Gold, golden identity
Hiroshi T Ortega
2 source records from 1 feed.
MBR-022040Verified2 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameCLM
- Hiroshi
- Middle nameCLM
- T
- Last nameCLM
- Ortega
- Date of birthCLM
- 1992-05-26
- GenderCLM
- M
- Member IDCLM
- UHC-13898-70
- SSNCLM
- •••-••-5737
- PhoneCLM
- 5708039620
- Email—
- —
- AddressCLM
- 3773 Palm Dr
- CityCLM
- Dallas
- StateCLM
- TX
- ZIPCLM
- 75266
- Group—
- —
- PlanCLM
- CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb
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-418068 | CLM | 2026-03-25 | Hiroshi Ortegaflagged | 1992-05-26 | UHC-13898-70 | — | 3773 Palm Dr, Dallas, TX | Rule | 0.99 | D1 member id + dob exact |
| CLM-418069 | CLM | 2026-06-24 | Hiroshi Ortegaflagged | 1992-05-26 | UHC-13898-70 | 5708039620 | 3773 Palm Dr, Dallas, TX | Rule | 0.99 | D1 member id + dob exact |
Evidence
1 scored pair among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-418068CLMCLM-418069CLM0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
No actions yet
Nothing downstream has consumed this identity.
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automatically921c13fda8matching_agent, CLM-418069, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418068
- 2026-10-22 12:43:54Record linked automatically7cc4bad842matching_agent, CLM-418068, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418069
- 2026-10-19 19:54:38Record linked automaticallye06e8d437bmatching_agent, CLM-418069, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418068
- 2026-10-19 19:54:38Record linked automaticallyd9848645c7matching_agent, CLM-418068, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418069
- 2026-10-19 19:52:09Record linked automaticallycb85c74e4fmatching_agent, CLM-418069, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418068
- 2026-10-19 19:52:09Record linked automaticallybed99361eematching_agent, CLM-418068, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418069
- 2026-10-19 19:45:42Record linked automatically7757ab405fmatching_agent, CLM-418069, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418068
- 2026-10-19 19:45:42Record linked automatically853ed75d97matching_agent, CLM-418068, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418069
- 2026-10-19 19:32:31Record linked automatically11d5553419matching_agent, CLM-418069, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418068
- 2026-10-19 19:32:31Record linked automatically04dd885770matching_agent, CLM-418068, identity id MBR-022040, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-418069
- 2026-10-19 19:31:28Record linked automaticallyd6c57f79e8matching_agent, CLM-418068, identity id MBR-019653, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-123649
- 2026-10-19 19:31:28Record linked automaticallyd779a32fa2scoring_agent, CLM-418069, identity id MBR-019653, confidence 0.93, method probabilistic, matched record ENR-123649, policy version 1
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-2026-008120 | 2026-06-21 | Meadow GI Associates out of network | 43239, 45378 | $4,279.00 | — | Denied | Denied |
| CLM-2026-030150 | 2026-03-09 | Summit Diagnostic Imaging in network | 74177 | $1,491.00 | — | Denied | Denied |