Identities/MBR-002577

Gold, golden identity

Doris Guzman

5 source records from 3 feeds.

MBR-002577Verified5 records

Golden record

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

First nameENR: Doris
Middle name—: —
Last nameENR: Guzman
Date of birthENR: 1956-10-23
GenderENR: M
Member IDENR: UHC-56787-59
SSNENR: •••-••-5512
PhoneENR: 3642722355
EmailENR: doris.guzman43@hotmail.com
AddressENR: 3126 Indian School Rd
CityENR: Minneapolis
StateENR: MN
ZIPENR: 55466
GroupENR: GRP-7067
PlanENR: MEDICARE-ADV-B

Min confidence

0.96

Sources

PRV ×1CLM ×2ENR ×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
PRV-26361	PRV	2026-01-08	Doris Guzmanflagged	1956-10-23	UHC-56787-59	3642722355	3126 Indian School Rd, Minneapolis, MN	Scored	1.00	—
CLM-421586	CLM	2026-06-15	Doris Guzmanflagged	1957-10-23	UHC-56787-59	3642722355	3126 Indian School Rd, Minneapolis, MN	Rule	0.96	D3 member id + name
CLM-421587	CLM	2026-06-15	Doris Guzmanflagged	1956-10-23	—	—	3126 Indian School Rd, Minneapolis, MN	Scored	1.00	—
ENR-128247	ENR	2026-07-21	Doris Guzmanflagged	1956-10-23	UHC-56787-59	3642722355	3126 Indian School Rd, Minneapolis, MN	Scored	1.00	—
ENR-128246	ENR	2026-07-21	Doris Guzmanflagged	1956-10-23	UHC-56787-59	3642722355	3126 Indian School Rd, Minneapolis, MN	Scored	1.00	—

Evidence

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

A

B

Score

Method

Rule

Decision

▶PRV-26361PRV CLM-421587CLM1.00Scoredweighted 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-421587CLMENR-128246ENR1.00Scoredweighted 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-421587CLMENR-128247ENR1.00Scoredweighted 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

▶PRV-26361PRV ENR-128246ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶ENR-128247ENRENR-128246ENR0.99RuleD1 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
Phone	1.00	1.5
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 5Conflicts: noneGuard: none

▶PRV-26361PRV ENR-128247ENR0.99RuleD1 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
Phone	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶PRV-26361PRV CLM-421586CLM0.96RuleD3 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421586CLMENR-128246ENR0.96RuleD3 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421586CLMENR-128247ENR0.96RuleD3 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
Address	1.00	2	exact

Identifiers agreeing: 4Conflicts: noneGuard: none

▶CLM-421586CLMCLM-421587CLM0.81Scoredweighted 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

Actions

What downstream consumers did with this identity

Eligibility conflict resolvedProposed
Doris Guzman: 2 plan codes across sources → canonical MEDICARE-ADV-B
ACT-000128, Eligibility engine
Orphan claim re-pointedExecuted
CLM-421587 → UHC-56787-59 (Doris Guzman)
ACT-002545, Claims processor
Duplicate member record retiredExecuted
Doris Guzman: 2 enrollment records collapsed into UHC-56787-59
ACT-022095, Member services

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automatically5958fb21e2
scoring_agent, ENR-128246, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:54:38Record linked automatically494518e2c6
scoring_agent, ENR-128247, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:54:38Record linked automatically37c6d76ac9
scoring_agent, CLM-421587, identity id MBR-002577, confidence 1, method probabilistic, matched record PRV-26361, policy version 1
2026-10-19 19:54:38Record linked automatically394097d92e
matching_agent, CLM-421586, identity id MBR-002577, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26361
2026-10-19 19:54:38Record linked automatically5cf9ddaa85
scoring_agent, PRV-26361, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:52:08Record linked automaticallyaa47a41ffa
scoring_agent, ENR-128246, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:52:08Record linked automaticallyc59facbdba
scoring_agent, ENR-128247, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:52:08Record linked automatically98ab4f6f0b
scoring_agent, CLM-421587, identity id MBR-002577, confidence 1, method probabilistic, matched record PRV-26361, policy version 1
2026-10-19 19:52:08Record linked automatically37030ea73c
matching_agent, CLM-421586, identity id MBR-002577, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26361
2026-10-19 19:52:08Record linked automatically5bd95da0aa
scoring_agent, PRV-26361, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:45:41Record linked automatically7a5a9ed0ce
scoring_agent, ENR-128246, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:45:41Record linked automatically6b6f402d53
scoring_agent, ENR-128247, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:45:41Record linked automatically68fbc309e4
scoring_agent, CLM-421587, identity id MBR-002577, confidence 1, method probabilistic, matched record PRV-26361, policy version 1
2026-10-19 19:45:41Record linked automaticallyfffa85f214
matching_agent, CLM-421586, identity id MBR-002577, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26361
2026-10-19 19:45:41Record linked automaticallyea45501f12
scoring_agent, PRV-26361, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:32:31Record linked automatically4421d3e692
scoring_agent, ENR-128246, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:32:31Record linked automatically349be4b8fa
scoring_agent, ENR-128247, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:32:31Record linked automaticallyf5acfb470d
scoring_agent, CLM-421587, identity id MBR-002577, confidence 1, method probabilistic, matched record PRV-26361, policy version 1
2026-10-19 19:32:31Record linked automaticallyf72471f68c
matching_agent, CLM-421586, identity id MBR-002577, confidence 0.96, rule D3 member_id + name, method deterministic, matched record PRV-26361
2026-10-19 19:32:31Record linked automatically0881959f42
scoring_agent, PRV-26361, identity id MBR-002577, confidence 1, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:31:28Record linked automatically315e888364
scoring_agent, ENR-128246, identity id MBR-039655, confidence 0.99, method probabilistic, matched record CLM-421487, policy version 1
2026-10-19 19:31:28Record linked automatically9fbcbceb35
scoring_agent, PRV-26361, identity id MBR-026702, confidence 0.94, method probabilistic, matched record ENR-128472, policy version 1
2026-10-19 19:31:28Record linked automaticallybb5dce9856
scoring_agent, CLM-421586, identity id MBR-017421, confidence 0.93, method probabilistic, matched record CLM-421587, policy version 1
2026-10-19 19:31:28Record linked automaticallya4ebe0a093
matching_agent, CLM-421587, identity id MBR-017421, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26339
2026-10-19 19:31:28Record linked automatically81335bb296
matching_agent, ENR-128247, identity id MBR-012367, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record PRV-26317

Claims for this member

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

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-004581	2026-06-07	Meadow Primary Care Associates in network	99395, 99213	$453.00	—	Needs review	Needs review
CLM-2026-020351	2026-05-26	Unity Medical Group in network	90471, 99213	$179.00	$86.80	Approved	Approved
CLM-2026-004580	2026-06-07	Harbor Primary Care Associates in network	99395, 99213	$453.00	$255.86	Approved	Approved