Identities/MBR-005764

Gold, golden identity

Alexis Ortega

5 source records from 3 feeds.

MBR-005764Verified5 records

Golden record

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

First nameENR: Alexis
Middle name—: —
Last nameENR: Ortega
Date of birthENR: 1967-10-25
GenderENR: F
Member IDENR: UHC-70156-56
SSNENR: •••-••-9617
PhoneENR: 5729478817
EmailENR: alexis.ortega22@proton.me
AddressENR: 8143 Palm Dr
CityENR: San Diego
StateENR: CA
ZIPENR: 92152
GroupENR: GRP-1742
PlanENR: CORE-HMO

Min confidence

1.00

Sources

ENR ×2CLM ×2PRV ×1

Updated

2026-10-22 12:43:43

run-mvjj6udb

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
ENR-123847	ENR	2026-01-19	Alexis Ortegaflagged	1967-10-25	UHC-70156-56	5729478817	8143 Palm Dr, San Diego, CA	Scored	1.00	—
CLM-418142	CLM	2026-01-22	Alexis Ortegaflagged	1967-10-25	—	5729478817	8143 Palm Dr, San Diego, CA	Scored	1.00	—
ENR-123848	ENR	2026-03-07	Alexis Ortegaflagged	1967-10-25	—	5729478817	—	Scored	1.00	—
CLM-418141	CLM	2026-04-15	Alexis Ortegaflagged	1967-10-25	UHC-70156-56	5729478817	8143 Palm Dr, San Diego, CA	Scored	1.00	—
PRV-25378	PRV	2026-05-08	Alexis Ortegaflagged	1967-10-25	—	5729478817	8143 Palm Dr, San Diego, CA	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-418142CLM CLM-418141CLM1.00Scoredweighted 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-123848ENRCLM-418141CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-123847ENRPRV-25378 PRV1.00Scoredweighted 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-418142CLM PRV-25378 PRV1.00Scoredweighted 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-123848ENRPRV-25378 PRV1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-418141CLMPRV-25378 PRV1.00Scoredweighted 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-123847ENRCLM-418141CLM0.99RuleD1 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

▶ENR-123847ENRCLM-418142CLM 0.97RuleD2 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

▶ENR-123847ENRENR-123848ENR0.97RuleD2 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

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-418142CLM ENR-123848ENR0.97RuleD2 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

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-418142 → UHC-70156-56 (Alexis Ortega)
ACT-004022, Claims processor
Duplicate member record retiredExecuted
Alexis Ortega: 2 enrollment records collapsed into UHC-70156-56
ACT-022595, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically1d33a8d45f
scoring_agent, PRV-25378, identity id MBR-005764, confidence 1, method probabilistic, matched record ENR-123847, policy version 1
2026-10-22 12:43:53Record linked automaticallyca4b499797
scoring_agent, CLM-418141, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418142, policy version 1
2026-10-22 12:43:53Record linked automaticallybe78570837
scoring_agent, ENR-123848, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-22 12:43:53Record linked automaticallycaf99f6aa2
scoring_agent, CLM-418142, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-22 12:43:53Record linked automaticallyc6d46a8f87
scoring_agent, ENR-123847, identity id MBR-005764, confidence 1, method probabilistic, matched record PRV-25378, policy version 1
2026-10-19 19:54:38Record linked automatically2d859d825d
scoring_agent, PRV-25378, identity id MBR-005764, confidence 1, method probabilistic, matched record ENR-123847, policy version 1
2026-10-19 19:54:38Record linked automatically44e9471a81
scoring_agent, CLM-418141, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418142, policy version 1
2026-10-19 19:54:38Record linked automatically01b1b2fb45
scoring_agent, ENR-123848, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:54:38Record linked automatically929d8c0c85
scoring_agent, CLM-418142, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:54:38Record linked automatically417c915506
scoring_agent, ENR-123847, identity id MBR-005764, confidence 1, method probabilistic, matched record PRV-25378, policy version 1
2026-10-19 19:52:08Record linked automatically36b17cb51f
scoring_agent, PRV-25378, identity id MBR-005764, confidence 1, method probabilistic, matched record ENR-123847, policy version 1
2026-10-19 19:52:08Record linked automaticallybc9174519a
scoring_agent, CLM-418141, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418142, policy version 1
2026-10-19 19:52:08Record linked automatically12ad093058
scoring_agent, ENR-123848, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:52:08Record linked automatically161f240307
scoring_agent, CLM-418142, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:52:08Record linked automatically07f1f7e9ca
scoring_agent, ENR-123847, identity id MBR-005764, confidence 1, method probabilistic, matched record PRV-25378, policy version 1
2026-10-19 19:45:42Record linked automatically96853f99da
scoring_agent, PRV-25378, identity id MBR-005764, confidence 1, method probabilistic, matched record ENR-123847, policy version 1
2026-10-19 19:45:42Record linked automatically2855dbf96a
scoring_agent, CLM-418141, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418142, policy version 1
2026-10-19 19:45:42Record linked automatically4548241271
scoring_agent, ENR-123848, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:45:42Record linked automaticallyf71158446b
scoring_agent, CLM-418142, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:45:42Record linked automaticallyc127193240
scoring_agent, ENR-123847, identity id MBR-005764, confidence 1, method probabilistic, matched record PRV-25378, policy version 1
2026-10-19 19:32:31Record linked automaticallyff2fd63f11
scoring_agent, PRV-25378, identity id MBR-005764, confidence 1, method probabilistic, matched record ENR-123847, policy version 1
2026-10-19 19:32:31Record linked automatically332697a4c3
scoring_agent, CLM-418141, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418142, policy version 1
2026-10-19 19:32:31Record linked automatically2aff6b8e07
scoring_agent, ENR-123848, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:32:31Record linked automaticallyd316edd379
scoring_agent, CLM-418142, identity id MBR-005764, confidence 1, method probabilistic, matched record CLM-418141, policy version 1
2026-10-19 19:32:31Record linked automaticallya1665f0132
scoring_agent, ENR-123847, identity id MBR-005764, confidence 1, method probabilistic, matched record PRV-25378, policy version 1
2026-10-19 19:31:28Record linked automatically0825e42702
matching_agent, ENR-123848, identity id MBR-034297, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-25315
2026-10-19 19:31:28Record linked automatically0d8c755a66
matching_agent, CLM-418141, identity id MBR-029402, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123736
2026-10-19 19:31:28Record linked automatically711dfd19c4
matching_agent, PRV-25378, identity id MBR-025870, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-124122

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-2026-018811	2026-04-06	Pinecrest Medical Group in network	36415, 90471	$67.00	$26.66	Approved	Approved
CLM-2026-010308	2026-01-02	Sunrise Internal Medicine Associates in network	99215, 93000	$437.00	$245.94	Approved	Approved