Identities/MBR-011479

Gold, golden identity

Roger H Ortega

5 source records from 4 feeds.

MBR-011479Verified5 records

Golden record

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

First nameENR: Roger
Middle nameENR: H
Last nameENR: Ortega
Date of birthENR: 1939-04-19
GenderPRV: F
Member IDENR: UHC-44775-27
SSNENR: •••-••-3573
PhoneENR: 5623955539
EmailENR: roger.ortega@aol.com
AddressENR: 9312 Market St
CityENR: Jacksonville
StateENR: FL
ZIPENR: 32210
GroupENR: GRP-1015
PlanENR: NAVIGATE-HMO

Min confidence

0.99

Sources

CLM ×2PRV ×1TPA ×1ENR ×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
CLM-422720	CLM	2026-02-08	Roger Otegaflagged	1939-04-19	UHC-44775-27	5623955539	9312 Market St, Jacksonville, FL	Rule	0.99	D1 member id + dob exact
PRV-26717	PRV	2026-04-26	Roger Ortegaflagged	1939-04-19	UHC-44775-27	5623955539	9312 Market St, Jacksonville, FL	Scored	1.00	—
TPA-59983	TPA	2026-05-12	Roger Ortegaflagged	1939-04-19	UHC-44775-27	—	9312 Market St # 328, Jacksonville, FL	Scored	1.00	—
CLM-422721	CLM	2026-09-29	Roger Ortegaflagged	1939-04-19	—	—	9312 Market St, Jacksonville, FL	Scored	1.00	—
ENR-129758	ENR	2026-10-08	Roger Ortegaflagged	1939-04-19	UHC-44775-27	5623955539	9312 Market St, Jacksonville, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶PRV-26717PRVCLM-422721CLM1.00Scoredweighted 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

▶TPA-59983TPACLM-422721CLM1.00Scoredweighted 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-422721CLMENR-129758ENR1.00Scoredweighted 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-422720CLMENR-129758ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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

▶PRV-26717PRVENR-129758ENR0.99RuleD1 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

▶TPA-59983TPAENR-129758ENR0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-422720CLMPRV-26717PRV0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	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-422720CLMTPA-59983TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.97	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶PRV-26717PRVTPA-59983TPA0.99RuleD1 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
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-422721 → UHC-44775-27 (Roger Ortega)
ACT-003542, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically210dcad398
scoring_agent, ENR-129758, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:54:38Record linked automatically4050007a2d
scoring_agent, CLM-422721, identity id MBR-011479, confidence 1, method probabilistic, matched record PRV-26717, policy version 1
2026-10-19 19:54:38Record linked automatically4559b3747b
scoring_agent, TPA-59983, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:54:38Record linked automatically0ebe619b66
scoring_agent, PRV-26717, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:54:38Record linked automatically55fc0c88ee
matching_agent, CLM-422720, identity id MBR-011479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26717
2026-10-19 19:52:09Record linked automaticallyd16fb60f1f
scoring_agent, ENR-129758, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:52:09Record linked automatically0f8490a437
scoring_agent, CLM-422721, identity id MBR-011479, confidence 1, method probabilistic, matched record PRV-26717, policy version 1
2026-10-19 19:52:09Record linked automaticallyb030dadf03
scoring_agent, TPA-59983, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:52:09Record linked automatically52fba0e942
scoring_agent, PRV-26717, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:52:09Record linked automatically06e5fa9898
matching_agent, CLM-422720, identity id MBR-011479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26717
2026-10-19 19:45:42Record linked automatically2058e78d45
scoring_agent, ENR-129758, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:45:42Record linked automaticallyb52c0ece8b
scoring_agent, CLM-422721, identity id MBR-011479, confidence 1, method probabilistic, matched record PRV-26717, policy version 1
2026-10-19 19:45:42Record linked automaticallycbf21d1680
scoring_agent, TPA-59983, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:45:42Record linked automatically899dcba16f
scoring_agent, PRV-26717, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:45:42Record linked automatically7c7b235011
matching_agent, CLM-422720, identity id MBR-011479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26717
2026-10-19 19:32:31Record linked automaticallye08c7615e6
scoring_agent, ENR-129758, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:32:31Record linked automaticallyf3426caab6
scoring_agent, CLM-422721, identity id MBR-011479, confidence 1, method probabilistic, matched record PRV-26717, policy version 1
2026-10-19 19:32:31Record linked automaticallyce25af38a7
scoring_agent, TPA-59983, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:32:31Record linked automatically42cf0c77b5
scoring_agent, PRV-26717, identity id MBR-011479, confidence 1, method probabilistic, matched record CLM-422721, policy version 1
2026-10-19 19:32:31Record linked automaticallyd0f5ba1518
matching_agent, CLM-422720, identity id MBR-011479, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26717
2026-10-19 19:31:28Record linked automatically9ebdc448e1
scoring_agent, TPA-59983, identity id MBR-023860, confidence 0.99, method probabilistic, matched record PRV-26691, policy version 1
2026-10-19 19:31:28Record linked automatically7db332ca06
matching_agent, CLM-422720, identity id MBR-018224, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-129913
2026-10-19 19:31:28Record linked automatically10896670c1
scoring_agent, PRV-26717, identity id MBR-012797, confidence 1, method probabilistic, matched record PRV-26718, policy version 1
2026-10-19 19:31:28Record linked automaticallyec3cadccda
matching_agent, CLM-422721, identity id MBR-011552, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-129915
2026-10-19 19:31:28Record linked automatically48443d096a
scoring_agent, ENR-129758, identity id MBR-001925, confidence 1, method probabilistic, matched record PRV-26652, 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-2026-008343	2026-08-20	Sunrise Counseling Center in network	90837	$235.00	$105.70	Approved	Approved
CLM-2026-015086	2026-01-23	Sunrise Dermatology Clinic in network	11403, 99213, 17110	$1,143.00	$668.66	Approved	Approved