Identities/MBR-002163

Gold, golden identity

Gary J Gutierrez

6 source records from 3 feeds.

MBR-002163Verified6 records

Golden record

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

First nameENR: Gary
Middle nameENR: J
Last nameENR: Gutierrez
Date of birthENR: 1992-12-06
GenderENR: F
Member IDENR: UHC-65560-71
SSNENR: •••-••-8045
PhoneENR: 3813418968
EmailENR: gary.gutierrez@aol.com
AddressENR: 3140 Canyon Rd
CityENR: Sacramento
StateENR: CA
ZIP—: —
GroupENR: GRP-2243
PlanENR: OPTIONS-PPO

Min confidence

0.93

Sources

CLM ×1TPA ×3ENR ×2

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-400620	CLM	2026-01-07	Gary Gutierrezflagged	1992-12-06	—	—	3140 Canyon Rd, Sacramento, CA	Scored	0.93	—
TPA-50276	TPA	2026-04-05	Gary Gutierrezflagged	1992-12-06	—	3813418968	2995 Market St, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
TPA-50277	TPA	2026-04-05	Gary Gutierrezflagged	1992-12-06	—	3813418968	2995 Market St, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
TPA-50278	TPA	2026-07-09	Gary Gutierrezflagged	1992-12-06	—	3813418968	2995 Market St, Eden Prairie, MN	Rule	0.97	D2 ssn4 + dob + last name
ENR-100829	ENR	2026-08-15	Gary Gutierrezflagged	1993-12-06	UHC-65560-71	3813418968	3140 Canyon Rd, Sacramento, CA	Rule	0.96	D3 member id + name
ENR-100828	ENR	2026-09-11	Gary Gutierrezflagged	1992-12-06	UHC-65560-71	3813418968	3140 Canyon Rd, Sacramento, CA	Rule	0.97	D2 ssn4 + dob + last name

Evidence

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

Score

Method

Rule

Decision

▶TPA-50276TPAENR-100828ENR0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50277TPAENR-100828ENR0.97RuleD2 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	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50278 TPAENR-100828ENR0.97RuleD2 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
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50276TPATPA-50277TPA0.97RuleD2 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

▶TPA-50276TPATPA-50278 TPA0.97RuleD2 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

▶TPA-50277TPATPA-50278 TPA0.97RuleD2 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

▶ENR-100829ENRENR-100828ENR0.96RuleD3 member id + nameAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Member ID	1.00	4
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	0.70	2	street_match

Identifiers agreeing: 5Conflicts: noneGuard: none

▶CLM-400620CLMENR-100828ENR0.93Scoredweighted 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-400620CLMENR-100829ENR0.81Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-400620CLMTPA-50276TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-400620CLMTPA-50277TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶CLM-400620CLMTPA-50278 TPA0.75Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	0.00	2	different

Identifiers agreeing: 0Conflicts: noneGuard: none

▶TPA-50278 TPAENR-100829ENR0.74Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Email	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 3Conflicts: noneGuard: none

▶TPA-50276TPAENR-100829ENR0.71Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

▶TPA-50277TPAENR-100829ENR0.71Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	0.50	3	one_digit
SSN (last four)	1.00	2.5
Phone	1.00	1.5
Address	0.00	2	different

Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

Orphan claim re-pointedExecuted
CLM-400620 → UHC-65560-71 (Gary Gutierrez)
ACT-009157, Claims processor
Duplicate member record retiredExecuted
Gary Gutierrez: 2 enrollment records collapsed into UHC-65560-71
ACT-022031, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically9bf02b44c9
matching_agent, ENR-100828, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:54:38Record linked automaticallye5f9ba5656
matching_agent, ENR-100829, identity id MBR-002163, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100828
2026-10-19 19:54:38Record linked automaticallyc271f46594
matching_agent, TPA-50278, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:54:38Record linked automatically6f1140bdf5
matching_agent, TPA-50277, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:54:38Record linked automaticallyc1d70acf01
matching_agent, TPA-50276, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50277
2026-10-19 19:54:38Record linked automatically90b7adfbc2
scoring_agent, CLM-400620, identity id MBR-002163, confidence 0.93, method probabilistic, matched record ENR-100828, policy version 1
2026-10-19 19:52:08Record linked automaticallyf5543a3721
matching_agent, ENR-100828, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:52:08Record linked automatically050d9bf7a6
matching_agent, ENR-100829, identity id MBR-002163, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100828
2026-10-19 19:52:08Record linked automatically56789faf5f
matching_agent, TPA-50278, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:52:08Record linked automatically6d6ff08e6b
matching_agent, TPA-50277, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:52:08Record linked automatically0cafa4f80c
matching_agent, TPA-50276, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50277
2026-10-19 19:52:08Record linked automatically29ed125f80
scoring_agent, CLM-400620, identity id MBR-002163, confidence 0.93, method probabilistic, matched record ENR-100828, policy version 1
2026-10-19 19:45:41Record linked automatically6e135449c2
matching_agent, ENR-100828, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:45:41Record linked automaticallya02b5584b9
matching_agent, ENR-100829, identity id MBR-002163, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100828
2026-10-19 19:45:41Record linked automatically175a7856f6
matching_agent, TPA-50278, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:45:41Record linked automatically39fd779fc8
matching_agent, TPA-50277, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:45:41Record linked automatically49b092db64
matching_agent, TPA-50276, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50277
2026-10-19 19:45:41Record linked automatically509b32db4c
scoring_agent, CLM-400620, identity id MBR-002163, confidence 0.93, method probabilistic, matched record ENR-100828, policy version 1
2026-10-19 19:32:31Record linked automatically27c379337d
matching_agent, ENR-100828, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:32:31Record linked automatically0968c18004
matching_agent, ENR-100829, identity id MBR-002163, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-100828
2026-10-19 19:32:31Record linked automatically584ecfaf03
matching_agent, TPA-50278, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:32:31Record linked automatically4887c00c54
matching_agent, TPA-50277, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50276
2026-10-19 19:32:31Record linked automaticallya018ea0abc
matching_agent, TPA-50276, identity id MBR-002163, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record TPA-50277
2026-10-19 19:32:31Record linked automatically1c701b79b5
scoring_agent, CLM-400620, identity id MBR-002163, confidence 0.93, method probabilistic, matched record ENR-100828, policy version 1
2026-10-19 19:31:28Record linked automaticallyc9bdfdcb76
matching_agent, ENR-100829, identity id MBR-028036, confidence 0.96, rule D3 member_id + name, method deterministic, matched record CLM-400549
2026-10-19 19:31:28Record linked automatically952c7e7f31
scoring_agent, TPA-50278, identity id MBR-023230, confidence 1, method probabilistic, matched record TPA-50276, policy version 1
2026-10-19 19:31:28Record linked automaticallyeec49060ee
scoring_agent, TPA-50277, identity id MBR-023230, confidence 1, method probabilistic, matched record TPA-50276, policy version 1
2026-10-19 19:31:28Record linked automaticallyfbd5425d7f
scoring_agent, TPA-50276, identity id MBR-023230, confidence 1, method probabilistic, matched record TPA-50277, policy version 1
2026-10-19 19:31:28Record linked automaticallyc2c6e8b7b1
matching_agent, CLM-400620, identity id MBR-017203, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-100899

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-2026-029698	2025-12-12	Riverside Regional Medical Center out of network	71046, 99283, 99284	$2,659.00	—	Denied	Denied
CLM-2026-029697	2025-12-12	Riverside Regional Medical Center out of network	71046, 99283, 99284	$2,659.00	$1,114.65	Approved	Approved