Identities/MBR-023517
Gold, golden identity

Carlos Z Ortega

4 source records from 3 feeds.

MBR-023517Verified4 records

Golden record

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

First nameENR
Carlos
Middle nameENR
Z
Last nameENR
Ortega
Date of birthENR
1985-05-15
GenderENR
F
Member IDENR
UHC-86655-27
SSNENR
•••-••-1640
PhoneCLM
7852825408
EmailENR
carlos.ortega@yahoo.com
AddressENR
8554 Harbor Blvd
CityENR
Sacramento
StateENR
CA
ZIPENR
95837
GroupENR
GRP-7313
PlanENR
MEDICARE-ADV-A
Min confidence
0.99
Sources
ENR ×1CLM ×2TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.990.991.001.00ENRENR-130947CLMCLM-423656TPATPA-60419CLMCLM-423655IDMBR-023517
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
ENR-130947ENR2026-04-02Carlos Ortegaflagged1985-05-15UHC-86655-27—8554 Harbor Blvd, Sacramento, CARule0.99D1 member id + dob exact
CLM-423656CLM2026-06-04Carlos Ortegaflagged1985-05-15UHC-86655-27—8554 Harbor Blvd, Sacramento, CARule0.99D1 member id + dob exact
TPA-60419TPA2026-06-17Carlos Ortegaflagged1985-05-15—7852825408—Scored1.00—
CLM-423655CLM2026-07-08Carlos Ortegaflagged1985-05-15UHC-86655-277852825408—Scored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-60419TPACLM-423655CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-130947ENRCLM-423655CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-423656CLMCLM-423655CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-130947ENRCLM-423656CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-130947ENRTPA-60419TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-423656CLMTPA-60419TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

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 automaticallye0484c9896
    scoring_agent, CLM-423655, identity id MBR-023517, confidence 1, method probabilistic, matched record TPA-60419, policy version 1
  • 2026-10-22 12:43:54Record linked automatically315440cdaa
    scoring_agent, TPA-60419, identity id MBR-023517, confidence 1, method probabilistic, matched record CLM-423655, policy version 1
  • 2026-10-22 12:43:54Record linked automatically670caa8b02
    matching_agent, CLM-423656, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130947
  • 2026-10-22 12:43:54Record linked automaticallyb84445cbec
    matching_agent, ENR-130947, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423656
  • 2026-10-19 19:54:38Record linked automatically62e94a1465
    scoring_agent, CLM-423655, identity id MBR-023517, confidence 1, method probabilistic, matched record TPA-60419, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyd23697a4fd
    scoring_agent, TPA-60419, identity id MBR-023517, confidence 1, method probabilistic, matched record CLM-423655, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye4e39661e5
    matching_agent, CLM-423656, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130947
  • 2026-10-19 19:54:38Record linked automaticallyfc4bac7395
    matching_agent, ENR-130947, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423656
  • 2026-10-19 19:52:09Record linked automatically9be675652d
    scoring_agent, CLM-423655, identity id MBR-023517, confidence 1, method probabilistic, matched record TPA-60419, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyd9e457f262
    scoring_agent, TPA-60419, identity id MBR-023517, confidence 1, method probabilistic, matched record CLM-423655, policy version 1
  • 2026-10-19 19:52:09Record linked automatically20f146e528
    matching_agent, CLM-423656, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130947
  • 2026-10-19 19:52:09Record linked automaticallye6551a891d
    matching_agent, ENR-130947, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423656
  • 2026-10-19 19:45:42Record linked automaticallya489b33ef6
    scoring_agent, CLM-423655, identity id MBR-023517, confidence 1, method probabilistic, matched record TPA-60419, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2d7b6a5a5a
    scoring_agent, TPA-60419, identity id MBR-023517, confidence 1, method probabilistic, matched record CLM-423655, policy version 1
  • 2026-10-19 19:45:42Record linked automatically4e6402fa75
    matching_agent, CLM-423656, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130947
  • 2026-10-19 19:45:42Record linked automatically19a9435335
    matching_agent, ENR-130947, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423656
  • 2026-10-19 19:32:31Record linked automatically1bee9c9cea
    scoring_agent, CLM-423655, identity id MBR-023517, confidence 1, method probabilistic, matched record TPA-60419, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb50b62a8f7
    scoring_agent, TPA-60419, identity id MBR-023517, confidence 1, method probabilistic, matched record CLM-423655, policy version 1
  • 2026-10-19 19:32:31Record linked automatically58c2d011aa
    matching_agent, CLM-423656, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130947
  • 2026-10-19 19:32:31Record linked automaticallya38bf6fba5
    matching_agent, ENR-130947, identity id MBR-023517, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-423656
  • 2026-10-19 19:31:28Record linked automatically71ad658d9f
    scoring_agent, CLM-423656, identity id MBR-025604, confidence 1, method probabilistic, matched record TPA-60407, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9547d120f5
    scoring_agent, CLM-423655, identity id MBR-025604, confidence 1, method probabilistic, matched record TPA-60407, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1563321a03
    matching_agent, ENR-130947, identity id MBR-014679, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-130948
  • 2026-10-19 19:31:28Record linked automatically27bd7d0508
    scoring_agent, TPA-60419, identity id MBR-002263, confidence 1, method probabilistic, matched record TPA-60418, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0326282026-06-15Lakeside Clinical Laboratories
in network
83036, 80053$148.00$0.00ApprovedApproved
CLM-2026-0086672026-05-08Riverside Primary Care Associates
in network
36415, 99203, 90471$293.00$170.50ApprovedApproved