Gold, golden identity
Yuki U Ortega
5 source records from 3 feeds.
MBR-032330Verified5 records
Golden record
Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip
- First nameENR
- Yuki
- Middle nameENR
- U
- Last nameENR
- Ortega
- Date of birthENR
- 1977-05-26
- GenderCLM
- F
- Member IDENR
- UHC-69924-78
- SSNENR
- •••-••-8467
- PhoneCLM
- 9248764797
- EmailENR
- yuki.ortega96@proton.me
- AddressENR
- 9570 Cedar Ln
- CityENR
- Los Angeles
- StateENR
- CA
- ZIPENR
- 90089
- GroupENR
- GRP-7595
- PlanENR
- MEDICARE-ADV-B
Min confidence
0.99
Sources
CLM ×3TPA ×1ENR ×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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CLM-413120 | CLM | 2026-05-26 | Yuki Ortegaflagged | 1977-05-26 | UHC-69924-78 | — | 9570 Cedar Ln, Los Angeles, CA | Rule | 0.99 | D1 member id + dob exact |
| TPA-55763 | TPA | 2026-06-05 | Yuki Ortegaflagged | 1977-05-26 | UHC-69924-78 | — | 9570 Cedar Ln, Los Angeles, CA | Rule | 0.99 | D1 member id + dob exact |
| ENR-117224 | ENR | 2026-06-08 | Yuki Ortegaflagged | 1977-05-26 | UHC-69924-78 | — | 9570 Cedar Ln, Los Angeles, CA | Rule | 0.99 | D1 member id + dob exact |
| CLM-413119 | CLM | 2026-07-29 | Yuki Ortegaflagged | 1976-05-26 | — | — | 9570 Cedar Ln, Los Angeles, CA | Scored | 1.00 | — |
| CLM-413118 | CLM | 2026-08-07 | Yuki Ortegaflagged | — | UHC-69924-78 | 9248764797 | 9570 Cedar Ln, Los Angeles, CA | Scored | 1.00 | — |
Evidence
10 scored pairs among these records, expand a row for the per-field comparison
| A | B | Score | Method | Rule | Decision | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
▶CLM-413119CLMCLM-413118CLM1.00Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413120CLMENR-117224ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-55763TPAENR-117224ENR0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413120CLMTPA-55763TPA0.99RuleD1 member id + dob exactAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413120CLMCLM-413118CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-55763TPACLM-413118CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-117224ENRCLM-413118CLM0.96RuleD3 member id + nameAuto-linked
Identifiers agreeing: 3Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶CLM-413120CLMCLM-413119CLM0.86Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶ENR-117224ENRCLM-413119CLM0.86Scoredweighted similarityAuto-linked
Identifiers agreeing: 2Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
▶TPA-55763TPACLM-413119CLM0.81Scoredweighted similaritySent to steward
Identifiers agreeing: 1Conflicts: noneGuard: none | ||||||||||||||||||||||||||||||
Actions
What downstream consumers did with this identity
- Orphan claim re-pointedExecutedCLM-413119 → UHC-69924-78 (Yuki Ortega)ACT-006985, Claims processor
- Care coordination outreachProposedYuki Ortega: 3 claims, no attributed providerACT-019483, Next-best-action
Audit
Hash-chained entries touching this identity or its records
- 2026-10-19 19:54:38Record linked automatically2b8acefaf3scoring_agent, CLM-413118, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413119, policy version 1
- 2026-10-19 19:54:38Record linked automaticallydffc359bf1scoring_agent, CLM-413119, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413118, policy version 1
- 2026-10-19 19:54:38Record linked automatically4ca528cda6matching_agent, ENR-117224, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:54:38Record linked automaticallyac01cdb6c6matching_agent, TPA-55763, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:54:38Record linked automaticallyff095c4d09matching_agent, CLM-413120, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55763
- 2026-10-19 19:52:09Record linked automaticallyf4c5dcd212scoring_agent, CLM-413118, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413119, policy version 1
- 2026-10-19 19:52:09Record linked automatically5b332d6342scoring_agent, CLM-413119, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413118, policy version 1
- 2026-10-19 19:52:09Record linked automatically8ff23a302dmatching_agent, ENR-117224, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:52:09Record linked automatically60a1038489matching_agent, TPA-55763, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:52:09Record linked automatically08d65407bbmatching_agent, CLM-413120, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55763
- 2026-10-19 19:45:42Record linked automatically893d99915fscoring_agent, CLM-413118, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413119, policy version 1
- 2026-10-19 19:45:42Record linked automaticallyf9cafbc983scoring_agent, CLM-413119, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413118, policy version 1
- 2026-10-19 19:45:42Record linked automatically229b16e62dmatching_agent, ENR-117224, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:45:42Record linked automaticallydb7d40d102matching_agent, TPA-55763, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:45:42Record linked automatically7c0f4e6688matching_agent, CLM-413120, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55763
- 2026-10-19 19:32:31Record linked automatically231abd62b0scoring_agent, CLM-413118, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413119, policy version 1
- 2026-10-19 19:32:31Record linked automatically8eb56bbbc4scoring_agent, CLM-413119, identity id MBR-032330, confidence 1, method probabilistic, matched record CLM-413118, policy version 1
- 2026-10-19 19:32:31Record linked automatically1572fbd409matching_agent, ENR-117224, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:32:31Record linked automaticallyd1e059c898matching_agent, TPA-55763, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413120
- 2026-10-19 19:32:31Record linked automaticallyb2cf24f076matching_agent, CLM-413120, identity id MBR-032330, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record TPA-55763
- 2026-10-19 19:31:28Record linked automatically6f760b0ab7scoring_agent, ENR-117224, identity id MBR-021778, confidence 1, method probabilistic, matched record PRV-23855, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyb120848027scoring_agent, CLM-413118, identity id MBR-020057, confidence 1, method probabilistic, matched record CLM-413119, policy version 1
- 2026-10-19 19:31:28Record linked automatically8d9efd9a58scoring_agent, CLM-413119, identity id MBR-020057, confidence 1, method probabilistic, matched record CLM-413118, policy version 1
- 2026-10-19 19:31:28Record linked automaticallyf8fe825a33matching_agent, CLM-413120, identity id MBR-013157, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-413121
- 2026-10-19 19:31:28Record linked automaticallyce63491127scoring_agent, TPA-55763, identity id MBR-003006, confidence 1, method probabilistic, matched record CLM-413167, 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-2026-027512 | 2026-07-15 | Mesa Reference Lab in network | 85025, 87086 | $86.00 | $0.00 | Approved | Approved |
| CLM-2026-021272 | 2026-07-12 | Sunrise Medical Group in network | 99203 | $236.00 | $116.32 | Approved | Approved |
| CLM-2026-025607 | 2026-05-17 | Canyon Skin Care Associates in network | 11403 | $543.00 | $261.66 | Approved | Approved |