Identities/MBR-018424
Gold, golden identity

Mateo Ortega

3 source records from 3 feeds.

MBR-018424Verified3 records

Golden record

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

First nameENR
Mateo
Middle name—
—
Last nameENR
Ortega
Date of birthENR
1956-01-09
GenderENR
M
Member IDENR
UHC-99277-69
SSNENR
•••-••-8181
PhoneENR
4685438303
EmailENR
mateo.ortega@outlook.com
AddressENR
7123 Lincoln Way
CityENR
Houston
StateENR
TX
ZIPENR
77027
GroupENR
GRP-2617
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
ENR ×1TPA ×1CLM ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.990.99ENRENR-111397TPATPA-53794CLMCLM-408644IDMBR-018424
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-111397ENR2026-03-09Mateo Ortegaflagged1956-01-09UHC-99277-6946854383037123 Lincoln Way, Houston, TXScored0.99—
TPA-53794TPA2026-04-15Mateo Ortegaflagged1956-01-09UHC-99277-69—7123 Lincoln Way, Houston, TXScored0.99—
CLM-408644CLM2026-06-11Maateo Ortegaflagged1956-01-09—46854383037123 Lincoln Way, Houston, TXScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶ENR-111397ENRCLM-408644CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-53794 TPACLM-408644CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-111397ENRTPA-53794 TPA0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-408644 → UHC-99277-69 (Mateo Ortega)
    ACT-008647, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallye4bdd86ac9
    scoring_agent, CLM-408644, identity id MBR-018424, confidence 0.99, method probabilistic, matched record ENR-111397, policy version 1
  • 2026-10-22 12:43:54Record linked automatically7585eae82b
    scoring_agent, TPA-53794, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallyefab35be8d
    scoring_agent, ENR-111397, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:54:38Record linked automatically5e98f68e3a
    scoring_agent, CLM-408644, identity id MBR-018424, confidence 0.99, method probabilistic, matched record ENR-111397, policy version 1
  • 2026-10-19 19:54:38Record linked automatically88c697e080
    scoring_agent, TPA-53794, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1b2daaf35e
    scoring_agent, ENR-111397, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:52:09Record linked automatically1a7822978a
    scoring_agent, CLM-408644, identity id MBR-018424, confidence 0.99, method probabilistic, matched record ENR-111397, policy version 1
  • 2026-10-19 19:52:09Record linked automatically12e3318a98
    scoring_agent, TPA-53794, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8a2d9851cb
    scoring_agent, ENR-111397, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya03abdeb23
    scoring_agent, CLM-408644, identity id MBR-018424, confidence 0.99, method probabilistic, matched record ENR-111397, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4821a32965
    scoring_agent, TPA-53794, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyabfb067563
    scoring_agent, ENR-111397, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallya0d9729069
    scoring_agent, CLM-408644, identity id MBR-018424, confidence 0.99, method probabilistic, matched record ENR-111397, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3a83b266fc
    scoring_agent, TPA-53794, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyf601be941e
    scoring_agent, ENR-111397, identity id MBR-018424, confidence 0.99, method probabilistic, matched record CLM-408644, policy version 1
  • 2026-10-19 19:31:28Record linked automatically0b26061914
    scoring_agent, ENR-111397, identity id MBR-012890, confidence 0.98, method probabilistic, matched record TPA-53831, policy version 1
  • 2026-10-19 19:31:28Record linked automatically2a852adc3c
    scoring_agent, TPA-53794, identity id MBR-001028, confidence 1, method probabilistic, matched record PRV-22536, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0276872026-04-30Summit Clinical Laboratories
in network
80061, 85025$102.00$0.00ApprovedApproved