Identities/MBR-012716
Gold, golden identity

Jonathan O Ortega

4 source records from 2 feeds.

MBR-012716Verified4 records

Golden record

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

First nameENR
Jonathan
Middle nameENR
O
Last nameCLM
Ortega
Date of birthENR
1993-09-14
GenderENR
M
Member IDENR
UHC-09877-57
SSNENR
•••-••-3070
PhoneENR
7463874433
EmailENR
jonathan.ortega@gmail.com
AddressCLM
8757 Desert Sky Blvd
CityCLM
Mesa
StateCLM
AZ
ZIPCLM
85207
GroupENR
GRP-6807
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
CLM ×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

1.000.990.991.00CLMCLM-411646ENRENR-115337CLMCLM-411647CLMCLM-411645IDMBR-012716
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-411646CLM2026-02-13Jonathan Ortegaflagged1993-09-14UHC-09877-577463874433—Scored1.00—
ENR-115337ENR2026-04-13Jonathan Orttegaflagged1993-09-14UHC-09877-5774638744333868 Willow Ct, Orlando, FLScored0.99—
CLM-411647CLM2026-08-23Jonathan Ortegaflagged1993-09-14UHC-09877-57—8757 Desert Sky Blvd, Mesa, AZRule0.99D1 member id + dob exact
CLM-411645CLM2026-10-16Jonathan Ortegaflagged1993-09-14—7463874433—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411646CLMCLM-411645CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-115337ENRCLM-411645CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411646CLMCLM-411647CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-115337ENRCLM-411647CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411646CLMENR-115337ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-411647CLMCLM-411645CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411645 → UHC-09877-57 (Jonathan Ortega)
    ACT-003546, Claims processor
  • Outreach address correctedProposed
    Jonathan Ortega: 3868 Willow Ct, Orlando → 8757 Desert Sky Blvd, Mesa
    ACT-011656, Outreach
  • Care coordination outreachProposed
    Jonathan Ortega: 3 claims, no attributed provider
    ACT-018699, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically48933ff891
    scoring_agent, CLM-411645, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411646, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyde47228c59
    matching_agent, CLM-411647, identity id MBR-012716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411646
  • 2026-10-19 19:54:38Record linked automatically9af44ff5f3
    scoring_agent, ENR-115337, identity id MBR-012716, confidence 0.99, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc8859d1703
    scoring_agent, CLM-411646, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyfa402e0c58
    scoring_agent, CLM-411645, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411646, policy version 1
  • 2026-10-19 19:52:09Record linked automatically7bb6128174
    matching_agent, CLM-411647, identity id MBR-012716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411646
  • 2026-10-19 19:52:09Record linked automatically86b51e21c0
    scoring_agent, ENR-115337, identity id MBR-012716, confidence 0.99, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0712370751
    scoring_agent, CLM-411646, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc75182d042
    scoring_agent, CLM-411645, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411646, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc2799a8c89
    matching_agent, CLM-411647, identity id MBR-012716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411646
  • 2026-10-19 19:45:42Record linked automaticallyae0965bc11
    scoring_agent, ENR-115337, identity id MBR-012716, confidence 0.99, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2377f1d13f
    scoring_agent, CLM-411646, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:32:31Record linked automatically15d7bb9f84
    scoring_agent, CLM-411645, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411646, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2436dc1978
    matching_agent, CLM-411647, identity id MBR-012716, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411646
  • 2026-10-19 19:32:31Record linked automatically17a321b10f
    scoring_agent, ENR-115337, identity id MBR-012716, confidence 0.99, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyab9460288e
    scoring_agent, CLM-411646, identity id MBR-012716, confidence 1, method probabilistic, matched record CLM-411645, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1a0e43e93e
    matching_agent, CLM-411646, identity id MBR-026963, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411647
  • 2026-10-19 19:31:28Record linked automatically1d713ba3eb
    matching_agent, CLM-411647, identity id MBR-026963, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411646
  • 2026-10-19 19:31:28Record linked automaticallyfd74375cd6
    matching_agent, CLM-411645, identity id MBR-023388, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411644

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0083732026-09-02Sunrise Dermatology Clinic
in network
99213$203.00$75.86ApprovedApproved
CLM-2026-0139962026-07-29Evergreen Family Practice
in network
99213$158.00$72.96ApprovedApproved
CLM-2026-0328332026-01-25Harbor Clinical Laboratories
out of network
83036, 87086$96.00—DeniedDenied