Identities/MBR-003079
Gold, golden identity

Kevin T Guerrero

5 source records from 3 feeds.

MBR-003079Verified5 records

Golden record

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

First nameENR
Kevin
Middle nameENR
T
Last nameENR
Guerrero
Date of birthENR
1956-03-23
GenderPRV
F
Member IDENR
UHC-55296-65
SSNENR
•••-••-9830
PhoneENR
3795891436
EmailPRV
kevin.guerrero66@icloud.com
AddressENR
4927 River Rd
CityENR
Fresno
StateENR
CA
ZIPENR
93783
GroupENR
GRP-5331
PlanENR
SELECT-EPO
Min confidence
0.96
Sources
PRV ×1ENR ×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

0.960.990.990.990.99PRVPRV-28199ENRENR-136619CLMCLM-427927CLMCLM-427929CLMCLM-427928IDMBR-003079
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
PRV-28199PRV2026-01-10Kevin Guerreroflagged—UHC-55296-6537958914364927 River Rd, Fresno, CARule0.96D3 member id + name
ENR-136619ENR2026-01-15Kevin Guerreroflagged1956-03-23UHC-55296-6537958914364927 River Rd, Fresno, CARule0.99D1 member id + dob exact
CLM-427927CLM2026-04-07Kevin Guerreroflagged1956-03-23UHC-55296-6537958914364927 River Rd, Fresno, CARule0.99D1 member id + dob exact
CLM-427929CLM2026-07-02Guerrero Kevinflagged1956-03-23UHC-55296-65—4927 River Rd, Fresno, CARule0.99D1 member id + dob exact
CLM-427928CLM2026-08-19Kevin Guerreroflagged1956-03-23UHC-55296-65—4927 River Rd, Fresno, CARule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶ENR-136619ENRCLM-427927 CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Phone1.001.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-136619ENRCLM-427928CLM0.99RuleD1 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
▶CLM-427927 CLMCLM-427928CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-427929CLMCLM-427928CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-136619ENRCLM-427929CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 3Conflicts: noneGuard: none
▶CLM-427927 CLMCLM-427929CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28199PRVCLM-427927 CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶PRV-28199PRVCLM-427928CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28199PRVCLM-427929CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶PRV-28199PRVENR-136619ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Member ID1.004
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Kevin Guerrero: 2 plan codes across sources → canonical SELECT-EPO
    ACT-000153, Eligibility engine

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically1ff24ecaf8
    matching_agent, CLM-427928, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:54:38Record linked automatically40256b3770
    matching_agent, CLM-427929, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:54:38Record linked automatically45f3d4c94a
    matching_agent, CLM-427927, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:54:38Record linked automatically05f5e3ca76
    matching_agent, ENR-136619, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427927
  • 2026-10-19 19:54:38Record linked automatically5221ef7186
    matching_agent, PRV-28199, identity id MBR-003079, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136619
  • 2026-10-19 19:52:08Record linked automatically982632e2e6
    matching_agent, CLM-427928, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:52:08Record linked automatically8676de7b62
    matching_agent, CLM-427929, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:52:08Record linked automaticallydab0e162fc
    matching_agent, CLM-427927, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:52:08Record linked automaticallya3a8f9fb01
    matching_agent, ENR-136619, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427927
  • 2026-10-19 19:52:08Record linked automatically97a921c0a5
    matching_agent, PRV-28199, identity id MBR-003079, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136619
  • 2026-10-19 19:45:41Record linked automaticallycf6c57bc7f
    matching_agent, CLM-427928, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:45:41Record linked automaticallya8ce2e9c1a
    matching_agent, CLM-427929, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:45:41Record linked automatically4e7b9545ee
    matching_agent, CLM-427927, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:45:41Record linked automatically0096608d17
    matching_agent, ENR-136619, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427927
  • 2026-10-19 19:45:41Record linked automaticallyfb2164406f
    matching_agent, PRV-28199, identity id MBR-003079, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136619
  • 2026-10-19 19:32:31Record linked automaticallyd0a43b0e2c
    matching_agent, CLM-427928, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:32:31Record linked automaticallya12e7bdacd
    matching_agent, CLM-427929, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:32:31Record linked automaticallyd093f52032
    matching_agent, CLM-427927, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136619
  • 2026-10-19 19:32:31Record linked automatically0d8bc24225
    matching_agent, ENR-136619, identity id MBR-003079, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-427927
  • 2026-10-19 19:32:31Record linked automaticallyf7b58820c9
    matching_agent, PRV-28199, identity id MBR-003079, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-136619
  • 2026-10-19 19:31:28Record linked automatically81ee991480
    matching_agent, CLM-427929, identity id MBR-034289, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136949
  • 2026-10-19 19:31:28Record linked automatically3258c7c733
    matching_agent, CLM-427928, identity id MBR-028678, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-136948
  • 2026-10-19 19:31:28Record linked automatically034439e7c5
    scoring_agent, CLM-427927, identity id MBR-023703, confidence 1, method probabilistic, matched record TPA-62279, policy version 1
  • 2026-10-19 19:31:28Record linked automatically8481d7d6a1
    scoring_agent, PRV-28199, identity id MBR-020068, confidence 0.99, method probabilistic, matched record TPA-62283, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyedc82dacd6
    matching_agent, ENR-136619, identity id MBR-013303, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-136620

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0159882026-07-24Meadow Diagnostic Imaging
out of network
74177$2,021.00—DeniedDenied
CLM-2026-0043922026-05-23Heritage Behavioral Health
in network
99214$257.00$99.34ApprovedApproved
CLM-2026-0006672026-02-21Harbor Bone and Joint Center
in network
73721$2,057.00—DeniedDenied