Gold, golden identity
Virginia Ortiz
4 source records from 2 feeds.
MBR-008345Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Virginia
- Middle name—
- —
- Last nameCLM
- Ortiz
- Date of birthCLM
- 2008-03-22
- GenderCLM
- F
- Member IDCLM
- UHC-29964-53
- SSNCLM
- •••-••-3912
- PhoneTPA
- 9769934724
- EmailCLM
- virginia.ortiz@icloud.com
- AddressTPA
- 8997 Broadway
- CityTPA
- Denver
- StateTPA
- CO
- ZIPTPA
- 80228
- GroupCLM
- GRP-3713
- PlanCLM
- MEDICARE-ADV-A
Min confidence
0.99
Sources
TPA ×2CLM ×2
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TPA-52271 | TPA | 2026-01-28 | Virginia Ortizflagged | 2008-03-22 | — | — | 8997 Broadway, Denver, CO | Scored | 1.00 | — |
| CLM-405189 | CLM | 2026-02-16 | Virginia Ortizflagged | 2008-03-22 | UHC-29964-53 | — | — | Rule | 0.99 | D1 member id + dob exact |
| TPA-52270 | TPA | 2026-03-07 | Virgiia Ortizflagged | 2008-03-22 | UHC-29964-53 | 9769934724 | 8997 Broadway, Denver, CO | Scored | 1.00 | — |
| CLM-405188 | CLM | 2026-06-11 | Virginia Ortizflagged | 2008-03-22 | UHC-29964-53 | — | — | Rule | 0.99 | D1 member id + dob exact |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-405189CLMCLM-405188CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-52270TPACLM-405188CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-405189CLMTPA-52270TPA0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶TPA-52271TPACLM-405188CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
▶TPA-52271TPACLM-405189CLM0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||||||
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 12:43:54Record linked automatically0774cd9483matching_agent, CLM-405188, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405189
- 2026-10-22 12:43:54Record linked automatically3856b2697bscoring_agent, TPA-52270, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52271, policy version 1
- 2026-10-22 12:43:54Record linked automatically1f5670874bmatching_agent, CLM-405189, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52270
- 2026-10-22 12:43:54Record linked automaticallyba28642691scoring_agent, TPA-52271, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52270, policy version 1
- 2026-10-19 19:54:38Record linked automatically14759c19b2matching_agent, CLM-405188, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405189
- 2026-10-19 19:54:38Record linked automaticallya049760d35scoring_agent, TPA-52270, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52271, policy version 1
- 2026-10-19 19:54:38Record linked automatically16c313fcdbmatching_agent, CLM-405189, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52270
- 2026-10-19 19:54:38Record linked automaticallyb42358af22scoring_agent, TPA-52271, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52270, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyec5ee629dcmatching_agent, CLM-405188, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405189
- 2026-10-19 19:52:09Record linked automatically66d184c428scoring_agent, TPA-52270, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52271, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyf60d392232matching_agent, CLM-405189, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52270
- 2026-10-19 19:52:09Record linked automaticallyf45f32c550scoring_agent, TPA-52271, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52270, policy version 1
- 2026-10-19 19:45:42Record linked automatically30a0fadd9ematching_agent, CLM-405188, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405189
- 2026-10-19 19:45:42Record linked automatically5f6840000escoring_agent, TPA-52270, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52271, policy version 1
- 2026-10-19 19:45:42Record linked automatically08711c19ebmatching_agent, CLM-405189, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52270
- 2026-10-19 19:45:42Record linked automaticallye274ed5283scoring_agent, TPA-52271, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52270, policy version 1
- 2026-10-19 19:32:31Record linked automatically50f331f871matching_agent, CLM-405188, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-405189
- 2026-10-19 19:32:31Record linked automatically36b211aa41scoring_agent, TPA-52270, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52271, policy version 1
- 2026-10-19 19:32:31Record linked automaticallycf15373048matching_agent, CLM-405189, identity id MBR-008345, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-52270
- 2026-10-19 19:32:31Record linked automatically256bb06cedscoring_agent, TPA-52271, identity id MBR-008345, confidence 1.00, method probabilistic, matched record TPA-52270, policy version 1
- 2026-10-19 19:31:28Record linked automatically6972db492dscoring_agent, TPA-52271, identity id MBR-030974, confidence 1, method probabilistic, matched record ENR-106631, policy version 1
- 2026-10-19 19:31:28Record linked automatically7da87f0d32scoring_agent, CLM-405189, identity id MBR-016937, confidence 1, method probabilistic, matched record CLM-405188, policy version 1
- 2026-10-19 19:31:28Record linked automatically883f23f577scoring_agent, CLM-405188, identity id MBR-016937, confidence 1, method probabilistic, matched record TPA-52326, 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-2026-001469 | 2026-06-05 | Riverside Family Practice in network | 90471, 99395 | $288.00 | $153.56 | Approved | Approved |
| CLM-2026-020440 | 2026-02-09 | Unity Reference Lab in network | 87086, 80053, 80061 | $155.00 | $0.00 | Approved | Approved |