Identities/MBR-027731

Gold, golden identity

Pamela U Ortega

4 source records from 3 feeds.

MBR-027731Verified4 records

Golden record

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

First nameENR: Pamela
Middle nameENR: U
Last nameENR: Ortega
Date of birthENR: 1956-08-27
GenderENR: F
Member IDENR: UHC-81594-20
SSNENR: •••-••-7413
PhoneTPA: 7037460429
Email—: —
AddressENR: 871 Baseline Rd
CityENR: Seattle
StateENR: WA
ZIPENR: 98157
GroupENR: GRP-4826
PlanENR: SELECT-EPO

Min confidence

1.00

Sources

ENR ×1TPA ×2CLM ×1

Updated

2026-10-19 19:54:36

run-mvfoap9e

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
ENR-115744	ENR	2026-04-26	Pamela Ortegaflagged	1956-08-27	UHC-81594-20	—	871 Baseline Rd, Seattle, WA	Scored	1.00	—
TPA-55270	TPA	2026-06-25	Pamela Ortegaflagged	1956-08-27	UHC-81594-20	7037460429	871 Baseline Rd, Seattle, WA	Scored	1.00	—
CLM-411960	CLM	2026-07-15	Pamela Ortegaflagged	1956-08-27	—	—	871 Baseline Rd, Seattle, WA	Scored	1.00	—
TPA-55271	TPA	2026-08-31	Pamela Ortegaflagged	1956-08-27	—	—	871 Baseline Rd, Seattle, WA	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶ENR-115744ENRCLM-411960CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55270TPACLM-411960CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-115744ENRTPA-55271TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55270TPATPA-55271TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-411960CLMTPA-55271TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-115744ENRTPA-55270TPA0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-411960 → UHC-81594-20 (Pamela Ortega)
ACT-001584, Claims processor

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically3b149876ae
scoring_agent, TPA-55271, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:54:38Record linked automatically073bfc984a
scoring_agent, CLM-411960, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:54:38Record linked automatically2a2baa95c4
scoring_agent, TPA-55270, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:54:38Record linked automatically2e150c2003
scoring_agent, ENR-115744, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:52:09Record linked automaticallyb27d7b48b2
scoring_agent, TPA-55271, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:52:09Record linked automatically79f71d9b15
scoring_agent, CLM-411960, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:52:09Record linked automatically8ee15cb65c
scoring_agent, TPA-55270, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:52:09Record linked automatically4ce122c1ad
scoring_agent, ENR-115744, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:45:42Record linked automatically81676cf4a3
scoring_agent, TPA-55271, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:45:42Record linked automatically8080a7bf99
scoring_agent, CLM-411960, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:45:42Record linked automaticallye0b39c42f7
scoring_agent, TPA-55270, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:45:42Record linked automaticallycd9cdc0398
scoring_agent, ENR-115744, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:32:31Record linked automaticallya258b78213
scoring_agent, TPA-55271, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:32:31Record linked automatically5e9c8a1a16
scoring_agent, CLM-411960, identity id MBR-027731, confidence 1, method probabilistic, matched record ENR-115744, policy version 1
2026-10-19 19:32:31Record linked automaticallyce349d2adb
scoring_agent, TPA-55270, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:32:31Record linked automatically600adb6e85
scoring_agent, ENR-115744, identity id MBR-027731, confidence 1, method probabilistic, matched record CLM-411960, policy version 1
2026-10-19 19:31:28Record linked automaticallyf206a0d515
matching_agent, ENR-115744, identity id MBR-029677, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-411871
2026-10-19 19:31:28Record linked automaticallyd006600d1e
scoring_agent, TPA-55271, identity id MBR-020734, confidence 1, method probabilistic, matched record TPA-55272, policy version 1
2026-10-19 19:31:28Record linked automatically4457224a0c
scoring_agent, TPA-55270, identity id MBR-015093, confidence 1, method probabilistic, matched record PRV-23529, policy version 1
2026-10-19 19:31:28Record linked automatically1017066e14
scoring_agent, CLM-411960, identity id MBR-011988, confidence 1, method probabilistic, matched record CLM-411962, 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-2026-001046	2026-07-12	Harbor Medical Group in network	99213, 99203, 99395	$687.00	$385.94	Approved	Approved