Identities/MBR-006529
Gold, golden identity

Beverly Ortega

4 source records from 3 feeds.

MBR-006529Verified4 records

Golden record

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

First nameENR
Beverly
Middle name—
—
Last nameENR
Ortega
Date of birthENR
1950-07-16
GenderENR
M
Member IDENR
UHC-09931-26
SSNENR
•••-••-5507
PhoneENR
5759757794
Email—
—
AddressENR
830 Bayshore Dr
CityENR
Dallas
StateENR
TX
ZIPENR
75209
GroupENR
GRP-2139
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2ENR ×1PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.990.99CLMCLM-429350ENRENR-138516PRVPRV-28613CLMCLM-429349IDMBR-006529
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
CLM-429350CLM2026-01-22Beverly Ortegaflagged1950-07-16UHC-09931-26—830 Bayshore Dr, Dallas, TXRule0.99D1 member id + dob exact
ENR-138516ENR2026-02-04Beverly Ortegaflagged1950-07-16UHC-09931-265759757794830 Bayshore Dr, Dallas, TXRule0.99D1 member id + dob exact
PRV-28613PRV2026-05-23Beverly Ortegaflagged1950-07-16UHC-09931-265759757794830 Bayshore Dr, Dallas, TXRule0.99D1 member id + dob exact
CLM-429349CLM2026-10-03Beverly Ortgaflagged1950-07-16UHC-09931-26—830 Bayshore Dr, Dallas, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-429350CLMCLM-429349CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138516ENRCLM-429349CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28613PRVCLM-429349CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429350CLMENR-138516ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-429350CLMPRV-28613PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-138516ENRPRV-28613PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
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 automaticallyd38ef9a14b
    matching_agent, CLM-429349, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-22 12:43:53Record linked automatically5d1c4a08a8
    matching_agent, PRV-28613, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-22 12:43:53Record linked automatically88e807a9a0
    matching_agent, ENR-138516, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-22 12:43:53Record linked automatically32a721f289
    matching_agent, CLM-429350, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138516
  • 2026-10-19 19:54:38Record linked automaticallybeb8bc9a8b
    matching_agent, CLM-429349, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:54:38Record linked automatically1d40585c26
    matching_agent, PRV-28613, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:54:38Record linked automatically4c9ffe96c3
    matching_agent, ENR-138516, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:54:38Record linked automatically381fa0e438
    matching_agent, CLM-429350, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138516
  • 2026-10-19 19:52:09Record linked automatically1616561aa1
    matching_agent, CLM-429349, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:52:09Record linked automatically9753d20e26
    matching_agent, PRV-28613, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:52:09Record linked automatically0ca95f6ca4
    matching_agent, ENR-138516, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:52:09Record linked automatically636d1f41ac
    matching_agent, CLM-429350, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138516
  • 2026-10-19 19:45:42Record linked automatically1e622007c8
    matching_agent, CLM-429349, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:45:42Record linked automatically52b6879835
    matching_agent, PRV-28613, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:45:42Record linked automaticallybea3454023
    matching_agent, ENR-138516, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:45:42Record linked automatically0b037bd376
    matching_agent, CLM-429350, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138516
  • 2026-10-19 19:32:31Record linked automatically8aec5d2918
    matching_agent, CLM-429349, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:32:31Record linked automatically4d50730a95
    matching_agent, PRV-28613, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:32:31Record linked automaticallya58f99cb0a
    matching_agent, ENR-138516, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-429350
  • 2026-10-19 19:32:31Record linked automatically8c3cffe333
    matching_agent, CLM-429350, identity id MBR-006529, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-138516
  • 2026-10-19 19:31:28Record linked automaticallya92ee9deba
    scoring_agent, ENR-138516, identity id MBR-038133, confidence 1, method probabilistic, matched record CLM-429157, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5d8308a588
    scoring_agent, CLM-429350, identity id MBR-017317, confidence 1, method probabilistic, matched record CLM-429348, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallye67b8e4bea
    scoring_agent, CLM-429349, identity id MBR-017317, confidence 1, method probabilistic, matched record CLM-429348, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb062526435
    scoring_agent, PRV-28613, identity id MBR-017238, confidence 1, method probabilistic, matched record TPA-62868, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0237282026-09-03Pinecrest Primary Care Associates
in network
99213, 90471$178.00$70.36ApprovedApproved
CLM-2026-0041702026-01-10Mesa Diabetes Center
in network
95251, 83036$178.00—DeniedDenied
CLM-2026-0041692026-01-10Mesa Diabetes Center
in network
95251, 83036$178.00$70.36ApprovedApproved