Identities/MBR-009449
Gold, golden identity

Diane N Ortega

2 source records from 2 feeds.

MBR-009449Verified2 records

Golden record

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

First nameENR
Diane
Middle nameENR
N
Last nameENR
Ortega
Date of birthENR
2003-07-13
GenderCLM
F
Member IDENR
UHC-61675-14
SSNENR
•••-••-4583
PhoneENR
4322508738
Email—
—
AddressENR
913 Valley View Dr
CityENR
Chandler
StateENR
AZ
ZIPENR
85233
GroupENR
GRP-9324
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
CLM ×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

0.990.99CLMCLM-427578ENRENR-136159IDMBR-009449
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-427578CLM2026-02-01Dane Ortegaflagged2003-07-13——913 Valley View Dr, Chandler, AZScored0.99—
ENR-136159ENR2026-07-09Diane Ortegaflagged2003-07-13UHC-61675-144322508738913 Valley View Dr, Chandler, AZScored0.99—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-427578CLMENR-136159ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-427578 → UHC-61675-14 (Diane Ortega)
    ACT-003805, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically7b253e69d0
    scoring_agent, ENR-136159, identity id MBR-009449, confidence 0.99, method probabilistic, matched record CLM-427578, policy version 1
  • 2026-10-22 12:43:54Record linked automatically282ebe43fe
    scoring_agent, CLM-427578, identity id MBR-009449, confidence 0.99, method probabilistic, matched record ENR-136159, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6f1dd7ba7d
    scoring_agent, ENR-136159, identity id MBR-009449, confidence 0.99, method probabilistic, matched record CLM-427578, policy version 1
  • 2026-10-19 19:54:38Record linked automatically298c73eb37
    scoring_agent, CLM-427578, identity id MBR-009449, confidence 0.99, method probabilistic, matched record ENR-136159, policy version 1
  • 2026-10-19 19:52:09Record linked automatically80c9e65534
    scoring_agent, ENR-136159, identity id MBR-009449, confidence 0.99, method probabilistic, matched record CLM-427578, policy version 1
  • 2026-10-19 19:52:09Record linked automatically2a5f27cc0b
    scoring_agent, CLM-427578, identity id MBR-009449, confidence 0.99, method probabilistic, matched record ENR-136159, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya20260118d
    scoring_agent, ENR-136159, identity id MBR-009449, confidence 0.99, method probabilistic, matched record CLM-427578, policy version 1
  • 2026-10-19 19:45:42Record linked automatically0dd8114ca0
    scoring_agent, CLM-427578, identity id MBR-009449, confidence 0.99, method probabilistic, matched record ENR-136159, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd1260aa29a
    scoring_agent, ENR-136159, identity id MBR-009449, confidence 0.99, method probabilistic, matched record CLM-427578, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc285c6a922
    scoring_agent, CLM-427578, identity id MBR-009449, confidence 0.99, method probabilistic, matched record ENR-136159, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybd787abcfd
    matching_agent, CLM-427578, identity id MBR-011374, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-427579

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0094362025-12-31Heritage Primary Care Associates
in network
99395, 99214$537.00$292.94ApprovedApproved