Identities/MBR-016485
Gold, golden identity

Zachary Ortega

4 source records from 4 feeds.

MBR-016485Verified4 records

Golden record

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

First nameENR
Zachary
Middle name—
—
Last nameENR
Ortega
Date of birthENR
1947-11-11
GenderPRV
M
Member IDENR
UHC-23727-64
SSNENR
•••-••-1649
PhoneENR
7013107629
EmailENR
zachary.ortega@icloud.com
AddressENR
7811 Washington St
CityENR
Fresno
StateENR
CA
ZIPENR
93778
GroupENR
GRP-7921
PlanENR
OPTIONS-PPO
Min confidence
0.99
Sources
ENR ×1PRV ×1CLM ×1TPA ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.990.990.99ENRENR-106513PRVPRV-21430CLMCLM-404940TPATPA-52158IDMBR-016485
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
ENR-106513ENR2026-02-28Zachary Ortegaflagged1947-11-11UHC-23727-6470131076297811 Washington St, Fresno, CAScored0.99—
PRV-21430PRV2026-04-02Zachary Ortegaflagged1947-11-11UHC-23727-64—7811 Washington St, Fresno, CARule0.99D1 member id + dob exact
CLM-404940CLM2026-08-02Zachary Ortegaflagged1947-11-11——7811 Washington St, Fresno, CAScored0.99—
TPA-52158TPA2026-08-19Zahary Ortegaflagged1947-11-11——7811 Washington St, Fresno, CAScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-106513ENRTPA-52158TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-404940CLMTPA-52158TPA0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-106513ENRPRV-21430PRV0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-106513ENRCLM-404940CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-21430PRVCLM-404940CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-21430PRVTPA-52158TPA0.92Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
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-404940 → UHC-23727-64 (Zachary Ortega)
    ACT-005830, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye9cae2d623
    scoring_agent, TPA-52158, identity id MBR-016485, confidence 0.99, method probabilistic, matched record ENR-106513, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5f551ef70e
    scoring_agent, CLM-404940, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyb132cdbae2
    matching_agent, PRV-21430, identity id MBR-016485, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106513
  • 2026-10-19 19:54:38Record linked automaticallya0e98d958e
    scoring_agent, ENR-106513, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:52:09Record linked automatically979ee7e3f0
    scoring_agent, TPA-52158, identity id MBR-016485, confidence 0.99, method probabilistic, matched record ENR-106513, policy version 1
  • 2026-10-19 19:52:09Record linked automatically3ef17e9f7a
    scoring_agent, CLM-404940, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye55b426369
    matching_agent, PRV-21430, identity id MBR-016485, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106513
  • 2026-10-19 19:52:09Record linked automaticallyee32cd5f53
    scoring_agent, ENR-106513, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc51ca93789
    scoring_agent, TPA-52158, identity id MBR-016485, confidence 0.99, method probabilistic, matched record ENR-106513, policy version 1
  • 2026-10-19 19:45:42Record linked automatically60142367ec
    scoring_agent, CLM-404940, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd64aa079cd
    matching_agent, PRV-21430, identity id MBR-016485, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106513
  • 2026-10-19 19:45:42Record linked automatically45dfe7b057
    scoring_agent, ENR-106513, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallye9d1673a37
    scoring_agent, TPA-52158, identity id MBR-016485, confidence 0.99, method probabilistic, matched record ENR-106513, policy version 1
  • 2026-10-19 19:32:31Record linked automatically36096dc6ee
    scoring_agent, CLM-404940, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd1f1dfab12
    matching_agent, PRV-21430, identity id MBR-016485, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-106513
  • 2026-10-19 19:32:31Record linked automatically190c53aebf
    scoring_agent, ENR-106513, identity id MBR-016485, confidence 0.99, method probabilistic, matched record TPA-52158, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallya75abe8565
    matching_agent, PRV-21430, identity id MBR-024177, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-404838

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0169402026-02-11Sunrise Family Practice
in network
99213, 99203$424.00—DeniedDenied