Gold, golden identity
Anthony Ortiz
3 source records from 2 feeds.
MBR-030401Verified3 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Anthony
- Middle name—
- —
- Last nameENR
- Ortiz
- Date of birthENR
- 1962-11-28
- GenderENR
- M
- Member IDENR
- UHC-26515-31
- SSNENR
- •••-••-4546
- PhoneENR
- 5792200295
- EmailENR
- anthony.ortiz@outlook.com
- AddressENR
- 3514 Sage Ct
- CityENR
- Austin
- StateENR
- TX
- ZIPENR
- 78758
- GroupENR
- GRP-4425
- PlanENR
- CORE-HMO
Min confidence
1.00
Sources
CLM ×2ENR ×1
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-431793 | CLM | 2026-05-12 | Anthony Ortizflagged | 1962-11-28 | — | — | 3514 Sage Ct, Austin, TX | Scored | 1.00 | — |
| CLM-431794 | CLM | 2026-07-24 | Anthony Ortizflagged | 1962-11-28 | UHC-26515-31 | — | 3514 Sage Ct, Austin, TX | Scored | 1.00 | — |
| ENR-141710 | ENR | 2026-08-06 | Anthony Ortizflagged | 1962-11-28 | UHC-26515-31 | 5792200295 | 3514 Sage Ct, Austin, TX | Scored | 1.00 | — |
Evidence
3 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-431793CLMCLM-431794CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-431793CLMENR-141710ENR1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||
▶CLM-431794CLMENR-141710ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-431793 → UHC-26515-31 (Anthony Ortiz)ACT-009328, Claims processor
Audit
Hash-chained entries touching this identity or its records
- 2026-10-22 12:43:54Record linked automaticallye5120ac87fscoring_agent, ENR-141710, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-22 12:43:54Record linked automatically6fb1811970scoring_agent, CLM-431794, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-22 12:43:54Record linked automaticallyadeb248975scoring_agent, CLM-431793, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431794, policy version 1
- 2026-10-19 19:54:38Record linked automatically7f7ccd80bbscoring_agent, ENR-141710, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:54:38Record linked automatically6f9b641dddscoring_agent, CLM-431794, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:54:38Record linked automaticallyacc4e513c4scoring_agent, CLM-431793, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431794, policy version 1
- 2026-10-19 19:52:09Record linked automaticallyc129e2122bscoring_agent, ENR-141710, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:52:09Record linked automatically4e333e9823scoring_agent, CLM-431794, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:52:09Record linked automatically4dd33a0180scoring_agent, CLM-431793, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431794, policy version 1
- 2026-10-19 19:45:42Record linked automaticallye592652e3ascoring_agent, ENR-141710, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:45:42Record linked automatically6399823e81scoring_agent, CLM-431794, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:45:42Record linked automatically544f3479b6scoring_agent, CLM-431793, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431794, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye67eb747e7scoring_agent, ENR-141710, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:32:31Record linked automaticallye9b53ac1a5scoring_agent, CLM-431794, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431793, policy version 1
- 2026-10-19 19:32:31Record linked automatically6e12a7bb0dscoring_agent, CLM-431793, identity id MBR-030401, confidence 1, method probabilistic, matched record CLM-431794, policy version 1
- 2026-10-19 19:31:28Record linked automatically57976dd4a4scoring_agent, CLM-431793, identity id MBR-019247, confidence 1, method probabilistic, matched record PRV-29266, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyb0681fabdcmatching_agent, CLM-431794, identity id MBR-019247, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-141976
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-2026-020070 | 2026-07-19 | Pinecrest Bone and Joint Center in network | 29881 | $9,246.00 | $4,028.25 | Approved | Approved |
| CLM-2026-030462 | 2026-04-12 | Mesa Internal Medicine Associates out of network | 99214 | $253.00 | — | Denied | Denied |
| CLM-2026-030461 | 2026-04-12 | Canyon Medical Group in network | 99214 | $253.00 | $126.86 | Approved | Approved |