Identities/MBR-008767

Gold, golden identity

Kevin H Ortega

4 source records from 4 feeds.

MBR-008767Verified4 records

Golden record

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

First nameENR: Kevin
Middle nameENR: H
Last nameENR: Ortega
Date of birthENR: 1950-11-09
GenderENR: F
Member IDENR: UHC-38146-61
SSNENR: •••-••-3155
PhoneENR: 2147358823
EmailENR: kevin.ortega@aol.com
AddressENR: 7358 Oak St
CityENR: Houston
StateENR: TX
ZIPENR: 77057
GroupENR: GRP-8150
PlanENR: OPTIONS-PPO

Min confidence

0.93

Sources

TPA ×1CLM ×1PRV ×1ENR ×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
TPA-61473	TPA	2026-01-29	Kevin Ortegaflagged	1950-11-09	—	—	7358 Oak St, Houston, TX	Scored	0.93	—
CLM-425957	CLM	2026-02-18	Kevin Ortegaflagged	1950-11-09	—	—	7358 Oak St, Houston, TX	Scored	1.00	—
PRV-27653	PRV	2026-05-08	Kevin Ortegaflagged	1950-11-09	—	—	7358 Oak St, Houston, TX	Scored	1.00	—
ENR-133972	ENR	2026-07-17	Kevin Ortegaflagged	1950-11-09	UHC-38146-61	2147358823	7358 Oak St, Houston, TX	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-27653PRVENR-133972ENR1.00Scoredweighted 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

▶CLM-425957CLMPRV-27653PRV1.00Scoredweighted 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

▶CLM-425957CLMENR-133972ENR0.97RuleD2 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-61473TPACLM-425957CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61473TPAENR-133972ENR0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-61473TPAPRV-27653PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-425957 → UHC-38146-61 (Kevin Ortega)
ACT-004777, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-22 12:43:54Record linked automatically613db23433
scoring_agent, ENR-133972, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-22 12:43:54Record linked automaticallyc4dbb19455
scoring_agent, PRV-27653, identity id MBR-008767, confidence 1, method probabilistic, matched record CLM-425957, policy version 1
2026-10-22 12:43:54Record linked automaticallyc007e6c256
scoring_agent, CLM-425957, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-22 12:43:54Record linked automaticallya287dbf85c
scoring_agent, TPA-61473, identity id MBR-008767, confidence 0.93, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:54:38Record linked automatically19f70100d5
scoring_agent, ENR-133972, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:54:38Record linked automaticallye3936f65c3
scoring_agent, PRV-27653, identity id MBR-008767, confidence 1, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:54:38Record linked automaticallycd53479fb6
scoring_agent, CLM-425957, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:54:38Record linked automaticallydce05a8750
scoring_agent, TPA-61473, identity id MBR-008767, confidence 0.93, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:52:09Record linked automaticallye49f77b65d
scoring_agent, ENR-133972, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:52:09Record linked automaticallya84f550155
scoring_agent, PRV-27653, identity id MBR-008767, confidence 1, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:52:09Record linked automaticallybb0a603c17
scoring_agent, CLM-425957, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:52:09Record linked automatically770c2ff074
scoring_agent, TPA-61473, identity id MBR-008767, confidence 0.93, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:45:42Record linked automatically8f398df97c
scoring_agent, ENR-133972, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:45:42Record linked automatically27896f1e49
scoring_agent, PRV-27653, identity id MBR-008767, confidence 1, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:45:42Record linked automatically75f9218105
scoring_agent, CLM-425957, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:45:42Record linked automatically04b2357537
scoring_agent, TPA-61473, identity id MBR-008767, confidence 0.93, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:32:31Record linked automatically9ec7678c4a
scoring_agent, ENR-133972, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:32:31Record linked automatically02b5b77f2f
scoring_agent, PRV-27653, identity id MBR-008767, confidence 1, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:32:31Record linked automatically22934e3b16
scoring_agent, CLM-425957, identity id MBR-008767, confidence 1, method probabilistic, matched record PRV-27653, policy version 1
2026-10-19 19:32:31Record linked automatically48ed0906f4
scoring_agent, TPA-61473, identity id MBR-008767, confidence 0.93, method probabilistic, matched record CLM-425957, policy version 1
2026-10-19 19:31:28Record linked automatically3a0c321406
matching_agent, CLM-425957, identity id MBR-033551, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-134274
2026-10-19 19:31:28Record linked automatically2e3e545bc0
scoring_agent, TPA-61473, identity id MBR-021428, confidence 0.99, method probabilistic, matched record CLM-426054, policy version 1
2026-10-19 19:31:28Record linked automaticallyfc2a8dc9ef
scoring_agent, ENR-133972, identity id MBR-017011, confidence 1, method probabilistic, matched record CLM-425737, policy version 1
2026-10-19 19:31:28Record linked automaticallyeb410f3c55
scoring_agent, PRV-27653, identity id MBR-013487, confidence 1, method probabilistic, matched record ENR-134308, 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-2026-013081	2026-02-15	Lakeside Medical Group out of network	99395, 36415	$260.00	$92.00	Approved	Approved