Identities/MBR-026558
Gold, golden identity

Andrea X Ortega

2 source records from 2 feeds.

MBR-026558Verified2 records

Golden record

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

First nameCLM
Andrea
Middle nameTPA
X
Last nameCLM
Ortega
Date of birthCLM
1958-03-18
GenderCLM
F
Member ID—
—
SSNCLM
•••-••-0390
PhoneCLM
4767353233
EmailTPA
andrea.ortega43@icloud.com
AddressCLM
1887 Grand Ave
CityCLM
Phoenix
StateCLM
AZ
ZIPCLM
85030
GroupCLM
GRP-2783
PlanCLM
CORE-HMO
Min confidence
0.97
Sources
CLM ×1TPA ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

0.970.97CLMCLM-431507TPATPA-63916IDMBR-026558
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-431507CLM2026-04-18Andrea Ortegaflagged1958-03-18—47673532331887 Grand Ave, Phoenix, AZRule0.97D2 ssn4 + dob + last name
TPA-63916TPA2026-08-13Andrea Ortegaflagged1958-03-18—47673532331887 Grand Ave, Phoenix, AZRule0.97D2 ssn4 + dob + last name

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-431507CLMTPA-63916TPA0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: 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 automatically27f61d597b
    matching_agent, TPA-63916, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431507
  • 2026-10-22 12:43:54Record linked automatically9a85673857
    matching_agent, CLM-431507, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63916
  • 2026-10-19 19:54:38Record linked automaticallydee8edf026
    matching_agent, TPA-63916, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431507
  • 2026-10-19 19:54:38Record linked automatically5c6458764e
    matching_agent, CLM-431507, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63916
  • 2026-10-19 19:52:09Record linked automaticallyce15e0f7f5
    matching_agent, TPA-63916, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431507
  • 2026-10-19 19:52:09Record linked automatically21a8de530c
    matching_agent, CLM-431507, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63916
  • 2026-10-19 19:45:42Record linked automatically95f0daeea2
    matching_agent, TPA-63916, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431507
  • 2026-10-19 19:45:42Record linked automaticallyddb870d191
    matching_agent, CLM-431507, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63916
  • 2026-10-19 19:32:31Record linked automaticallyc9767dec3c
    matching_agent, TPA-63916, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-431507
  • 2026-10-19 19:32:31Record linked automatically2890d7bfc9
    matching_agent, CLM-431507, identity id MBR-026558, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-63916
  • 2026-10-19 19:31:28Record linked automatically3a84c4b55d
    matching_agent, TPA-63916, identity id MBR-002825, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-141952
  • 2026-10-19 19:31:28Record linked automatically0687cee51d
    scoring_agent, CLM-431507, identity id MBR-002058, confidence 1, method probabilistic, matched record ENR-141586, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0229852026-03-24Lakeside Reference Lab
in network
87086$59.00—DeniedDenied
CLM-2026-0229842026-03-24Lakeside Reference Lab
in network
87086$59.00—PendedPended