Identities/MBR-013655
Gold, golden identity

Valentina Ortiz

4 source records from 3 feeds.

MBR-013655Verified4 records

Golden record

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

First namePRV
Valentina
Middle name—
—
Last namePRV
Ortiz
Date of birthPRV
1958-09-28
GenderPRV
M
Member IDPRV
UHC-23200-97
SSNPRV
•••-••-3866
PhoneCLM
3432619680
EmailCLM
valentina.ortiz@icloud.com
AddressPRV
2148 Willow Ct
CityPRV
Columbus
StatePRV
OH
ZIP—
—
Group—
—
PlanPRV
OPTIONS-PPO
Min confidence
0.97
Sources
CLM ×1TPA ×2PRV ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.980.97CLMCLM-411603TPATPA-55129TPATPA-55128PRVPRV-23348IDMBR-013655
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-411603CLM2026-02-17Valentina Ortiizflagged1958-09-28—3432619680—Scored0.99—
TPA-55129TPA2026-06-09Valentina Ortizflagged1958-09-28——2148 Willow Ct, Columbus, OHScored0.99—
TPA-55128TPA2026-07-30Valentina Otrizflagged1958-09-28—34326196802148 Willow Ct, Columbus, OHScored0.98—
PRV-23348PRV2026-09-27Valentina Ortizflagged1958-09-28UHC-23200-97—2148 Willow Ct, Columbus, OHRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶CLM-411603 CLMTPA-55129TPA 0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Email1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-411603 CLMTPA-55128TPA0.98Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.933
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-411603 CLMPRV-23348PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
SSN (last four)1.002.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55128TPAPRV-23348PRV0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-55129TPA PRV-23348PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-411603 → UHC-23200-97 (Valentina Ortiz)
    ACT-010312, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7d692fe028
    matching_agent, PRV-23348, identity id MBR-013655, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411603
  • 2026-10-19 19:54:38Record linked automaticallyee38a37206
    scoring_agent, TPA-55128, identity id MBR-013655, confidence 0.98, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9ae5180df8
    scoring_agent, TPA-55129, identity id MBR-013655, confidence 0.99, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:54:38Record linked automatically02b69c3135
    scoring_agent, CLM-411603, identity id MBR-013655, confidence 0.99, method probabilistic, matched record TPA-55129, policy version 1
  • 2026-10-19 19:52:09Record linked automatically666eba22ca
    matching_agent, PRV-23348, identity id MBR-013655, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411603
  • 2026-10-19 19:52:09Record linked automaticallydf7b5e473a
    scoring_agent, TPA-55128, identity id MBR-013655, confidence 0.98, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallycd1d5a4989
    scoring_agent, TPA-55129, identity id MBR-013655, confidence 0.99, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallybe7fb45dd0
    scoring_agent, CLM-411603, identity id MBR-013655, confidence 0.99, method probabilistic, matched record TPA-55129, policy version 1
  • 2026-10-19 19:45:42Record linked automatically84b03908ae
    matching_agent, PRV-23348, identity id MBR-013655, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411603
  • 2026-10-19 19:45:42Record linked automaticallybb8bef5e04
    scoring_agent, TPA-55128, identity id MBR-013655, confidence 0.98, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:45:42Record linked automatically93ab0252e1
    scoring_agent, TPA-55129, identity id MBR-013655, confidence 0.99, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyeb91cce7e1
    scoring_agent, CLM-411603, identity id MBR-013655, confidence 0.99, method probabilistic, matched record TPA-55129, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyc884970585
    matching_agent, PRV-23348, identity id MBR-013655, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-411603
  • 2026-10-19 19:32:31Record linked automatically059c772f8c
    scoring_agent, TPA-55128, identity id MBR-013655, confidence 0.98, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye7991c4409
    scoring_agent, TPA-55129, identity id MBR-013655, confidence 0.99, method probabilistic, matched record CLM-411603, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8b3cb5e26e
    scoring_agent, CLM-411603, identity id MBR-013655, confidence 0.99, method probabilistic, matched record TPA-55129, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c2999ef81
    scoring_agent, TPA-55129, identity id MBR-021677, confidence 1, method probabilistic, matched record ENR-115334, policy version 1
  • 2026-10-19 19:31:28Record linked automatically563d49374e
    scoring_agent, PRV-23348, identity id MBR-019495, confidence 1, method probabilistic, matched record TPA-54993, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb9d4c402fc
    scoring_agent, CLM-411603, identity id MBR-013402, confidence 1, method probabilistic, matched record TPA-55153, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya73e98151a
    scoring_agent, TPA-55128, identity id MBR-001416, confidence 1, method probabilistic, matched record CLM-411544, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0341362026-02-08Pinecrest Physical Therapy
in network
97110, 97014$432.00$242.84ApprovedApproved