Identities/MBR-001633
Gold, golden identity

Virginia W Guerrero

5 source records from 4 feeds.

MBR-001633Verified5 records

Golden record

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

First nameENR
Virginia
Middle nameENR
W
Last nameENR
Guerrero
Date of birthENR
1939-07-02
GenderENR
F
Member IDENR
UHC-49764-58
SSNENR
•••-••-8938
PhonePRV
6527488366
EmailENR
virginia.guerrero5@hotmail.com
AddressENR
7836 Ocean Ave
CityENR
Miami
StateENR
FL
ZIPCLM
33146
GroupENR
GRP-4170
PlanENR
NAVIGATE-HMO
Min confidence
0.99
Sources
TPA ×1PRV ×1ENR ×2CLM ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

1.000.990.990.991.00TPATPA-64469PRVPRV-29590ENRENR-143086ENRENR-143087CLMCLM-432819IDMBR-001633
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
TPA-64469TPA2026-01-06Virginia Guerreroflagged1939-07-02——7836 Ocean Ave, Miami, FLScored1.00—
PRV-29590PRV2026-02-09Virginia Guerreroflagged1939-07-02UHC-49764-5865274883667836 Ocean Ave, Miami, FLRule0.99D1 member id + dob exact
ENR-143086ENR2026-03-26Virginia Guerreroflagged1939-07-02UHC-49764-58—4065 Oak St, Miami, FLRule0.99D1 member id + dob exact
ENR-143087ENR2026-04-03Virginia Guerreroflagged1939-07-02UHC-49764-58—7836 Ocean Ave, Miami, FLRule0.99D1 member id + dob exact
CLM-432819CLM2026-08-31Virginia Guerreroflagged1939-07-02—65274883667836 Ocean Ave, Miami, FLScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-64469TPACLM-432819CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29590PRVENR-143086ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.002different
Identifiers agreeing: 1Conflicts: noneGuard: none
▶PRV-29590PRVENR-143087ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-143086ENRENR-143087ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Email1.001.5
Address0.002different
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-29590PRVCLM-432819CLM0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-143087ENRCLM-432819CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-64469TPAENR-143087ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-64469TPAPRV-29590PRV0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-143086ENRCLM-432819CLM0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none
▶TPA-64469TPAENR-143086ENR0.75Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.002different
Identifiers agreeing: 0Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-432819 → UHC-49764-58 (Virginia Guerrero)
    ACT-004331, Claims processor
  • Outreach address correctedProposed
    Virginia Guerrero: 4065 Oak St, Miami → 7836 Ocean Ave, Miami
    ACT-010620, Outreach
  • Duplicate member record retiredExecuted
    Virginia Guerrero: 2 enrollment records collapsed into UHC-49764-58
    ACT-021942, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically40c9db6f1b
    scoring_agent, CLM-432819, identity id MBR-001633, confidence 1, method probabilistic, matched record TPA-64469, policy version 1
  • 2026-10-19 19:54:38Record linked automatically1e4bbc5dfe
    matching_agent, ENR-143087, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:54:38Record linked automaticallyab004a2713
    matching_agent, ENR-143086, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:54:38Record linked automaticallyf2c09eeae2
    matching_agent, PRV-29590, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143086
  • 2026-10-19 19:54:38Record linked automaticallyb1b3de0b1f
    scoring_agent, TPA-64469, identity id MBR-001633, confidence 1, method probabilistic, matched record CLM-432819, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2a9dda3b11
    scoring_agent, CLM-432819, identity id MBR-001633, confidence 1, method probabilistic, matched record TPA-64469, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf1774d5f53
    matching_agent, ENR-143087, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:52:08Record linked automaticallyc62dd092f0
    matching_agent, ENR-143086, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:52:08Record linked automatically21bfa864ed
    matching_agent, PRV-29590, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143086
  • 2026-10-19 19:52:08Record linked automaticallyea82ffc85f
    scoring_agent, TPA-64469, identity id MBR-001633, confidence 1, method probabilistic, matched record CLM-432819, policy version 1
  • 2026-10-19 19:45:41Record linked automatically81278f89f2
    scoring_agent, CLM-432819, identity id MBR-001633, confidence 1, method probabilistic, matched record TPA-64469, policy version 1
  • 2026-10-19 19:45:41Record linked automatically4d3f0eafd2
    matching_agent, ENR-143087, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:45:41Record linked automatically1fa9b5a531
    matching_agent, ENR-143086, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:45:41Record linked automatically980c5cc86f
    matching_agent, PRV-29590, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143086
  • 2026-10-19 19:45:41Record linked automaticallyd626e900f2
    scoring_agent, TPA-64469, identity id MBR-001633, confidence 1, method probabilistic, matched record CLM-432819, policy version 1
  • 2026-10-19 19:32:31Record linked automatically798c9e2115
    scoring_agent, CLM-432819, identity id MBR-001633, confidence 1, method probabilistic, matched record TPA-64469, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallybf88b26fee
    matching_agent, ENR-143087, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:32:31Record linked automatically8d24482947
    matching_agent, ENR-143086, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-29590
  • 2026-10-19 19:32:31Record linked automaticallye62b387bac
    matching_agent, PRV-29590, identity id MBR-001633, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-143086
  • 2026-10-19 19:32:31Record linked automatically487a4f6165
    scoring_agent, TPA-64469, identity id MBR-001633, confidence 1, method probabilistic, matched record CLM-432819, policy version 1
  • 2026-10-19 19:31:28Record linked automatically6c585cdf36
    matching_agent, ENR-143086, identity id MBR-039955, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-432666
  • 2026-10-19 19:31:28Record linked automatically96e33e9fce
    matching_agent, ENR-143087, identity id MBR-020043, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-432669

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0114292026-08-01Valley Primary Care Associates
in network
99214, 99395$537.00$307.94ApprovedApproved