Identities/MBR-014549
Gold, golden identity

Paul P Ortega

4 source records from 3 feeds.

MBR-014549Verified4 records

Golden record

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

First nameENR
Paul
Middle nameENR
P
Last nameENR
Ortega
Date of birthENR
1951-04-19
GenderENR
M
Member IDENR
UHC-72896-13
SSNCLM
•••-••-2726
PhoneENR
7929831343
EmailENR
paul.ortega84@outlook.com
AddressENR
7282 Cedar Ln
CityENR
Los Angeles
StateENR
CA
ZIPENR
90033
GroupENR
GRP-1776
PlanENR
CORE-HMO
Min confidence
0.97
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.971.001.00CLMCLM-407760TPATPA-53417CLMCLM-407761ENRENR-110193IDMBR-014549
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-407760CLM2026-02-20Paul Ortegaflagged1951-04-19—79298313437282 Cedar Ln, Los Angeles, CAScored1.00—
TPA-53417TPA2026-04-03Paul Ortegaflagged1951-04-19—79298313437282 Cedar Ln, Los Angeles, CARule0.97D2 ssn4 + dob + last name
CLM-407761CLM2026-06-09Paul Ortegaflagged1951-04-19UHC-72896-1379298313437282 Cedar Ln, Los Angeles, CAScored1.00—
ENR-110193ENR2026-06-27Paul Ortegaflagged1951-04-19UHC-72896-1379298313437282 Cedar Ln, Los Angeles, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-407760CLMCLM-407761CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407760CLMENR-110193ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407761CLMENR-110193ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-53417TPACLM-407761CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-53417TPAENR-110193ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-407760CLMTPA-53417TPA0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-407760 → UHC-72896-13 (Paul Ortega)
    ACT-007969, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyb93f33a629
    scoring_agent, ENR-110193, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-22 12:43:54Record linked automatically30fab824f0
    scoring_agent, CLM-407761, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-22 12:43:54Record linked automatically3368322875
    matching_agent, TPA-53417, identity id MBR-014549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407761
  • 2026-10-22 12:43:54Record linked automatically0cdac1c435
    scoring_agent, CLM-407760, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407761, policy version 1
  • 2026-10-19 19:54:38Record linked automatically3b717fef56
    scoring_agent, ENR-110193, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya8fccb32d6
    scoring_agent, CLM-407761, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8077723d01
    matching_agent, TPA-53417, identity id MBR-014549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407761
  • 2026-10-19 19:54:38Record linked automaticallya8dffb1395
    scoring_agent, CLM-407760, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407761, policy version 1
  • 2026-10-19 19:52:09Record linked automatically0e4b176767
    scoring_agent, ENR-110193, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc16d83c062
    scoring_agent, CLM-407761, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye95002b18e
    matching_agent, TPA-53417, identity id MBR-014549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407761
  • 2026-10-19 19:52:09Record linked automatically05e1a85e11
    scoring_agent, CLM-407760, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407761, policy version 1
  • 2026-10-19 19:45:42Record linked automatically3c5733e987
    scoring_agent, ENR-110193, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf344f76983
    scoring_agent, CLM-407761, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:45:42Record linked automatically28b599b245
    matching_agent, TPA-53417, identity id MBR-014549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407761
  • 2026-10-19 19:45:42Record linked automaticallyadb6071c2f
    scoring_agent, CLM-407760, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407761, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd2d9cf3056
    scoring_agent, ENR-110193, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb4ea5575f2
    scoring_agent, CLM-407761, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407760, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1a9cfeb574
    matching_agent, TPA-53417, identity id MBR-014549, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-407761
  • 2026-10-19 19:32:31Record linked automaticallycbd988f561
    scoring_agent, CLM-407760, identity id MBR-014549, confidence 1, method probabilistic, matched record CLM-407761, policy version 1
  • 2026-10-19 19:31:28Record linked automatically00317517fc
    matching_agent, ENR-110193, identity id MBR-024883, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110194
  • 2026-10-19 19:31:28Record linked automatically7d9cfe0c3b
    matching_agent, TPA-53417, identity id MBR-002713, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-53418
  • 2026-10-19 19:31:28Record linked automaticallyedad878501
    scoring_agent, CLM-407761, identity id MBR-001622, confidence 1, method probabilistic, matched record TPA-53410, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1157d9a3ce
    matching_agent, CLM-407760, identity id MBR-001622, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-110132

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0149292026-06-01Unity Internal Medicine Associates
out of network
80053, 99215$385.00—DeniedDenied
CLM-2026-0251242026-02-11Evergreen Rehabilitation Center
in network
97110, 97161$494.00$266.28ApprovedApproved