Identities/MBR-016584
Gold, golden identity

Roy U Ortiz

4 source records from 3 feeds.

MBR-016584Verified4 records

Golden record

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

First nameENR
Roy
Middle nameENR
U
Last nameENR
Ortiz
Date of birthENR
1995-04-07
GenderENR
M
Member IDENR
UHC-61154-15
SSNENR
•••-••-1607
PhoneENR
7566682215
EmailCLM
roy.ortiz28@hotmail.com
AddressENR
6507 Bayshore Dr
CityENR
Austin
StateENR
TX
ZIPCLM
78737
GroupENR
GRP-7783
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
TPA ×1ENR ×1CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.00TPATPA-63822ENRENR-141081CLMCLM-431290CLMCLM-431289IDMBR-016584
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
TPA-63822TPA2026-02-28Roy Ortizflagged1995-04-07UHC-61154-157566682215—Scored1.00—
ENR-141081ENR2026-06-22Roy Ortizflagged1995-04-07UHC-61154-1575666822156507 Bayshore Dr, Austin, TXRule0.99D1 member id + dob exact
CLM-431290CLM2026-07-21Roy Ortizflagged1995-04-07—75666822156507 Bayshore Dr, Austin, TXScored1.00—
CLM-431289CLM2026-09-07Roy Ortizflagged1995-04-07UHC-61154-1575666822156507 Bayshore Dr, Austin, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-431290CLMCLM-431289CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-63822TPACLM-431290CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-63822TPACLM-431289CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141081ENRCLM-431289CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-63822TPAENR-141081ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-141081ENRCLM-431290CLM0.94Scoredweighted 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-431290 → UHC-61154-15 (Roy Ortiz)
    ACT-004959, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallybfdd24a51a
    scoring_agent, CLM-431289, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-22 12:43:54Record linked automatically4e3f0d1d10
    scoring_agent, CLM-431290, identity id MBR-016584, confidence 1, method probabilistic, matched record TPA-63822, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallydbb12164fd
    matching_agent, ENR-141081, identity id MBR-016584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63822
  • 2026-10-22 12:43:54Record linked automatically5e0ef04655
    scoring_agent, TPA-63822, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9cce0f9878
    scoring_agent, CLM-431289, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:54:38Record linked automatically753e0f5657
    scoring_agent, CLM-431290, identity id MBR-016584, confidence 1, method probabilistic, matched record TPA-63822, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd8754de444
    matching_agent, ENR-141081, identity id MBR-016584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63822
  • 2026-10-19 19:54:38Record linked automaticallyb665258d89
    scoring_agent, TPA-63822, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:52:09Record linked automatically9109211418
    scoring_agent, CLM-431289, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:52:09Record linked automatically90a285098c
    scoring_agent, CLM-431290, identity id MBR-016584, confidence 1, method probabilistic, matched record TPA-63822, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydbb0c8a842
    matching_agent, ENR-141081, identity id MBR-016584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63822
  • 2026-10-19 19:52:09Record linked automatically14f7101ea8
    scoring_agent, TPA-63822, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:45:42Record linked automatically67e0c318d6
    scoring_agent, CLM-431289, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:45:42Record linked automatically96fd14dc28
    scoring_agent, CLM-431290, identity id MBR-016584, confidence 1, method probabilistic, matched record TPA-63822, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyecd0310dc8
    matching_agent, ENR-141081, identity id MBR-016584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63822
  • 2026-10-19 19:45:42Record linked automatically6e06847436
    scoring_agent, TPA-63822, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4983f4063c
    scoring_agent, CLM-431289, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyac583b1114
    scoring_agent, CLM-431290, identity id MBR-016584, confidence 1, method probabilistic, matched record TPA-63822, policy version 1
  • 2026-10-19 19:32:31Record linked automatically55f08d1d61
    matching_agent, ENR-141081, identity id MBR-016584, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-63822
  • 2026-10-19 19:32:31Record linked automatically8c5780eaaa
    scoring_agent, TPA-63822, identity id MBR-016584, confidence 1, method probabilistic, matched record CLM-431290, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5ef31809f2
    matching_agent, CLM-431289, identity id MBR-032138, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-141297
  • 2026-10-19 19:31:28Record linked automatically59c6fd19b4
    matching_agent, TPA-63822, identity id MBR-023421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141612
  • 2026-10-19 19:31:28Record linked automatically461898021b
    matching_agent, ENR-141081, identity id MBR-010626, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-431145
  • 2026-10-19 19:31:28Record linked automatically66e53b41cb
    scoring_agent, CLM-431290, identity id MBR-004986, confidence 1, method probabilistic, matched record TPA-63715, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0022072026-09-02Meadow Primary Care Associates
in network
99395, 36415$266.00$139.92ApprovedApproved
CLM-2026-0136972026-07-04Northgate Orthopedic Specialists
in network
73721$2,219.00$682.30ApprovedApproved