Identities/MBR-021103
Gold, golden identity

Roger X Ortiz

3 source records from 2 feeds.

MBR-021103Verified3 records

Golden record

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

First nameCLM
Roger
Middle nameTPA
X
Last nameCLM
Ortiz
Date of birthCLM
1970-12-19
GenderCLM
M
Member IDCLM
UHC-26091-54
SSNCLM
•••-••-6698
PhoneCLM
2333673612
Email—
—
AddressCLM
7441 Bayshore Dr
CityCLM
Minneapolis
StateCLM
MN
ZIPCLM
55411
GroupCLM
GRP-5011
PlanCLM
CORE-HMO
Min confidence
0.97
Sources
TPA ×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

0.970.970.97TPATPA-50088CLMCLM-400201CLMCLM-400200IDMBR-021103
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-50088TPA2026-03-21Roger Ortizflagged1970-12-19——7441 Bayshore Dr, Minneapolis, MNRule0.97D2 ssn4 + dob + last name
CLM-400201CLM2026-04-29Roger Ortizflagged1970-12-19——7441 Bayshore Dr, Minneapolis, MNRule0.97D2 ssn4 + dob + last name
CLM-400200CLM2026-06-04Roegr Orttizflagged1970-12-19UHC-26091-5423336736127441 Bayshore Dr, Minneapolis, MNRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶TPA-50088TPACLM-400200CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-400201CLMCLM-400200CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-50088TPACLM-400201CLM0.97RuleD2 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

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-400201 → UHC-26091-54 (Roger Ortiz)
    ACT-005458, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallya59fea2af9
    matching_agent, CLM-400200, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-22 12:43:54Record linked automaticallyad249d6ab9
    matching_agent, CLM-400201, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-22 12:43:54Record linked automatically31f6de3919
    matching_agent, TPA-50088, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400201
  • 2026-10-19 19:54:38Record linked automatically1e24cebdf3
    matching_agent, CLM-400200, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:54:38Record linked automaticallyaaa9868d16
    matching_agent, CLM-400201, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:54:38Record linked automaticallyea76c0ccfb
    matching_agent, TPA-50088, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400201
  • 2026-10-19 19:52:09Record linked automaticallyff49b62352
    matching_agent, CLM-400200, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:52:09Record linked automatically8082545a74
    matching_agent, CLM-400201, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:52:09Record linked automatically074a9db107
    matching_agent, TPA-50088, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400201
  • 2026-10-19 19:45:42Record linked automatically3ca8129654
    matching_agent, CLM-400200, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:45:42Record linked automatically0cc1ffbacc
    matching_agent, CLM-400201, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:45:42Record linked automaticallyccbb6c1636
    matching_agent, TPA-50088, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400201
  • 2026-10-19 19:32:31Record linked automatically083b168fda
    matching_agent, CLM-400200, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:32:31Record linked automatically1ccbd95890
    matching_agent, CLM-400201, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50088
  • 2026-10-19 19:32:31Record linked automatically5dff22073b
    matching_agent, TPA-50088, identity id MBR-021103, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-400201
  • 2026-10-19 19:31:28Record linked automatically3f1d733b67
    scoring_agent, TPA-50088, identity id MBR-039941, confidence 1, method probabilistic, matched record CLM-400207, policy version 1
  • 2026-10-19 19:31:28Record linked automatically7b32441297
    matching_agent, CLM-400200, identity id MBR-024440, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100296
  • 2026-10-19 19:31:28Record linked automaticallyc1796cb49e
    matching_agent, CLM-400201, identity id MBR-009662, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100298

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0148012026-04-28Pinecrest Clinical Laboratories
in network
80053$67.00$0.00ApprovedApproved
CLM-2026-0156322026-04-21Desert Diagnostic Imaging
in network
76700$491.00$93.76ApprovedApproved