Identities/MBR-023139
Gold, golden identity

Priya T Ortega

4 source records from 2 feeds.

MBR-023139Verified4 records

Golden record

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

First nameENR
Priya
Middle nameENR
T
Last nameENR
Ortega
Date of birthCLM
1998-10-25
GenderENR
F
Member IDENR
UHC-14105-31
SSNENR
•••-••-6528
PhoneENR
4057265347
EmailENR
priya.ortega6@icloud.com
AddressENR
2401 Park Pl
CityENR
Charlotte
StateENR
NC
ZIPENR
28297
GroupENR
GRP-2451
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
CLM ×3ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.960.970.99CLMCLM-421170ENRENR-127771CLMCLM-421169CLMCLM-421168IDMBR-023139
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
CLM-421170CLM2026-03-31Priya Ortegaflagged1998-10-25UHC-14105-3140572653472401 Park Pl, Charlotte, NCRule0.99D1 member id + dob exact
ENR-127771ENR2026-04-21Priya Ortegaflagged1998-12-05UHC-14105-3140572653472401 Park Pl, Charlotte, NCRule0.96D3 member id + name
CLM-421169CLM2026-07-19Priya Ortegaflagged1998-10-25——2401 Park Pl # 271, Charlotte, NCRule0.97D2 ssn4 + dob + last name
CLM-421168CLM2026-09-12Priya Ortegaflagged1998-10-25UHC-14105-3140572653472401 Park Pl, Charlotte, NCRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-421170CLMCLM-421168CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-421169CLMCLM-421168CLM0.97RuleD2 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
▶CLM-421170CLMCLM-421169CLM0.97RuleD2 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
▶ENR-127771ENRCLM-421168CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶CLM-421170CLMENR-127771ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-127771ENRCLM-421169CLM0.89Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.603transposition
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Priya Ortega: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000949, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-421169 → UHC-14105-31 (Priya Ortega)
    ACT-009466, Claims processor
  • Care coordination outreachProposed
    Priya Ortega: 3 claims, no attributed provider
    ACT-019222, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically20de047788
    matching_agent, CLM-421168, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421170
  • 2026-10-19 19:54:38Record linked automatically18734ee9fe
    matching_agent, CLM-421169, identity id MBR-023139, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:54:38Record linked automaticallycfaf0e7517
    matching_agent, ENR-127771, identity id MBR-023139, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:54:38Record linked automatically57498786f0
    matching_agent, CLM-421170, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421168
  • 2026-10-19 19:52:09Record linked automaticallydad1294fb5
    matching_agent, CLM-421168, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421170
  • 2026-10-19 19:52:09Record linked automaticallye312a9aaa4
    matching_agent, CLM-421169, identity id MBR-023139, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:52:09Record linked automaticallyd30c07cb1d
    matching_agent, ENR-127771, identity id MBR-023139, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:52:09Record linked automaticallya210d250d8
    matching_agent, CLM-421170, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421168
  • 2026-10-19 19:45:42Record linked automatically16dcdb4e38
    matching_agent, CLM-421168, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421170
  • 2026-10-19 19:45:42Record linked automatically0c19197c5e
    matching_agent, CLM-421169, identity id MBR-023139, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:45:42Record linked automatically6112c9d250
    matching_agent, ENR-127771, identity id MBR-023139, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:45:42Record linked automatically7a64c1406e
    matching_agent, CLM-421170, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421168
  • 2026-10-19 19:32:31Record linked automaticallyaf7447b183
    matching_agent, CLM-421168, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421170
  • 2026-10-19 19:32:31Record linked automatically593a0fad9a
    matching_agent, CLM-421169, identity id MBR-023139, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:32:31Record linked automatically8c88154602
    matching_agent, ENR-127771, identity id MBR-023139, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-421170
  • 2026-10-19 19:32:31Record linked automatically5bc9afe8de
    matching_agent, CLM-421170, identity id MBR-023139, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-421168
  • 2026-10-19 19:31:28Record linked automatically7a7f58b5b9
    matching_agent, ENR-127771, identity id MBR-012792, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-127770
  • 2026-10-19 19:31:28Record linked automaticallyfbe9ea493c
    scoring_agent, CLM-421170, identity id MBR-003740, confidence 1.00, method probabilistic, matched record TPA-59253, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallycab9232b73
    scoring_agent, CLM-421168, identity id MBR-002244, confidence 1, method probabilistic, matched record CLM-421169, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyefcbae50cf
    scoring_agent, CLM-421169, identity id MBR-002244, confidence 1, method probabilistic, matched record CLM-421168, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0331522026-08-14Northgate Clinical Laboratories
in network
80053, 87086, 85025, 80061$214.00—DeniedDenied
CLM-2026-0310092026-06-07Lakeside Physical Therapy
in network
97110$376.00—DeniedDenied
CLM-2026-0263432026-03-05Harbor Medical Group
out of network
93000$90.00—DeniedDenied