Palm Dr, Scottsdale, AZ	Scored	1.00	—
CLM-408014	CLM	2026-07-30	Ana Ortegaflagged	1951-06-23	UHC-19282-90	—	2539 Palm Dr, Scottsdale, AZ	Scored	1.00	—
PRV-22369	PRV	2026-09-24	Ana Ortegaflagged	1951-06-23	—	7299707135	2539 Palm Dr, Scottsdale, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-22370PRVPRV-22369PRV1.00Scoredweighted 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

▶ENR-110579ENRPRV-22369PRV1.00Scoredweighted 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-408014CLM PRV-22369PRV1.00Scoredweighted 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

▶PRV-22370PRVCLM-408014CLM 0.99RuleD1 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-110579ENRCLM-408014CLM 0.99RuleD1 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

▶PRV-22370PRVENR-110579ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Ana Ortega: 2 plan codes across sources → canonical CHOICE-PLUS-PPO
ACT-000148, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically0987d83b55
scoring_agent, PRV-22369, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22370, policy version 1
2026-10-19 19:54:38Record linked automatically327cb42505
scoring_agent, CLM-408014, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:54:38Record linked automatically215f58dc1e
scoring_agent, ENR-110579, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:54:38Record linked automatically34ccd1a34c
scoring_agent, PRV-22370, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:52:08Record linked automatically426301d06d
scoring_agent, PRV-22369, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22370, policy version 1
2026-10-19 19:52:08Record linked automaticallyb460d1916b
scoring_agent, CLM-408014, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:52:08Record linked automaticallya33930da80
scoring_agent, ENR-110579, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:52:08Record linked automatically07d1f863e4
scoring_agent, PRV-22370, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:45:41Record linked automatically5102deed52
scoring_agent, PRV-22369, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22370, policy version 1
2026-10-19 19:45:41Record linked automatically56ac03be06
scoring_agent, CLM-408014, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:45:41Record linked automatically159d2b2b71
scoring_agent, ENR-110579, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:45:41Record linked automaticallyc8376baf9b
scoring_agent, PRV-22370, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:32:31Record linked automatically1a0e4486d3
scoring_agent, PRV-22369, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22370, policy version 1
2026-10-19 19:32:31Record linked automatically026a0d5c30
scoring_agent, CLM-408014, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:32:31Record linked automatically6cc872a612
scoring_agent, ENR-110579, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:32:31Record linked automatically339985a16f
scoring_agent, PRV-22370, identity id MBR-002978, confidence 1, method probabilistic, matched record PRV-22369, policy version 1
2026-10-19 19:31:28Record linked automaticallyadb026171b
matching_agent, PRV-22369, identity id MBR-038960, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110545
2026-10-19 19:31:28Record linked automatically484f41ecc8
scoring_agent, CLM-408014, identity id MBR-012364, confidence 1, method probabilistic, matched record CLM-408015, policy version 1
2026-10-19 19:31:28Record linked automaticallybecc3b738f
scoring_agent, PRV-22370, identity id MBR-001565, confidence 1, method probabilistic, matched record TPA-53525, policy version 1

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-2026-017307	2026-07-03	Heritage Orthopedic Specialists in network	99213, 20610	$493.00	—	Needs review	Needs review