Identities/MBR-001242
Gold, golden identity

Samuel Guerrero

4 source records from 2 feeds.

MBR-001242Verified4 records

Golden record

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

First nameENR
Samuel
Middle name—
—
Last nameENR
Guerrero
Date of birthENR
2004-08-11
GenderENR
M
Member IDENR
UHC-70261-24
SSNENR
•••-••-5806
PhoneENR
3562221119
EmailENR
samuel.guerrero77@aol.com
AddressENR
4432 Willow Ct
CityENR
Plano
StateENR
TX
ZIPCLM
75040
GroupENR
GRP-7957
PlanENR
CORE-HMO
Min confidence
0.99
Sources
ENR ×1CLM ×3
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.991.001.00ENRENR-119103CLMCLM-414510CLMCLM-414508CLMCLM-414509IDMBR-001242
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
ENR-119103ENR2026-01-04Samuel Guerreroflagged2004-08-11UHC-70261-2435622211194432 Willow Ct, Plano, TXRule0.99D1 member id + dob exact
CLM-414510CLM2026-06-29Samual Guerreroflagged2004-08-11UHC-70261-2435622211194432 Willow Ct, Plano, TXScored0.99—
CLM-414508CLM2026-07-07Samuel Guerreroflagged2004-08-11UHC-70261-243562221119—Scored1.00—
CLM-414509CLM2026-10-03Samuel Guerreroflagged2004-08-11—35622211194432 Willow Ct, Plano, TXScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414508CLMCLM-414509CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414510CLMCLM-414509CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119103ENRCLM-414508CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414510CLMCLM-414508CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-119103ENRCLM-414510CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.973
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-119103ENRCLM-414509CLM0.97RuleD2 ssn4 + dob + last nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
SSN (last four)1.002.5
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Samuel Guerrero: 2 plan codes across sources → canonical CORE-HMO
    ACT-000067, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-414509 → UHC-70261-24 (Samuel Guerrero)
    ACT-009576, Claims processor
  • Care coordination outreachProposed
    Samuel Guerrero: 3 claims, no attributed provider
    ACT-017868, Next-best-action

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallye75b193264
    scoring_agent, CLM-414509, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414508, policy version 1
  • 2026-10-19 19:54:38Record linked automatically25006c2fe0
    scoring_agent, CLM-414508, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1fc55fe4b9
    scoring_agent, CLM-414510, identity id MBR-001242, confidence 0.99, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallydbd96c6fa4
    matching_agent, ENR-119103, identity id MBR-001242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414510
  • 2026-10-19 19:52:08Record linked automaticallya30802f7a8
    scoring_agent, CLM-414509, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414508, policy version 1
  • 2026-10-19 19:52:08Record linked automatically3d841f8eb1
    scoring_agent, CLM-414508, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyb8b635c0b1
    scoring_agent, CLM-414510, identity id MBR-001242, confidence 0.99, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyeb21089ffa
    matching_agent, ENR-119103, identity id MBR-001242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414510
  • 2026-10-19 19:45:41Record linked automaticallyc393b0ebf4
    scoring_agent, CLM-414509, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414508, policy version 1
  • 2026-10-19 19:45:41Record linked automatically40ef5e2fae
    scoring_agent, CLM-414508, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallya3af588e7e
    scoring_agent, CLM-414510, identity id MBR-001242, confidence 0.99, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallyc7bd85f922
    matching_agent, ENR-119103, identity id MBR-001242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414510
  • 2026-10-19 19:32:31Record linked automaticallydef4d058de
    scoring_agent, CLM-414509, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414508, policy version 1
  • 2026-10-19 19:32:31Record linked automatically19e093d79f
    scoring_agent, CLM-414508, identity id MBR-001242, confidence 1, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:32:31Record linked automatically998126fd34
    scoring_agent, CLM-414510, identity id MBR-001242, confidence 0.99, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyd4e286bcc7
    matching_agent, ENR-119103, identity id MBR-001242, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-414510
  • 2026-10-19 19:31:28Record linked automatically60cc499fc4
    matching_agent, ENR-119103, identity id MBR-028723, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119104
  • 2026-10-19 19:31:28Record linked automatically22a9c693f2
    scoring_agent, CLM-414509, identity id MBR-000958, confidence 1, method probabilistic, matched record CLM-414508, policy version 1
  • 2026-10-19 19:31:28Record linked automatically975d9785de
    scoring_agent, CLM-414508, identity id MBR-000958, confidence 1, method probabilistic, matched record CLM-414509, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyb2088a0ef1
    scoring_agent, CLM-414510, identity id MBR-000762, confidence 1, method probabilistic, matched record ENR-119029, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0313732026-09-30Canyon Internal Medicine Associates
out of network
80053$73.00—DeniedDenied
CLM-2026-0321162026-05-23Evergreen Orthopedic Specialists
in network
27447$50,607.00—Needs reviewNeeds review
CLM-2026-0270622026-05-19Pinecrest Primary Care Associates
in network
90471, 99214$243.00$130.66ApprovedApproved