Carol Ortega

4 source records from 2 feeds.

MBR-013484Verified4 recordsOpen steward case

Golden record

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

First namePRV: Carol
Middle name—: —
Last namePRV: Ortega
Date of birthPRV: 1996-01-15
GenderPRV: M
Member IDPRV: UHC-51717-73
SSN—: —
PhonePRV: 5967803069
Email—: —
AddressCLM: 5241 Central Ave Apt 18
CityPRV: Tampa
StatePRV: FL
ZIPPRV: 33612
GroupCLM: GRP-8739
PlanPRV: OPTIONS-PPO

Min confidence

0.99

Sources

CLM ×2PRV ×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-420403	CLM	2026-02-16	Carol Ortegaflagged	1996-01-15	—	—	5241 Central Ave # 820, Tampa, FL	Scored	1.00	—
PRV-26050	PRV	2026-08-04	Carol Ortegaflagged	1996-01-15	UHC-51717-73	5967803069	5241 Central Ave, Tampa, FL	Rule	0.99	D1 member id + dob exact
PRV-26051	PRV	2026-08-06	Carol Ortegaflagged	1996-01-15	UHC-51717-73	5967803069	5241 Central Ave, Tampa, FL	Scored	1.00	—
CLM-420402	CLM	2026-08-14	Carol Ortegaflagged	1996-01-15	UHC-51717-73	5967803069	5241 Central Ave Apt 18, Tampa, FL	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-420403CLMCLM-420402CLM1.00Scoredweighted 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-420403CLMPRV-26051PRV1.00Scoredweighted 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

▶PRV-26050PRVCLM-420402CLM0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶PRV-26051PRVCLM-420402CLM0.99RuleD1 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

▶PRV-26050PRVPRV-26051PRV0.99RuleD1 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	0.70	2	street_match

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-420403CLMPRV-26050PRV0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-420403 → UHC-51717-73 (Carol Ortega)
ACT-006622, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically2ad10ed6dc
scoring_agent, CLM-420402, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:54:38Record linked automatically1339c0da85
scoring_agent, PRV-26051, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:54:38Record linked automaticallya29e6e975e
matching_agent, PRV-26050, identity id MBR-013484, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26051
2026-10-19 19:54:38Record linked automaticallyd94188a488
scoring_agent, CLM-420403, identity id MBR-013484, confidence 1, method probabilistic, matched record PRV-26051, policy version 1
2026-10-19 19:52:09Record linked automatically723423d04d
scoring_agent, CLM-420402, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:52:09Record linked automaticallyf87225681e
scoring_agent, PRV-26051, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:52:09Record linked automatically6905128a9a
matching_agent, PRV-26050, identity id MBR-013484, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26051
2026-10-19 19:52:09Record linked automatically49817fe1ce
scoring_agent, CLM-420403, identity id MBR-013484, confidence 1, method probabilistic, matched record PRV-26051, policy version 1
2026-10-19 19:45:42Record linked automatically4e31334c86
scoring_agent, CLM-420402, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:45:42Record linked automatically1fc809138e
scoring_agent, PRV-26051, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:45:42Record linked automatically771bd01918
matching_agent, PRV-26050, identity id MBR-013484, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26051
2026-10-19 19:45:42Record linked automatically61d1256716
scoring_agent, CLM-420403, identity id MBR-013484, confidence 1, method probabilistic, matched record PRV-26051, policy version 1
2026-10-19 19:32:31Record linked automatically1ec80b2ac6
scoring_agent, CLM-420402, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:32:31Record linked automaticallybcf8720a9d
scoring_agent, PRV-26051, identity id MBR-013484, confidence 1, method probabilistic, matched record CLM-420403, policy version 1
2026-10-19 19:32:31Record linked automaticallybd0e0e7cf5
matching_agent, PRV-26050, identity id MBR-013484, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26051
2026-10-19 19:32:31Record linked automatically36434cdfa0
scoring_agent, CLM-420403, identity id MBR-013484, confidence 1, method probabilistic, matched record PRV-26051, policy version 1
2026-10-19 19:31:28Record linked automaticallyd56e279d98
scoring_agent, PRV-26051, identity id MBR-035351, confidence 1, method probabilistic, matched record CLM-420654, policy version 1
2026-10-19 19:31:28Record linked automatically772a5fb827
matching_agent, CLM-420402, identity id MBR-018081, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-420401
2026-10-19 19:31:28Record linked automatically4ee0375fd6
scoring_agent, CLM-420403, identity id MBR-009205, confidence 0.99, method probabilistic, matched record CLM-420404, 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-2026-030624	2026-08-08	Pinecrest Medical Group in network	99232	$165.00	$0.00	Approved	Approved
CLM-2026-019872	2026-02-09	Cornerstone Reference Lab in network	83036, 87086, 80053, 80061	$212.00	$0.00	Approved	Approved