Identities/MBR-009929
Gold, golden identity

Walter Ortega

4 source records from 3 feeds.

MBR-009929Verified4 records

Golden record

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

First nameENR
Walter
Middle name—
—
Last nameENR
Ortega
Date of birthENR
1960-11-18
GenderENR
M
Member IDENR
UHC-32319-15
SSNENR
•••-••-7402
PhoneENR
7589864166
EmailCLM
walter.ortega@icloud.com
AddressPRV
3191 Elm St
CityENR
San Antonio
StateENR
TX
ZIPENR
78296
GroupENR
GRP-8463
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×1CLM ×2PRV ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.991.001.00ENRENR-102631CLMCLM-402055CLMCLM-402056PRVPRV-20605IDMBR-009929
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
ENR-102631ENR2026-02-03Walter Ortegaflagged1960-11-18UHC-32319-1575898641663191 Elm St # 238, San Antonio, TXRule0.99D1 member id + dob exact
CLM-402055CLM2026-02-10Walter Oretgaflagged1960-11-18UHC-32319-15—3191 Elm St, San Antonio, TXRule0.99D1 member id + dob exact
CLM-402056CLM2026-04-14Walter Ortegaflagged1960-11-18—75898641663191 Elm St, San Antonio, TXScored1.00—
PRV-20605PRV2026-07-14Walter Ortegaflagged1960-11-18UHC-32319-1575898641663191 Elm St, San Antonio, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-402056CLMPRV-20605PRV1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102631 ENRCLM-402055CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-102631 ENRPRV-20605PRV0.99RuleD1 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
▶CLM-402055CLMPRV-20605PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-102631 ENRCLM-402056CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-402055CLMCLM-402056CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-402056 → UHC-32319-15 (Walter Ortega)
    ACT-009972, Claims processor
  • Outreach address correctedProposed
    Walter Ortega: 3191 Elm St # 238, San Antonio → 3191 Elm St, San Antonio
    ACT-011396, Outreach

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automatically2887a3a46b
    scoring_agent, PRV-20605, identity id MBR-009929, confidence 1, method probabilistic, matched record CLM-402056, policy version 1
  • 2026-10-22 12:43:54Record linked automatically155d073266
    scoring_agent, CLM-402056, identity id MBR-009929, confidence 1, method probabilistic, matched record PRV-20605, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyf36c96e1ee
    matching_agent, CLM-402055, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102631
  • 2026-10-22 12:43:54Record linked automaticallya860bcfbc8
    matching_agent, ENR-102631, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:54:38Record linked automatically6418498235
    scoring_agent, PRV-20605, identity id MBR-009929, confidence 1, method probabilistic, matched record CLM-402056, policy version 1
  • 2026-10-19 19:54:38Record linked automatically6cc663d549
    scoring_agent, CLM-402056, identity id MBR-009929, confidence 1, method probabilistic, matched record PRV-20605, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfe7fbd6be8
    matching_agent, CLM-402055, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102631
  • 2026-10-19 19:54:38Record linked automatically7933d813ae
    matching_agent, ENR-102631, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:52:09Record linked automaticallyabd210f3c8
    scoring_agent, PRV-20605, identity id MBR-009929, confidence 1, method probabilistic, matched record CLM-402056, policy version 1
  • 2026-10-19 19:52:09Record linked automatically496f1e0dbc
    scoring_agent, CLM-402056, identity id MBR-009929, confidence 1, method probabilistic, matched record PRV-20605, policy version 1
  • 2026-10-19 19:52:09Record linked automatically6db6cf8bd7
    matching_agent, CLM-402055, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102631
  • 2026-10-19 19:52:09Record linked automaticallyf2e21448e5
    matching_agent, ENR-102631, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:45:42Record linked automaticallya8a4d3940e
    scoring_agent, PRV-20605, identity id MBR-009929, confidence 1, method probabilistic, matched record CLM-402056, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5ff9b97e97
    scoring_agent, CLM-402056, identity id MBR-009929, confidence 1, method probabilistic, matched record PRV-20605, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3af7ebbf01
    matching_agent, CLM-402055, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102631
  • 2026-10-19 19:45:42Record linked automatically13c7ac6f81
    matching_agent, ENR-102631, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:32:31Record linked automaticallye59080831d
    scoring_agent, PRV-20605, identity id MBR-009929, confidence 1, method probabilistic, matched record CLM-402056, policy version 1
  • 2026-10-19 19:32:31Record linked automatically14ad03fa3a
    scoring_agent, CLM-402056, identity id MBR-009929, confidence 1, method probabilistic, matched record PRV-20605, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2fc4631277
    matching_agent, CLM-402055, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102631
  • 2026-10-19 19:32:31Record linked automatically8e8ffa37e1
    matching_agent, ENR-102631, identity id MBR-009929, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:31:28Record linked automaticallya8d3a7a0ff
    matching_agent, CLM-402055, identity id MBR-039348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402056
  • 2026-10-19 19:31:28Record linked automatically30e7fa5302
    matching_agent, CLM-402056, identity id MBR-039348, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-402055
  • 2026-10-19 19:31:28Record linked automaticallya163c6dfa1
    matching_agent, ENR-102631, identity id MBR-017751, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-102630
  • 2026-10-19 19:31:28Record linked automatically0db07a436a
    scoring_agent, PRV-20605, identity id MBR-001288, confidence 0.99, method probabilistic, matched record ENR-102549, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0328742026-03-12Heritage GI Associates
in network
88305$344.00$0.00ApprovedApproved
CLM-2026-0036802026-01-23Mesa Physical Therapy
in network
97110, 97140, 97161$519.00$281.78ApprovedApproved