Identities/MBR-008520

Gold, golden identity

Keith D Ortiz

5 source records from 3 feeds.

MBR-008520Verified5 records

Golden record

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

First nameENR: Keith
Middle nameENR: D
Last nameENR: Ortiz
Date of birthENR: 1947-05-06
GenderENR: M
Member IDENR: UHC-75701-22
SSNENR: •••-••-5583
PhoneENR: 9382690989
EmailENR: keith.ortiz94@gmail.com
AddressENR: 9658 Washington St
CityENR: Tempe
StateENR: AZ
ZIPENR: 85276
GroupENR: GRP-2137
PlanENR: OPTIONS-PPO

Min confidence

0.99

Sources

TPA ×1CLM ×3ENR ×1

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
TPA-57270	TPA	2026-01-29	Keith Ortizflagged	1947-05-06	—	9382690989	9658 Washington St, Tempe, AZ	Scored	1.00	—
CLM-416552	CLM	2026-02-23	Keith Ortizflagged	1947-05-06	UHC-75701-22	9382690989	9658 Washington St, Tempe, AZ	Scored	1.00	—
CLM-416553	CLM	2026-05-27	Keitth Ortizflagged	1947-05-06	—	—	9658 Washington St, Tempe, AZ	Scored	0.99	—
ENR-121746	ENR	2026-08-04	Keith Ortizflagged	1947-05-06	UHC-75701-22	9382690989	9658 Washington St, Tempe, AZ	Scored	1.00	—
CLM-416554	CLM	2026-09-10	Keith Ortizflagged	1947-05-06	UHC-75701-22	9382690989	9658 Washington St, Tempe, AZ	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶TPA-57270TPACLM-416552CLM1.00Scoredweighted 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

▶TPA-57270TPACLM-416554 CLM1.00Scoredweighted 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

▶TPA-57270TPAENR-121746ENR1.00Scoredweighted 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

▶TPA-57270TPACLM-416553CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416552CLMCLM-416553CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416553CLMCLM-416554 CLM0.99Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-416552CLMCLM-416554 CLM0.99RuleD1 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-121746ENRCLM-416554 CLM0.99RuleD1 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

▶CLM-416552CLMENR-121746ENR0.99RuleD1 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

▶CLM-416553CLMENR-121746ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-416553 → UHC-75701-22 (Keith Ortiz)
ACT-005983, Claims processor
Care coordination outreachProposed
Keith Ortiz: 3 claims, no attributed provider
ACT-018441, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically848bb62dd6
scoring_agent, CLM-416554, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:54:38Record linked automatically60ba31dabc
scoring_agent, ENR-121746, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:54:38Record linked automaticallyceb1d2fc26
scoring_agent, CLM-416553, identity id MBR-008520, confidence 0.99, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:54:38Record linked automatically6f1e310ec0
scoring_agent, CLM-416552, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:54:38Record linked automaticallyb5cf3bff40
scoring_agent, TPA-57270, identity id MBR-008520, confidence 1, method probabilistic, matched record CLM-416552, policy version 1
2026-10-19 19:52:09Record linked automatically38aafcba78
scoring_agent, CLM-416554, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:52:09Record linked automaticallyff84580498
scoring_agent, ENR-121746, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:52:09Record linked automatically0145f3b038
scoring_agent, CLM-416553, identity id MBR-008520, confidence 0.99, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:52:09Record linked automatically80435f2b9b
scoring_agent, CLM-416552, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:52:09Record linked automatically934e139994
scoring_agent, TPA-57270, identity id MBR-008520, confidence 1, method probabilistic, matched record CLM-416552, policy version 1
2026-10-19 19:45:42Record linked automaticallyea70f0185e
scoring_agent, CLM-416554, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:45:42Record linked automatically74c42aeb43
scoring_agent, ENR-121746, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:45:42Record linked automaticallyd960cd9e1c
scoring_agent, CLM-416553, identity id MBR-008520, confidence 0.99, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:45:42Record linked automatically6b229a6f88
scoring_agent, CLM-416552, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:45:42Record linked automatically4766633f59
scoring_agent, TPA-57270, identity id MBR-008520, confidence 1, method probabilistic, matched record CLM-416552, policy version 1
2026-10-19 19:32:31Record linked automaticallydfb636d74d
scoring_agent, CLM-416554, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:32:31Record linked automatically6f026820ac
scoring_agent, ENR-121746, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:32:31Record linked automatically029027cb35
scoring_agent, CLM-416553, identity id MBR-008520, confidence 0.99, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:32:31Record linked automaticallybf9582ffb4
scoring_agent, CLM-416552, identity id MBR-008520, confidence 1, method probabilistic, matched record TPA-57270, policy version 1
2026-10-19 19:32:31Record linked automatically4b429ad6a2
scoring_agent, TPA-57270, identity id MBR-008520, confidence 1, method probabilistic, matched record CLM-416552, policy version 1
2026-10-19 19:31:28Record linked automatically1891da0a86
scoring_agent, CLM-416553, identity id MBR-015796, confidence 1, method probabilistic, matched record PRV-24844, policy version 1
2026-10-19 19:31:28Record linked automatically0d21b6b0f2
scoring_agent, TPA-57270, identity id MBR-011309, confidence 1, method probabilistic, matched record ENR-121802, policy version 1
2026-10-19 19:31:28Record linked automatically7a25d0136f
matching_agent, CLM-416552, identity id MBR-005470, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-57217
2026-10-19 19:31:28Record linked automatically0860fbfa0d
matching_agent, CLM-416554, identity id MBR-003112, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-416555
2026-10-19 19:31:28Record linked automaticallyb0e91512b5
scoring_agent, ENR-121746, identity id MBR-001870, confidence 1, method probabilistic, matched record TPA-57242, 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-2026-017871	2026-09-08	Valley Reference Lab in network	87086, 85025	$134.00	$0.00	Approved	Approved
CLM-2026-017457	2026-05-18	Northgate Medical Group in network	80053	$71.00	—	Denied	Denied
CLM-2026-017456	2026-05-18	Northgate Medical Group in network	80053	$71.00	$14.02	Approved	Approved
CLM-2026-015852	2026-02-17	Meadow Physical Therapy out of network	97110	$324.00	$115.80	Approved	Approved