Identities/MBR-021519
Gold, golden identity

Bobby R Ortiz

3 source records from 3 feeds.

MBR-021519Verified3 records

Golden record

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

First nameENR
Bobby
Middle nameENR
R
Last nameENR
Ortiz
Date of birthENR
1946-01-03
GenderENR
M
Member IDENR
UHC-60754-75
SSNENR
•••-••-4077
PhoneENR
4313622832
EmailENR
bobby.ortiz40@hotmail.com
AddressENR
4494 Indian School Rd
CityENR
Miami
StateENR
FL
ZIPENR
33150
GroupENR
GRP-7164
PlanENR
MEDICARE-ADV-B
Min confidence
0.96
Sources
PRV ×1ENR ×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

0.960.970.97PRVPRV-29364ENRENR-142049CLMCLM-432038IDMBR-021519
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
PRV-29364PRV2026-03-23Bobby Ortizflagged1946-10-03UHC-60754-75—4494 Indian School Rd, Miami, FLRule0.96D3 member id + name
ENR-142049ENR2026-07-08Bobby Ortizflagged1946-01-03UHC-60754-7543136228324494 Indian School Rd, Miami, FLRule0.97D2 ssn4 + dob + last name
CLM-432038CLM2026-07-31Bobby Ortizflagged1946-01-03——4494 Indian School Rd, Miami, FLRule0.97D2 ssn4 + dob + last name

Evidence

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

ABScoreMethodRuleDecision
▶ENR-142049ENRCLM-432038CLM0.97RuleD2 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
▶PRV-29364PRVENR-142049ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-29364PRVCLM-432038CLM0.85Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-432038 → UHC-60754-75 (Bobby Ortiz)
    ACT-003951, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyed67b1f96d
    matching_agent, CLM-432038, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142049
  • 2026-10-22 12:43:54Record linked automatically963bbd3f6e
    matching_agent, ENR-142049, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432038
  • 2026-10-22 12:43:54Record linked automatically07c6bc2343
    matching_agent, PRV-29364, identity id MBR-021519, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:54:38Record linked automatically72e6c18a20
    matching_agent, CLM-432038, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:54:38Record linked automatically08474da74a
    matching_agent, ENR-142049, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432038
  • 2026-10-19 19:54:38Record linked automatically48be3e7bd5
    matching_agent, PRV-29364, identity id MBR-021519, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:52:09Record linked automatically287b4788a9
    matching_agent, CLM-432038, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:52:09Record linked automatically9549784745
    matching_agent, ENR-142049, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432038
  • 2026-10-19 19:52:09Record linked automatically791fc3c4dc
    matching_agent, PRV-29364, identity id MBR-021519, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:45:42Record linked automatically86960f22ff
    matching_agent, CLM-432038, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:45:42Record linked automaticallycb2bbdd0ff
    matching_agent, ENR-142049, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432038
  • 2026-10-19 19:45:42Record linked automaticallyea7a4100bd
    matching_agent, PRV-29364, identity id MBR-021519, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:32:31Record linked automatically8e9bdc3a60
    matching_agent, CLM-432038, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:32:31Record linked automatically6cccc1363e
    matching_agent, ENR-142049, identity id MBR-021519, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-432038
  • 2026-10-19 19:32:31Record linked automatically569a2a3ec4
    matching_agent, PRV-29364, identity id MBR-021519, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-142049
  • 2026-10-19 19:31:28Record linked automatically45625564ad
    matching_agent, ENR-142049, identity id MBR-019933, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142048
  • 2026-10-19 19:31:28Record linked automaticallyb257c9ea95
    scoring_agent, PRV-29364, identity id MBR-013558, confidence 1, method probabilistic, matched record CLM-432136, policy version 1
  • 2026-10-19 19:31:28Record linked automatically5b10721d0f
    matching_agent, CLM-432038, identity id MBR-002154, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142275

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0100262026-07-25Riverside Medical Group
in network
99203, 90471$218.00$95.16ApprovedApproved