Gold, golden identity
Valentina Q Ortiz
4 source records from 3 feeds.
MBR-003130Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Valentina
- Middle nameENR
- Q
- Last nameENR
- Ortiz
- Date of birthENR
- 1953-05-05
- GenderENR
- M
- Member IDENR
- UHC-17863-08
- SSNENR
- •••-••-7905
- PhonePRV
- 5086820139
- EmailENR
- valentina.ortiz42@icloud.com
- AddressCLM
- 6321 Mesa Dr
- CityCLM
- Nashville
- StateCLM
- TN
- ZIPCLM
- 37256
- GroupENR
- GRP-3889
- PlanENR
- MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-411991 | CLM | 2026-01-10 | Valentina Ortizflagged | 1953-05-05 | — | 5086820139 | 6321 Mesa Dr, Nashville, TN | Scored | 1.00 | — |
| ENR-115789 | ENR | 2026-04-11 | Valentina Ortizflagged | 1953-05-05 | UHC-17863-08 | — | 9809 Valley View Dr, Phoenix, AZ | Rule | 0.99 | D1 member id + dob exact |
| PRV-23464 | PRV | 2026-04-19 | Valentina Ortizflagged | 1953-05-05 | — | 5086820139 | — | Scored | 1.00 | — |
| CLM-411992 | CLM | 2026-06-06 | Valentina Ortizflagged | 1953-05-05 | UHC-17863-08 | — | 6321 Mesa Dr, 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-411991CLMCLM-411992CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-411991CLMPRV-23464PRV1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶ENR-115789ENRCLM-411992CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-411991CLMENR-115789ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶PRV-23464PRVCLM-411992CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶ENR-115789ENRPRV-23464PRV0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-411991 → UHC-17863-08 (Valentina Ortiz)ACT-006255, Claims processor
- Outreach address correctedProposedValentina Ortiz: 9809 Valley View Dr, Phoenix → 6321 Mesa Dr, NashvilleACT-010748, Outreach
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically5d3e532965scoring_agent, CLM-411992, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:54:38Record linked automatically95db4260a8scoring_agent, PRV-23464, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:54:38Record linked automatically50911e5ecamatching_agent, ENR-115789, identity id MBR-003130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411992
- 2026-10-19 19:54:38Record linked automatically2141067eb5scoring_agent, CLM-411991, identity id MBR-003130, confidence 1, method probabilistic, matched record PRV-23464, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyfcaa12833bscoring_agent, CLM-411992, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:52:08Record linked automaticallydd2b4ac800scoring_agent, PRV-23464, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:52:08Record linked automaticallyd538fa5dd2matching_agent, ENR-115789, identity id MBR-003130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411992
- 2026-10-19 19:52:08Record linked automaticallyad43c36503scoring_agent, CLM-411991, identity id MBR-003130, confidence 1, method probabilistic, matched record PRV-23464, policy version 1
- 2026-10-19 19:45:41Record linked automaticallyef2a6b0cdbscoring_agent, CLM-411992, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:45:41Record linked automaticallya1d11f1a08scoring_agent, PRV-23464, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:45:41Record linked automatically5d0b927235matching_agent, ENR-115789, identity id MBR-003130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411992
- 2026-10-19 19:45:41Record linked automatically01610b1886scoring_agent, CLM-411991, identity id MBR-003130, confidence 1, method probabilistic, matched record PRV-23464, policy version 1
- 2026-10-19 19:32:31Record linked automatically20c97d1037scoring_agent, CLM-411992, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:32:31Record linked automaticallycb40570aa3scoring_agent, PRV-23464, identity id MBR-003130, confidence 1, method probabilistic, matched record CLM-411991, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyfb78ccd135matching_agent, ENR-115789, identity id MBR-003130, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411992
- 2026-10-19 19:32:31Record linked automaticallyb1a605d0f1scoring_agent, CLM-411991, identity id MBR-003130, confidence 1, method probabilistic, matched record PRV-23464, policy version 1
- 2026-10-19 19:31:28Record linked automatically118064805amatching_agent, CLM-411992, identity id MBR-020131, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115885
- 2026-10-19 19:31:28Record linked automaticallya218ce66c0scoring_agent, ENR-115789, identity id MBR-013601, confidence 1, method probabilistic, matched record TPA-55275, policy version 1
- 2026-10-19 19:31:28Record linked automatically5dad393d9fmatching_agent, PRV-23464, identity id MBR-002520, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115483
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-2026-012651 | 2026-05-24 | Lakeside Internal Medicine Associates in network | 80053 | $72.00 | $19.64 | Approved | Approved |
| CLM-2026-018488 | 2025-12-19 | Unity Reference Lab in network | 80053, 85025, 87086 | $157.00 | $0.00 | Approved | Approved |