Gold, golden identity
Alice Q Ortega
4 source records from 3 feeds.
MBR-012740Verified4 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First namePRV
- Alice
- Middle nameTPA
- Q
- Last namePRV
- Ortega
- Date of birthPRV
- 1948-01-20
- GenderPRV
- F
- Member IDPRV
- UHC-20128-12
- SSNPRV
- •••-••-4555
- PhonePRV
- 7567665648
- EmailPRV
- alice.ortega@icloud.com
- AddressPRV
- 4708 Camelback Rd
- CityPRV
- Miami
- StatePRV
- FL
- ZIPPRV
- 33194
- Group—
- —
- PlanTPA
- MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×1TPA ×1PRV ×2
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-411732 | CLM | 2026-02-13 | Alice Ortegaflagged | 1948-01-20 | UHC-20128-12 | — | — | Rule | 0.99 | D1 member id + dob exact |
| TPA-55175 | TPA | 2026-06-12 | Alcie Ortegaflagged | 1948-01-20 | — | 7567665648 | — | Scored | 0.99 | — |
| PRV-23390 | PRV | 2026-09-03 | Alice Ortegaflagged | 1948-01-20 | — | 7567665648 | 4708 Camelback Rd, Miami, FL | Scored | 1.00 | — |
| PRV-23389 | PRV | 2026-09-19 | Alice Ortegaflagged | 1948-01-20 | UHC-20128-12 | 7567665648 | 4708 Camelback Rd, Miami, FL | Scored | 1.00 | — |
Evidence
6 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411732CLMPRV-23389PRV 0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-411732CLMPRV-23390PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-411732CLMTPA-55175TPA0.83Scoredweighted similaritySent to steward
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically0de6ff1b3ascoring_agent, PRV-23389, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23390, policy version 1
- 2026-10-19 19:54:38Record linked automatically3ea56f7af7scoring_agent, PRV-23390, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:54:38Record linked automatically2f23995836scoring_agent, TPA-55175, identity id MBR-012740, confidence 0.99, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:54:38Record linked automatically399350ed6bmatching_agent, CLM-411732, identity id MBR-012740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23389
- 2026-10-19 19:52:09Record linked automatically1004b77b60scoring_agent, PRV-23389, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23390, policy version 1
- 2026-10-19 19:52:09Record linked automatically3132995b75scoring_agent, PRV-23390, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyad0168ea46scoring_agent, TPA-55175, identity id MBR-012740, confidence 0.99, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyfeee602534matching_agent, CLM-411732, identity id MBR-012740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23389
- 2026-10-19 19:45:42Record linked automatically00353a2d29scoring_agent, PRV-23389, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23390, policy version 1
- 2026-10-19 19:45:42Record linked automatically5602dde0e2scoring_agent, PRV-23390, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:45:42Record linked automatically9b89f15472scoring_agent, TPA-55175, identity id MBR-012740, confidence 0.99, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:45:42Record linked automatically0b8908ac23matching_agent, CLM-411732, identity id MBR-012740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23389
- 2026-10-19 19:32:31Record linked automaticallyf3603da691scoring_agent, PRV-23389, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23390, policy version 1
- 2026-10-19 19:32:31Record linked automaticallydbfc86f453scoring_agent, PRV-23390, identity id MBR-012740, confidence 1, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye2c29b75cescoring_agent, TPA-55175, identity id MBR-012740, confidence 0.99, method probabilistic, matched record PRV-23389, policy version 1
- 2026-10-19 19:32:31Record linked automatically05974f2de7matching_agent, CLM-411732, identity id MBR-012740, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-23389
- 2026-10-19 19:31:28Record linked automatically3c72b97ea7matching_agent, CLM-411732, identity id MBR-031294, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115560
- 2026-10-19 19:31:28Record linked automatically314c790b9bmatching_agent, PRV-23389, identity id MBR-015132, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-115111
- 2026-10-19 19:31:28Record linked automatically5471b628b7scoring_agent, TPA-55175, identity id MBR-005594, confidence 0.93, method probabilistic, matched record ENR-115435, 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-2026-013390 | 2026-01-27 | Mesa Physical Therapy in network | 97110, 97161 | $306.00 | — | Denied | Denied |