Gold, golden identity
Julie T Ortega
3 source records from 2 feeds.
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Julie
- Middle nameCLM
- T
- Last nameCLM
- Ortega
- Date of birthCLM
- 1964-09-26
- GenderCLM
- M
- Member IDCLM
- UHC-75380-43
- SSNCLM
- •••-••-0659
- PhoneCLM
- 8469592035
- EmailCLM
- julie.ortega@proton.me
- AddressCLM
- 1649 Mountain View Dr
- CityCLM
- Fresno
- StateCLM
- CA
- ZIPCLM
- 93764
- GroupCLM
- GRP-9219
- PlanCLM
- MEDICARE-ADV-B
Min confidence
0.93
Sources
CLM ×2TPA ×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-411399 | CLM | 2026-03-16 | Julie Ortegaflagged | 1964-09-26 | — | — | 1649 Mountain View Dr, Fresno, CA | Scored | 0.93 | — |
| CLM-411398 | CLM | 2026-07-22 | Julie Ortegaflagged | 1964-09-26 | UHC-75380-43 | 8469592035 | 1649 Mountain View Dr, Fresno, CA | Scored | 1.00 | — |
| TPA-55011 | TPA | 2026-10-09 | Julie Ortegaflagged | 1964-09-26 | — | — | 1649 Mountain View Dr, Fresno, CA | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-411398CLMTPA-55011 TPA1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-411399CLMCLM-411398CLM0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
▶CLM-411399CLMTPA-55011 TPA0.93Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-411399 → UHC-75380-43 (Julie Ortega)ACT-007073, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically0240f580c2scoring_agent, TPA-55011, identity id MBR-019990, confidence 1, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:54:38Record linked automatically9ad925528ascoring_agent, CLM-411398, identity id MBR-019990, confidence 1, method probabilistic, matched record TPA-55011, policy version 1
- 2026-10-19 19:54:38Record linked automatically5216039d9cscoring_agent, CLM-411399, identity id MBR-019990, confidence 0.93, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyced774ffa3scoring_agent, TPA-55011, identity id MBR-019990, confidence 1, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyb6574c13bcscoring_agent, CLM-411398, identity id MBR-019990, confidence 1, method probabilistic, matched record TPA-55011, policy version 1
- 2026-10-19 19:52:09Record linked automaticallye680b133d8scoring_agent, CLM-411399, identity id MBR-019990, confidence 0.93, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:45:42Record linked automaticallye6a4a98480scoring_agent, TPA-55011, identity id MBR-019990, confidence 1, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:45:42Record linked automatically8e98e16fb5scoring_agent, CLM-411398, identity id MBR-019990, confidence 1, method probabilistic, matched record TPA-55011, policy version 1
- 2026-10-19 19:45:42Record linked automatically82ff581e51scoring_agent, CLM-411399, identity id MBR-019990, confidence 0.93, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:32:31Record linked automatically7b1b78bed8scoring_agent, TPA-55011, identity id MBR-019990, confidence 1, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:32:31Record linked automaticallyda3faec650scoring_agent, CLM-411398, identity id MBR-019990, confidence 1, method probabilistic, matched record TPA-55011, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye2b8007625scoring_agent, CLM-411399, identity id MBR-019990, confidence 0.93, method probabilistic, matched record CLM-411398, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyaac7f67411matching_agent, TPA-55011, identity id MBR-031968, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-114965
- 2026-10-19 19:31:28Record linked automatically8e5cf0d47cscoring_agent, CLM-411398, identity id MBR-016306, confidence 0.96, method probabilistic, matched record ENR-115135, policy version 1
- 2026-10-19 19:31:28Record linked automaticallye2d8281395matching_agent, CLM-411399, identity id MBR-003395, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55055
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-2026-024148 | 2026-07-04 | Mesa Internal Medicine Associates in network | 93000, 80053, 99214 | $361.00 | $203.82 | Approved | Approved |
| CLM-2026-021592 | 2026-03-05 | Mesa Diabetes Center in network | 99215, 95251 | $550.00 | $266.00 | Approved | Approved |