Identities/MBR-019889

Gold, golden identity

Hiroshi Ortega

6 source records from 3 feeds.

MBR-019889Verified6 records

Golden record

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

First nameENR: Hiroshi
Middle name—: —
Last nameENR: Ortega
Date of birthENR: 1979-11-11
GenderENR: F
Member IDENR: UHC-36461-06
SSNENR: •••-••-0754
PhoneENR: 7748608302
EmailENR: hiroshi.ortega@icloud.com
AddressENR: 188 Elm St
CityENR: Austin
StateENR: TX
ZIPENR: 78799
GroupENR: GRP-1116
PlanENR: MEDICARE-ADV-B

Min confidence

0.99

Sources

CLM ×4ENR ×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

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

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
CLM-400477	CLM	2026-03-15	Hiroshi Ortegaflagged	1979-11-11	UHC-36461-06	—	188 Elm St, Austin, TX	Scored	1.00	—
CLM-400480	CLM	2026-07-02	Hiroshi Ortegaflagged	1979-11-11	UHC-36461-06	—	188 Elm St, Austin, TX	Scored	1.00	—
ENR-100658	ENR	2026-07-25	Hiroshi Ortegaflagged	1979-11-11	UHC-36461-06	7748608302	188 Elm St, Austin, TX	Scored	1.00	—
CLM-400478	CLM	2026-07-27	Hiroshi Ortegaflagged	1979-11-11	UHC-36461-06	—	188 Elm St, Austin, TX	Scored	1.00	—
TPA-50205	TPA	2026-08-10	Hiroshi Ortegaflagged	1979-11-11	—	7748608302	188 Elm St, Austin, TX	Scored	1.00	—
CLM-400479	CLM	2026-09-02	Hirohi Ortegaflagged	1979-11-11	UHC-36461-06	—	—	Rule	0.99	D1 member id + dob exact

Evidence

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

A

B

Score

Method

Rule

Decision

▶CLM-400477CLMTPA-50205TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400480CLMTPA-50205TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-100658 ENRTPA-50205TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-400478 CLMTPA-50205TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400477CLMCLM-400478 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400480CLMCLM-400478 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100658 ENRCLM-400478 CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400477CLMCLM-400479CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400480CLMCLM-400479CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-100658 ENRCLM-400479CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400478 CLMCLM-400479CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400477CLMCLM-400480CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400477CLMENR-100658 ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-400480CLMENR-100658 ENR0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50205TPACLM-400479CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Hiroshi Ortega: 4 claims, no attributed provider
ACT-019081, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3b237a506b
matching_agent, CLM-400479, identity id MBR-019889, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400477
2026-10-19 19:54:38Record linked automatically4388460c5f
scoring_agent, TPA-50205, identity id MBR-019889, confidence 1, method probabilistic, matched record CLM-400477, policy version 1
2026-10-19 19:54:38Record linked automatically3a021820de
scoring_agent, CLM-400478, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:54:38Record linked automatically453cad9588
scoring_agent, ENR-100658, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:54:38Record linked automatically02121864f6
scoring_agent, CLM-400480, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:54:38Record linked automatically24c7685240
scoring_agent, CLM-400477, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:52:09Record linked automatically090d49d7ff
matching_agent, CLM-400479, identity id MBR-019889, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400477
2026-10-19 19:52:09Record linked automatically4423d0098a
scoring_agent, TPA-50205, identity id MBR-019889, confidence 1, method probabilistic, matched record CLM-400477, policy version 1
2026-10-19 19:52:09Record linked automatically1d53c1e78a
scoring_agent, CLM-400478, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:52:09Record linked automatically358784e032
scoring_agent, ENR-100658, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:52:09Record linked automaticallydd8c14702b
scoring_agent, CLM-400480, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:52:09Record linked automaticallyb2bcb81983
scoring_agent, CLM-400477, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:45:42Record linked automaticallyd2fc923e5d
matching_agent, CLM-400479, identity id MBR-019889, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400477
2026-10-19 19:45:42Record linked automatically3297a8ff7c
scoring_agent, TPA-50205, identity id MBR-019889, confidence 1, method probabilistic, matched record CLM-400477, policy version 1
2026-10-19 19:45:42Record linked automaticallyb164147b2f
scoring_agent, CLM-400478, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:45:42Record linked automatically0d1cefa915
scoring_agent, ENR-100658, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:45:42Record linked automatically3ac2dcdc5f
scoring_agent, CLM-400480, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:45:42Record linked automaticallyab9ba4318c
scoring_agent, CLM-400477, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:32:31Record linked automatically1d17932204
matching_agent, CLM-400479, identity id MBR-019889, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400477
2026-10-19 19:32:31Record linked automaticallyb1922ada5c
scoring_agent, TPA-50205, identity id MBR-019889, confidence 1, method probabilistic, matched record CLM-400477, policy version 1
2026-10-19 19:32:31Record linked automatically5ad63a0bd4
scoring_agent, CLM-400478, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:32:31Record linked automatically8828b7c39e
scoring_agent, ENR-100658, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:32:31Record linked automaticallyfcc7ea61cb
scoring_agent, CLM-400480, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:32:31Record linked automatically9249808e9f
scoring_agent, CLM-400477, identity id MBR-019889, confidence 1, method probabilistic, matched record TPA-50205, policy version 1
2026-10-19 19:31:28Record linked automaticallyb5111ef3aa
matching_agent, CLM-400479, identity id MBR-036866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400478
2026-10-19 19:31:28Record linked automatically30fc1ad41e
matching_agent, CLM-400478, identity id MBR-036866, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400479
2026-10-19 19:31:28Record linked automaticallyc014b02244
matching_agent, ENR-100658, identity id MBR-025656, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-20134
2026-10-19 19:31:28Record linked automatically9682d45b4e
scoring_agent, CLM-400480, identity id MBR-011251, confidence 1.00, method probabilistic, matched record PRV-20142, policy version 1
2026-10-19 19:31:28Record linked automaticallyf0301802ec
matching_agent, TPA-50205, identity id MBR-007555, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-400464
2026-10-19 19:31:28Record linked automaticallyd2b3c3cd78
matching_agent, CLM-400477, identity id MBR-003488, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100697

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-027831	2026-08-11	Harbor Medical Group in network	99215	$352.00	$198.24	Approved	Approved
CLM-2026-011639	2026-06-15	Mesa Reference Lab in network	80061, 80053	$88.00	$0.00	Approved	Approved
CLM-2026-006362	2026-05-27	Sunrise Counseling Center in network	99214	$291.00	$140.42	Approved	Approved
CLM-2026-005919	2026-03-10	Pinecrest Behavioral Health in network	90791	$288.00	$138.56	Approved	Approved