Identities/MBR-040368
Gold, golden identity

Madison N Ortega

2 source records from 2 feeds.

MBR-040368Verified2 records

Golden record

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

First nameENR
Madison
Middle nameCLM
N
Last nameENR
Ortega
Date of birthENR
2005-08-14
GenderENR
F
Member IDENR
UHC-04560-91
SSNENR
•••-••-0577
PhoneENR
6087088136
EmailENR
madison.ortega@proton.me
AddressENR
689 Lincoln Way
CityENR
San Antonio
StateENR
TX
ZIPENR
78232
GroupENR
GRP-1324
PlanENR
MEDICARE-ADV-B
Min confidence
0.86
Sources
CLM ×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

0.860.86CLMCLM-431039ENRENR-140768IDMBR-040368
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-431039CLM2026-08-02Ortega Madisonflagged2006-08-14—6087088136689 Lincoln Way, San Antonio, TXScored0.86—
ENR-140768ENR2026-10-14Madison Ortegaflagged2005-08-14UHC-04560-916087088136689 Lincoln Way, San Antonio, TXScored0.86—

Evidence

1 scored pair among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶CLM-431039CLMENR-140768ENR0.86Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth0.503one_digit
SSN (last four)1.002.5
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-431039 → UHC-04560-91 (Madison Ortega)
    ACT-003380, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:55Record linked automaticallydb1a3bdef4
    scoring_agent, ENR-140768, identity id MBR-040368, confidence 0.86, method probabilistic, matched record CLM-431039, policy version 1
  • 2026-10-22 12:43:55Record linked automatically9b54855ff0
    scoring_agent, CLM-431039, identity id MBR-040368, confidence 0.86, method probabilistic, matched record ENR-140768, policy version 1
  • 2026-10-19 19:54:39Record linked automaticallyf14b3023d1
    scoring_agent, ENR-140768, identity id MBR-040368, confidence 0.86, method probabilistic, matched record CLM-431039, policy version 1
  • 2026-10-19 19:54:39Record linked automatically77b1328b4a
    scoring_agent, CLM-431039, identity id MBR-040368, confidence 0.86, method probabilistic, matched record ENR-140768, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallydc25d6396d
    scoring_agent, ENR-140768, identity id MBR-040368, confidence 0.86, method probabilistic, matched record CLM-431039, policy version 1
  • 2026-10-19 19:52:09Record linked automatically82f08ab628
    scoring_agent, CLM-431039, identity id MBR-040368, confidence 0.86, method probabilistic, matched record ENR-140768, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf67bb8feb7
    scoring_agent, ENR-140768, identity id MBR-040368, confidence 0.86, method probabilistic, matched record CLM-431039, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye38fe41518
    scoring_agent, CLM-431039, identity id MBR-040368, confidence 0.86, method probabilistic, matched record ENR-140768, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd70e062053
    scoring_agent, ENR-140768, identity id MBR-040368, confidence 0.86, method probabilistic, matched record CLM-431039, policy version 1
  • 2026-10-19 19:32:31Record linked automatically5d6765ba3f
    scoring_agent, CLM-431039, identity id MBR-040368, confidence 0.86, method probabilistic, matched record ENR-140768, policy version 1
  • 2026-10-19 19:31:28Record linked automatically993599086e
    matching_agent, ENR-140768, identity id MBR-040703, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-430891
  • 2026-10-19 19:31:28Record linked automaticallye752a6990b
    scoring_agent, CLM-431039, identity id MBR-015137, confidence 1, method probabilistic, matched record CLM-431041, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0077042026-07-17Canyon Primary Care Associates
in network
70553$3,200.00—Needs reviewNeeds review