Identities/MBR-030625
Gold, golden identity

Justin Ortiz

3 source records from 2 feeds.

MBR-030625Verified3 records

Golden record

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

First nameENR
Justin
Middle name—
—
Last nameENR
Ortiz
Date of birthENR
1979-01-21
GenderENR
F
Member IDENR
UHC-85757-15
SSNENR
•••-••-9098
PhoneENR
2407956489
EmailENR
justin.ortiz90@yahoo.com
AddressENR
6818 Ridge Rd
CityENR
Charlotte
StateENR
NC
ZIPENR
28209
GroupENR
GRP-0753
PlanENR
SELECT-EPO
Min confidence
0.99
Sources
CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.001.000.99CLMCLM-432191ENRENR-142281CLMCLM-432192IDMBR-030625
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-432191CLM2026-05-14Justin Ortizflagged1979-01-21—2407956489—Scored1.00—
ENR-142281ENR2026-06-10Justin Ortizflagged1979-01-21UHC-85757-1524079564896818 Ridge Rd, Charlotte, NCScored1.00—
CLM-432192CLM2026-09-04Juztin Ortizflagged1979-01-21—24079564896818 Ridge Rd, Charlotte, NCScored0.99—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-432191CLMENR-142281ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-432191CLMCLM-432192CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.963
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-142281ENRCLM-432192CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.963
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

  • Eligibility conflict resolvedProposed
    Justin Ortiz: 2 plan codes across sources → canonical SELECT-EPO
    ACT-001150, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-432192 → UHC-85757-15 (Justin Ortiz)
    ACT-005170, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-432191 → UHC-85757-15 (Justin Ortiz)
    ACT-008662, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically6452f90046
    scoring_agent, CLM-432192, identity id MBR-030625, confidence 0.99, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:54:38Record linked automatically9cb1a23981
    scoring_agent, ENR-142281, identity id MBR-030625, confidence 1, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:54:38Record linked automatically4559a5e3a6
    scoring_agent, CLM-432191, identity id MBR-030625, confidence 1, method probabilistic, matched record ENR-142281, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8c192fed83
    scoring_agent, CLM-432192, identity id MBR-030625, confidence 0.99, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:52:09Record linked automatically10bd7f1690
    scoring_agent, ENR-142281, identity id MBR-030625, confidence 1, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyb370960af1
    scoring_agent, CLM-432191, identity id MBR-030625, confidence 1, method probabilistic, matched record ENR-142281, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5e0ddcce11
    scoring_agent, CLM-432192, identity id MBR-030625, confidence 0.99, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd497aa2109
    scoring_agent, ENR-142281, identity id MBR-030625, confidence 1, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:45:42Record linked automatically06fec6c927
    scoring_agent, CLM-432191, identity id MBR-030625, confidence 1, method probabilistic, matched record ENR-142281, policy version 1
  • 2026-10-19 19:32:31Record linked automatically76751f92a2
    scoring_agent, CLM-432192, identity id MBR-030625, confidence 0.99, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5f3944f5aa
    scoring_agent, ENR-142281, identity id MBR-030625, confidence 1, method probabilistic, matched record CLM-432191, policy version 1
  • 2026-10-19 19:32:31Record linked automatically9bd7008661
    scoring_agent, CLM-432191, identity id MBR-030625, confidence 1, method probabilistic, matched record ENR-142281, policy version 1
  • 2026-10-19 19:31:28Record linked automatically50f95c00d7
    scoring_agent, ENR-142281, identity id MBR-024763, confidence 1, method probabilistic, matched record CLM-432045, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6325a53278
    matching_agent, CLM-432192, identity id MBR-010983, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142432
  • 2026-10-19 19:31:28Record linked automaticallya81f1de6f8
    matching_agent, CLM-432191, identity id MBR-004967, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-142431

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0145032026-08-20Meadow GI Associates
in network
88305$288.00$0.00ApprovedApproved
CLM-2026-0277332026-05-05Meadow Imaging Center
in network
74177, 71046$1,581.00$31.04ApprovedApproved