Identities/MBR-002744
Gold, golden identity

Diego Q Guerrero

6 source records from 3 feeds.

MBR-002744Verified6 records

Golden record

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

First nameENR
Diego
Middle nameENR
Q
Last nameENR
Guerrero
Date of birthENR
1943-03-05
GenderENR
M
Member IDENR
UHC-87787-76
SSNENR
•••-••-5033
PhoneENR
2552328811
EmailENR
diego.guerrero@aol.com
AddressENR
4725 Willow Ct
CityENR
San Diego
StateENR
CA
ZIPENR
92183
GroupENR
GRP-6083
PlanENR
MEDICARE-ADV-B
Min confidence
0.93
Sources
TPA ×3CLM ×2ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.931.000.991.001.001.00TPATPA-55859TPATPA-55858CLMCLM-413328TPATPA-55857CLMCLM-413329ENRENR-117487IDMBR-002744
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-55859TPA2026-01-09Diego Guerreroflagged1943-03-05——4725 Willow Ct # 450, San Diego, CAScored0.93—
TPA-55858TPA2026-01-26Diego Guerreroflagged1943-03-05——4725 Willow Ct, San Diego, CAScored1.00—
CLM-413328CLM2026-03-18Diego Guerreroflagged1943-03-05UHC-87787-76——Rule0.99D1 member id + dob exact
TPA-55857TPA2026-03-24Diego Guerreroflagged1943-03-05——4725 Willow Ct, San Diego, CAScored1.00—
CLM-413329CLM2026-06-06Diego Guerreroflagged1943-03-05UHC-87787-76—4725 Willow Ct, San Diego, CAScored1.00—
ENR-117487ENR2026-06-07Diego Guerreroflagged1943-03-05UHC-87787-7625523288114725 Willow Ct, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶TPA-55858TPACLM-413329CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55857TPACLM-413329CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55858TPAENR-117487 ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55857TPAENR-117487 ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55858TPATPA-55857TPA1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-413328 CLMCLM-413329CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413328 CLMENR-117487 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-413329CLMENR-117487 ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶TPA-55859TPACLM-413329CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55859TPAENR-117487 ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55859TPATPA-55857TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55859TPATPA-55858TPA0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-55859TPACLM-413328 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶TPA-55858TPACLM-413328 CLM0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees
▶CLM-413328 CLMTPA-55857TPA0.83Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Diego Guerrero: 2 plan codes across sources → canonical MEDICARE-ADV-B
    ACT-000136, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically630a21ebd1
    scoring_agent, ENR-117487, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7496d68067
    scoring_agent, CLM-413329, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallye816cb8a44
    scoring_agent, TPA-55857, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallya3be727ebf
    matching_agent, CLM-413328, identity id MBR-002744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413329
  • 2026-10-19 19:54:38Record linked automatically9f6a13f3d0
    scoring_agent, TPA-55858, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55857, policy version 1
  • 2026-10-19 19:54:38Record linked automatically791e705ce1
    scoring_agent, TPA-55859, identity id MBR-002744, confidence 0.93, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf876f5f2f5
    scoring_agent, ENR-117487, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:52:08Record linked automatically55c2268f12
    scoring_agent, CLM-413329, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:52:08Record linked automatically0152a48036
    scoring_agent, TPA-55857, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:52:08Record linked automatically5947799579
    matching_agent, CLM-413328, identity id MBR-002744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413329
  • 2026-10-19 19:52:08Record linked automatically05f39dec37
    scoring_agent, TPA-55858, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55857, policy version 1
  • 2026-10-19 19:52:08Record linked automatically4475093d9d
    scoring_agent, TPA-55859, identity id MBR-002744, confidence 0.93, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:45:41Record linked automatically911103e211
    scoring_agent, ENR-117487, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:45:41Record linked automatically24c665a508
    scoring_agent, CLM-413329, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:45:41Record linked automatically137fbfdb87
    scoring_agent, TPA-55857, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:45:41Record linked automaticallycedae0af8d
    matching_agent, CLM-413328, identity id MBR-002744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413329
  • 2026-10-19 19:45:41Record linked automaticallydc3dfc96ae
    scoring_agent, TPA-55858, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55857, policy version 1
  • 2026-10-19 19:45:41Record linked automatically26f27c4e4b
    scoring_agent, TPA-55859, identity id MBR-002744, confidence 0.93, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:32:31Record linked automatically091813ca79
    scoring_agent, ENR-117487, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:32:31Record linked automatically87bdd22d28
    scoring_agent, CLM-413329, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyecf7cdf9af
    scoring_agent, TPA-55857, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb16fc78d58
    matching_agent, CLM-413328, identity id MBR-002744, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413329
  • 2026-10-19 19:32:31Record linked automatically9c30b4c416
    scoring_agent, TPA-55858, identity id MBR-002744, confidence 1, method probabilistic, matched record TPA-55857, policy version 1
  • 2026-10-19 19:32:31Record linked automatically3e0100adc7
    scoring_agent, TPA-55859, identity id MBR-002744, confidence 0.93, method probabilistic, matched record TPA-55858, policy version 1
  • 2026-10-19 19:31:28Record linked automatically1ace01a1d3
    scoring_agent, CLM-413328, identity id MBR-035213, confidence 1, method probabilistic, matched record CLM-413329, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyc78fa60c20
    scoring_agent, CLM-413329, identity id MBR-035213, confidence 1, method probabilistic, matched record CLM-413328, policy version 1
  • 2026-10-19 19:31:28Record linked automatically949cab514a
    matching_agent, TPA-55857, identity id MBR-024478, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record CLM-413457
  • 2026-10-19 19:31:28Record linked automatically98fe4a19d9
    matching_agent, TPA-55858, identity id MBR-020651, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413459
  • 2026-10-19 19:31:28Record linked automaticallya1ff748a04
    matching_agent, ENR-117487, identity id MBR-007354, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117488

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0168472026-05-18Heritage Rehabilitation Center
in network
97110, 97161, 97140$532.00$304.84ApprovedApproved
CLM-2026-0021122026-03-05Northgate Internal Medicine Associates
in network
99232$182.00$34.83ApprovedApproved