Identities/MBR-005299
Gold, golden identity

Randy V Ortiz

2 source records from 2 feeds.

MBR-005299Verified2 records

Golden record

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

First nameENR
Randy
Middle nameENR
V
Last nameENR
Ortiz
Date of birthENR
2007-11-23
GenderENR
F
Member IDENR
UHC-27517-35
SSNENR
•••-••-4073
PhoneENR
3519295293
Email—
—
AddressENR
6655 Willow Ct
CityENR
Gilbert
StateENR
AZ
ZIPENR
85270
GroupENR
GRP-9285
PlanENR
NAVIGATE-HMO
Min confidence
1.00
Sources
ENR ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

Source records linked to this identity and the confidence of each link

1.001.00ENRENR-133074CLMCLM-425274IDMBR-005299
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
ENR-133074ENR2026-01-17Randy Ortizflagged2007-11-23UHC-27517-3535192952936655 Willow Ct, Gilbert, AZScored1.00—
CLM-425274CLM2026-06-15Randy Ortizflagged2007-11-23—35192952936655 Willow Ct, Gilbert, AZScored1.00—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶ENR-133074ENRCLM-425274CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425274 → UHC-27517-35 (Randy Ortiz)
    ACT-009584, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically75df09e6e5
    scoring_agent, CLM-425274, identity id MBR-005299, confidence 1, method probabilistic, matched record ENR-133074, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallya198b35797
    scoring_agent, ENR-133074, identity id MBR-005299, confidence 1, method probabilistic, matched record CLM-425274, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7c816eb887
    scoring_agent, CLM-425274, identity id MBR-005299, confidence 1, method probabilistic, matched record ENR-133074, policy version 1
  • 2026-10-19 19:54:38Record linked automatically0ea67b38c9
    scoring_agent, ENR-133074, identity id MBR-005299, confidence 1, method probabilistic, matched record CLM-425274, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyd0933be621
    scoring_agent, CLM-425274, identity id MBR-005299, confidence 1, method probabilistic, matched record ENR-133074, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyea4a4ee86f
    scoring_agent, ENR-133074, identity id MBR-005299, confidence 1, method probabilistic, matched record CLM-425274, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4be201ffd0
    scoring_agent, CLM-425274, identity id MBR-005299, confidence 1, method probabilistic, matched record ENR-133074, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6bfe0fab6f
    scoring_agent, ENR-133074, identity id MBR-005299, confidence 1, method probabilistic, matched record CLM-425274, policy version 1
  • 2026-10-19 19:32:31Record linked automatically6e70fef352
    scoring_agent, CLM-425274, identity id MBR-005299, confidence 1, method probabilistic, matched record ENR-133074, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb53e5f274c
    scoring_agent, ENR-133074, identity id MBR-005299, confidence 1, method probabilistic, matched record CLM-425274, policy version 1
  • 2026-10-19 19:31:28Record linked automatically3caf8dfa9d
    matching_agent, ENR-133074, identity id MBR-030852, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425114
  • 2026-10-19 19:31:28Record linked automatically727bb650b7
    matching_agent, CLM-425274, identity id MBR-016064, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-425275

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0314102026-06-11Meadow Physical Therapy
out of network
97110, 97140$239.00—DeniedDenied