Identities/MBR-038267

Gold, golden identity

Camila I Ortiz

6 source records from 3 feeds.

MBR-038267Verified6 records

Golden record

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

First nameENR: Camila
Middle nameCLM: I
Last nameENR: Ortiz
Date of birthENR: 2008-06-21
GenderENR: F
Member IDENR: UHC-05912-11
SSNENR: •••-••-9521
PhoneENR: 3833706828
EmailENR: camila.ortiz@icloud.com
AddressENR: 8674 Cedar Ln
CityENR: Houston
StateENR: TX
ZIPENR: 77047
GroupENR: GRP-9032
PlanENR: NAVIGATE-HMO

Min confidence

0.93

Sources

ENR ×1CLM ×4TPA ×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-118792	ENR	2026-07-13	Camila Ortizflagged	2008-06-21	UHC-05912-11	3833706828	8674 Cedar Ln, Houston, TX	Scored	1.00	—
CLM-414295	CLM	2026-07-17	Camila Ortizflagged	2008-06-21	—	—	8674 Cedar Ln, Houston, TX	Scored	1.00	—
CLM-414294	CLM	2026-08-24	Camila Ortizflagged	2008-06-21	—	—	8674 Cedar Ln, Houston, TX	Scored	0.93	—
CLM-414293	CLM	2026-09-08	Camila Ortizflagged	2008-06-21	—	3833706828	8674 Cedar Ln, Houston, TX	Scored	1.00	—
CLM-414296	CLM	2026-09-25	Camila Ortizflagged	2008-06-21	UHC-05912-11	—	8674 Cedar Ln, Houston, TX	Scored	1.00	—
TPA-56309	TPA	2026-10-06	Camila Ortizflagged	2008-06-21	—	—	8674 Cedar Ln, Houston, TX	Scored	1.00	—

Evidence

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

Score

Method

Rule

Decision

▶CLM-414295CLMCLM-414293CLM1.00Scoredweighted 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-118792ENRCLM-414295CLM1.00Scoredweighted 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-414295CLMCLM-414296CLM 1.00Scoredweighted 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-118792ENRTPA-56309TPA 1.00Scoredweighted 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-414295CLMTPA-56309TPA 1.00Scoredweighted 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-414293CLMTPA-56309TPA 1.00Scoredweighted 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-414296CLM TPA-56309TPA 1.00Scoredweighted 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-118792ENRCLM-414296CLM 0.99RuleD1 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
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶ENR-118792ENRCLM-414293CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 3Conflicts: noneGuard: none

▶CLM-414293CLMCLM-414296CLM 0.97RuleD2 ssn4 + dob + last nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-414294CLMCLM-414293CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-118792ENRCLM-414294CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414295CLMCLM-414294CLM0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414294CLMCLM-414296CLM 0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-414294CLMTPA-56309TPA 0.93Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.70	2	street_match

Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-414295 → UHC-05912-11 (Camila Ortiz)
ACT-006689, Claims processor
Orphan claim re-pointedExecuted
CLM-414294 → UHC-05912-11 (Camila Ortiz)
ACT-007313, Claims processor
Orphan claim re-pointedExecuted
CLM-414293 → UHC-05912-11 (Camila Ortiz)
ACT-009321, Claims processor
Care coordination outreachProposed
Camila Ortiz: 4 claims, no attributed provider
ACT-019566, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:39Record linked automatically163d8bba7f
scoring_agent, TPA-56309, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:54:39Record linked automatically5aac3fdfda
scoring_agent, CLM-414296, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:54:39Record linked automaticallye9e54730d3
scoring_agent, CLM-414293, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:54:39Record linked automatically1549fcf65d
scoring_agent, CLM-414294, identity id MBR-038267, confidence 0.93, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:54:39Record linked automaticallyc48b73a48a
scoring_agent, CLM-414295, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:54:39Record linked automaticallye7898883e0
scoring_agent, ENR-118792, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:52:09Record linked automatically19a7c4fbf9
scoring_agent, TPA-56309, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:52:09Record linked automatically916b0a6d68
scoring_agent, CLM-414296, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:52:09Record linked automaticallyce004d9c45
scoring_agent, CLM-414293, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:52:09Record linked automatically46f53d6e19
scoring_agent, CLM-414294, identity id MBR-038267, confidence 0.93, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:52:09Record linked automatically993f1c775a
scoring_agent, CLM-414295, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:52:09Record linked automaticallyebe9df819b
scoring_agent, ENR-118792, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:45:42Record linked automaticallyc81d92d9f5
scoring_agent, TPA-56309, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:45:42Record linked automatically1cdd6ff61a
scoring_agent, CLM-414296, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:45:42Record linked automaticallycfdec772ef
scoring_agent, CLM-414293, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:45:42Record linked automatically2ce5035860
scoring_agent, CLM-414294, identity id MBR-038267, confidence 0.93, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:45:42Record linked automaticallyf972321ce3
scoring_agent, CLM-414295, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:45:42Record linked automatically099f869acf
scoring_agent, ENR-118792, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:32:31Record linked automatically3a64ee3cf4
scoring_agent, TPA-56309, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:32:31Record linked automatically3463211cee
scoring_agent, CLM-414296, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:32:31Record linked automatically0a6ef0f4aa
scoring_agent, CLM-414293, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:32:31Record linked automaticallycef0fa4fe9
scoring_agent, CLM-414294, identity id MBR-038267, confidence 0.93, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:32:31Record linked automaticallyd724b91c16
scoring_agent, CLM-414295, identity id MBR-038267, confidence 1, method probabilistic, matched record ENR-118792, policy version 1
2026-10-19 19:32:31Record linked automatically786643a4e8
scoring_agent, ENR-118792, identity id MBR-038267, confidence 1, method probabilistic, matched record CLM-414295, policy version 1
2026-10-19 19:31:28Record linked automatically49cca692a6
matching_agent, ENR-118792, identity id MBR-033298, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118791
2026-10-19 19:31:28Record linked automaticallyd0e9c23545
scoring_agent, CLM-414296, identity id MBR-025391, confidence 1, method probabilistic, matched record PRV-24203, policy version 1
2026-10-19 19:31:28Record linked automatically58b42d2187
scoring_agent, CLM-414295, identity id MBR-025391, confidence 1, method probabilistic, matched record PRV-24203, policy version 1
2026-10-19 19:31:28Record linked automaticallya2774dc18d
scoring_agent, TPA-56309, identity id MBR-022091, confidence 1, method probabilistic, matched record CLM-414529, policy version 1
2026-10-19 19:31:28Record linked automatically2a3e132597
scoring_agent, CLM-414293, identity id MBR-008736, confidence 0.94, method probabilistic, matched record ENR-118748, policy version 1
2026-10-19 19:31:28Record linked automatically3c273607c4
matching_agent, CLM-414294, identity id MBR-004685, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118749

Claims for this member

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

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-024213	2026-06-05	Pinecrest Heart Institute in network	99214	$273.00	—	Denied	Denied
CLM-2026-030433	2026-08-03	Northgate Dermatology Clinic in network	99213, 11403	$739.00	—	Denied	Denied
CLM-2026-022604	2026-07-31	Lakeside Reference Lab in network	80053, 85025	$98.00	—	Denied	Denied
CLM-2026-020139	2026-06-19	Meadow Physical Therapy in network	97110, 97161	$289.00	—	Denied	Denied