Identities/MBR-031477
Gold, golden identity

Roy W Ortega

4 source records from 3 feeds.

MBR-031477Verified4 records

Golden record

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

First nameENR
Roy
Middle nameCLM
W
Last nameENR
Ortega
Date of birthENR
1952-09-11
GenderENR
M
Member IDENR
UHC-49200-73
SSNENR
•••-••-6914
PhoneENR
8275698113
EmailENR
roy.ortega@proton.me
AddressENR
5579 Baseline Rd
CityENR
Phoenix
StateENR
AZ
ZIPENR
85054
GroupENR
GRP-5810
PlanENR
MEDICARE-ADV-B
Min confidence
0.97
Sources
CLM ×2TPA ×1ENR ×1
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.971.001.00CLMCLM-426046TPATPA-61507CLMCLM-426045ENRENR-134094IDMBR-031477
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-426046CLM2026-05-20Roy Ortegaflagged1952-09-11—82756981135579 Baseline Rd, Phoenix, AZScored1.00—
TPA-61507TPA2026-05-21Roy Oregaflagged1952-09-11——5579 Baseline Rd, Phoenix, AZRule0.97D2 ssn4 + dob + last name
CLM-426045CLM2026-06-02Roy Ortegaflagged1952-09-11UHC-49200-7382756981135579 Baseline Rd, Phoenix, AZScored1.00—
ENR-134094ENR2026-08-02Roy Ortegaflagged1952-09-11UHC-49200-7382756981135579 Baseline Rd, Phoenix, AZScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-426046CLMCLM-426045CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-426046CLMENR-134094ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-426045CLMENR-134094ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 4Conflicts: noneGuard: none
▶TPA-61507TPACLM-426045CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶TPA-61507TPAENR-134094ENR0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-426046 → UHC-49200-73 (Roy Ortega)
    ACT-006704, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:54Record linked automaticallyc77fb14d47
    scoring_agent, ENR-134094, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-22 12:43:54Record linked automatically2646330dac
    scoring_agent, CLM-426045, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-22 12:43:54Record linked automaticallybc7b73caec
    matching_agent, TPA-61507, identity id MBR-031477, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426045
  • 2026-10-22 12:43:54Record linked automatically4d6e2b6a81
    scoring_agent, CLM-426046, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426045, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8beb14642a
    scoring_agent, ENR-134094, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:54:38Record linked automatically77389386a4
    scoring_agent, CLM-426045, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:54:38Record linked automatically8472b88682
    matching_agent, TPA-61507, identity id MBR-031477, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426045
  • 2026-10-19 19:54:38Record linked automatically2782de9373
    scoring_agent, CLM-426046, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426045, policy version 1
  • 2026-10-19 19:52:09Record linked automatically8005fbd97b
    scoring_agent, ENR-134094, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallye69d332620
    scoring_agent, CLM-426045, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyc0f4dce13e
    matching_agent, TPA-61507, identity id MBR-031477, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426045
  • 2026-10-19 19:52:09Record linked automaticallya8e2de3edc
    scoring_agent, CLM-426046, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426045, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf6dcc3ff27
    scoring_agent, ENR-134094, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:45:42Record linked automatically397412d7de
    scoring_agent, CLM-426045, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyace5a07a40
    matching_agent, TPA-61507, identity id MBR-031477, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426045
  • 2026-10-19 19:45:42Record linked automatically47b423c435
    scoring_agent, CLM-426046, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426045, policy version 1
  • 2026-10-19 19:32:31Record linked automatically2fdd9ba50e
    scoring_agent, ENR-134094, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:32:31Record linked automatically09b5634075
    scoring_agent, CLM-426045, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426046, policy version 1
  • 2026-10-19 19:32:31Record linked automatically8a9dbaa974
    matching_agent, TPA-61507, identity id MBR-031477, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-426045
  • 2026-10-19 19:32:31Record linked automatically238db3c5af
    scoring_agent, CLM-426046, identity id MBR-031477, confidence 1, method probabilistic, matched record CLM-426045, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyba79258be3
    scoring_agent, CLM-426046, identity id MBR-035486, confidence 1, method probabilistic, matched record ENR-134427, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb5f8146171
    scoring_agent, ENR-134094, identity id MBR-027741, confidence 1, method probabilistic, matched record CLM-425844, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd61d9defbf
    matching_agent, CLM-426045, identity id MBR-023007, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-134425
  • 2026-10-19 19:31:28Record linked automaticallye6422168fe
    scoring_agent, TPA-61507, identity id MBR-015705, confidence 1, method probabilistic, matched record CLM-426114, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0206732026-05-24Cornerstone Internal Medicine Associates
in network
99214$244.00$126.28ApprovedApproved
CLM-2026-0201892026-05-17Pinecrest Bone and Joint Center
in network
27447$29,267.00—Needs reviewNeeds review