Identities/MBR-005373

Gold, golden identity

Charles N Ortiz

5 source records from 2 feeds.

MBR-005373Verified5 records

Golden record

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

First nameENR: Charles
Middle nameENR: N
Last nameENR: Ortiz
Date of birthENR: 1938-04-02
GenderENR: F
Member IDENR: UHC-92395-20
SSNENR: •••-••-9223
PhoneENR: 9519246952
Email—: —
AddressENR: 6243 Hillcrest Rd
CityENR: Glendale
StateENR: AZ
ZIPENR: 85395
GroupENR: GRP-8629
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

CLM ×3ENR ×2

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-425050	CLM	2026-01-18	Charles Ortizflagged	1938-04-02	—	9519246952	6243 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
CLM-425051	CLM	2026-03-14	Charles Ortizflagged	1938-04-02	—	9519246952	6243 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
ENR-132744	ENR	2026-04-29	Charles Ortizflagged	1938-04-02	UHC-92395-20	9519246952	6243 Hillcrest Rd Apt 21, Glendale, AZ	Scored	1.00	—
CLM-425052	CLM	2026-09-04	Charles Ortizflagged	1938-04-02	—	—	6243 Hillcrest Rd, Glendale, AZ	Scored	1.00	—
ENR-132745	ENR	2026-09-08	Charles Ortizflagged	1938-04-02	UHC-92395-20	—	6243 Hillcrest Rd, Glendale, AZ	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-425050CLMCLM-425051CLM1.00Scoredweighted 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-425050CLMCLM-425052CLM1.00Scoredweighted 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

▶CLM-425051CLMCLM-425052CLM1.00Scoredweighted 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

▶ENR-132744ENRCLM-425052CLM1.00Scoredweighted 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

▶CLM-425050CLMENR-132744ENR1.00Scoredweighted 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-425050CLMENR-132745ENR1.00Scoredweighted 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

▶CLM-425052CLMENR-132745ENR1.00Scoredweighted 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

▶ENR-132744ENRENR-132745ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425051CLMENR-132744ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-425051CLMENR-132745ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425051 → UHC-92395-20 (Charles Ortiz)
ACT-001873, Claims processor
Orphan claim re-pointedExecuted
CLM-425052 → UHC-92395-20 (Charles Ortiz)
ACT-005769, Claims processor
Orphan claim re-pointedExecuted
CLM-425050 → UHC-92395-20 (Charles Ortiz)
ACT-008004, Claims processor
Outreach address correctedProposed
Charles Ortiz: 6243 Hillcrest Rd Apt 21, Glendale → 6243 Hillcrest Rd, Glendale
ACT-010954, Outreach
Care coordination outreachProposed
Charles Ortiz: 3 claims, no attributed provider
ACT-018197, Next-best-action
Duplicate member record retiredExecuted
Charles Ortiz: 2 enrollment records collapsed into UHC-92395-20
ACT-022539, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically65785013e5
scoring_agent, ENR-132745, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:54:38Record linked automaticallyed088675d4
scoring_agent, CLM-425052, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:54:38Record linked automatically2ac1a799e3
scoring_agent, ENR-132744, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:54:38Record linked automaticallybd8025c936
scoring_agent, CLM-425051, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:54:38Record linked automatically708436a7fe
scoring_agent, CLM-425050, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425051, policy version 1
2026-10-19 19:52:08Record linked automatically38f601e1c2
scoring_agent, ENR-132745, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:52:08Record linked automatically55b303484b
scoring_agent, CLM-425052, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:52:08Record linked automatically2fb5170743
scoring_agent, ENR-132744, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:52:08Record linked automaticallyf3225e0097
scoring_agent, CLM-425051, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:52:08Record linked automaticallyf3b48b6f79
scoring_agent, CLM-425050, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425051, policy version 1
2026-10-19 19:45:42Record linked automatically507120cf66
scoring_agent, ENR-132745, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:45:42Record linked automaticallyf04f77ec0f
scoring_agent, CLM-425052, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:45:42Record linked automatically32fc793a5e
scoring_agent, ENR-132744, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:45:42Record linked automatically70d2709ece
scoring_agent, CLM-425051, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:45:42Record linked automatically8a3940c188
scoring_agent, CLM-425050, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425051, policy version 1
2026-10-19 19:32:31Record linked automaticallyd7a4d9f004
scoring_agent, ENR-132745, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:32:31Record linked automatically65802ff8ed
scoring_agent, CLM-425052, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:32:31Record linked automatically69d856f15c
scoring_agent, ENR-132744, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:32:31Record linked automatically717b3b0500
scoring_agent, CLM-425051, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425050, policy version 1
2026-10-19 19:32:31Record linked automatically4cf08b9ff3
scoring_agent, CLM-425050, identity id MBR-005373, confidence 1, method probabilistic, matched record CLM-425051, policy version 1
2026-10-19 19:31:28Record linked automatically19075fe953
scoring_agent, ENR-132745, identity id MBR-025880, confidence 1, method probabilistic, matched record PRV-27337, policy version 1
2026-10-19 19:31:28Record linked automaticallyf2e19a8d14
matching_agent, CLM-425052, identity id MBR-022337, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133014
2026-10-19 19:31:28Record linked automatically20b6dc00c5
scoring_agent, CLM-425050, identity id MBR-019428, confidence 1, method probabilistic, matched record CLM-425048, policy version 1
2026-10-19 19:31:28Record linked automaticallybb1f0110b7
scoring_agent, CLM-425051, identity id MBR-019428, confidence 1, method probabilistic, matched record CLM-425048, policy version 1
2026-10-19 19:31:28Record linked automatically87d1a4cbe2
scoring_agent, ENR-132744, identity id MBR-003294, confidence 1, method probabilistic, matched record PRV-27336, 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-2026-016705	2026-08-27	Lakeside Physical Therapy in network	97110	$292.00	—	Denied	Denied
CLM-2026-016704	2026-08-27	Lakeside Physical Therapy in network	97110	$292.00	$141.04	Approved	Approved
CLM-2026-002147	2026-01-28	Canyon Reference Lab in network	85025, 87086	$110.00	$0.00	Approved	Approved
CLM-2026-025268	2025-12-07	Meadow Primary Care Associates in network	36415, 90471	$51.00	$20.46	Approved	Approved