Nicole K Ortega

4 source records from 4 feeds.

MBR-005923Verified4 records

Golden record

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

First nameENR: Nicole
Middle namePRV: K
Last nameENR: Ortega
Date of birthENR: 2005-09-13
GenderENR: M
Member IDENR: UHC-19822-22
SSNENR: •••-••-3231
PhoneENR: 8135244011
Email—: —
AddressENR: 376 Baseline Rd
CityENR: Chandler
StateENR: AZ
ZIPENR: 85283
GroupENR: GRP-7245
PlanENR: OPTIONS-PPO

Min confidence

1.00

Sources

ENR ×1TPA ×1PRV ×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

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-106348	ENR	2026-01-19	Nicole Ortegaflagged	2005-09-13	UHC-19822-22	8135244011	376 Baseline Rd, Chandler, AZ	Scored	1.00	—
TPA-52101	TPA	2026-02-03	Nicole Ortegaflagged	2005-09-13	—	8135244011	376 Baseline Rd, Chandler, AZ	Scored	1.00	—
PRV-21397	PRV	2026-03-10	Nicole Ortegaflagged	2005-09-13	—	—	376 Baseline Rd, Chandler, AZ	Scored	1.00	—
CLM-404816	CLM	2026-04-02	Nicole Ortegaflagged	2005-09-13	UHC-19822-22	8135244011	376 Baseline Rd, Chandler, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-52101TPACLM-404816CLM 1.00Scoredweighted 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

▶PRV-21397PRVCLM-404816CLM 1.00Scoredweighted 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-106348ENRPRV-21397PRV1.00Scoredweighted 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

▶TPA-52101TPAPRV-21397PRV1.00Scoredweighted 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-106348ENRTPA-52101TPA1.00Scoredweighted 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-106348ENRCLM-404816CLM 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

No actions yet

Nothing downstream has consumed this identity.

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:53Record linked automatically382e382c92
scoring_agent, CLM-404816, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-22 12:43:53Record linked automatically04a1d7f2d7
scoring_agent, PRV-21397, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-22 12:43:53Record linked automatically4d338d33b0
scoring_agent, TPA-52101, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-22 12:43:53Record linked automaticallydc54f96cb1
scoring_agent, ENR-106348, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:54:38Record linked automatically7abd3c1863
scoring_agent, CLM-404816, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:54:38Record linked automatically1189f7c84c
scoring_agent, PRV-21397, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:54:38Record linked automaticallybafabf0b73
scoring_agent, TPA-52101, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:54:38Record linked automaticallyf30f06402e
scoring_agent, ENR-106348, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:52:08Record linked automaticallyd531826055
scoring_agent, CLM-404816, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:52:08Record linked automatically12156908a1
scoring_agent, PRV-21397, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:52:08Record linked automatically6e5d45bd58
scoring_agent, TPA-52101, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:52:08Record linked automaticallyc8c7617d95
scoring_agent, ENR-106348, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:45:42Record linked automatically1f208c04ec
scoring_agent, CLM-404816, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:45:42Record linked automatically8a36175fca
scoring_agent, PRV-21397, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:45:42Record linked automaticallye6843054f2
scoring_agent, TPA-52101, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:45:42Record linked automatically0e32f97e32
scoring_agent, ENR-106348, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:32:31Record linked automatically78630d06fa
scoring_agent, CLM-404816, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:32:31Record linked automaticallye2b5ca6a30
scoring_agent, PRV-21397, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:32:31Record linked automatically8df6f0682b
scoring_agent, TPA-52101, identity id MBR-005923, confidence 1, method probabilistic, matched record ENR-106348, policy version 1
2026-10-19 19:32:31Record linked automaticallye7a49ba7ca
scoring_agent, ENR-106348, identity id MBR-005923, confidence 1, method probabilistic, matched record TPA-52101, policy version 1
2026-10-19 19:31:28Record linked automatically40c5a46c0a
matching_agent, CLM-404816, identity id MBR-032023, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-106296
2026-10-19 19:31:28Record linked automaticallyf00f990da7
scoring_agent, TPA-52101, identity id MBR-004728, confidence 0.98, method probabilistic, matched record ENR-106173, 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-2026-015115	2026-03-20	Riverside GI Associates in network	43239	$1,571.00	$0.00	Approved	Approved