Identities/MBR-003807
Gold, golden identity

Carol M Gutierrez

5 source records from 2 feeds.

MBR-003807Verified5 records

Golden record

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

First nameENR
Carol
Middle nameENR
M
Last nameENR
Gutierrez
Date of birthENR
2000-09-08
GenderENR
F
Member IDENR
UHC-45287-35
SSNENR
•••-••-6527
PhoneENR
8695427797
EmailENR
carol.gutierrez97@aol.com
AddressENR
5447 Church St
CityENR
Plano
StateENR
TX
ZIP—
—
GroupENR
GRP-8694
PlanENR
OPTIONS-PPO
Min confidence
0.96
Sources
ENR ×3CLM ×2
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

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

0.990.961.001.000.99ENRENR-117881ENRENR-117882CLMCLM-413675CLMCLM-413674ENRENR-117880IDMBR-003807
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
ENR-117881ENR2026-01-12Carrol Gutierrezflagged2000-09-08UHC-45287-3586954277975447 Church St, Plano, TXScored0.99—
ENR-117882ENR2026-03-05Carol Gutierrezflagged1999-09-08UHC-45287-3586954277975447 Church St, Plano, TXRule0.96D3 member id + name
CLM-413675CLM2026-05-20Carol Gutierrezflagged2000-09-08—86954277975447 Church St, Plano, TXScored1.00—
CLM-413674CLM2026-05-26Carol Gutierrezflagged2000-09-08UHC-45287-35—5447 Church St, Plano, TXScored1.00—
ENR-117880ENR2026-09-21Carol Gutierrezflagged2000-09-08UHC-45287-3586954277975447 Church St, Plano, TXRule0.99D1 member id + dob exact

Evidence

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

ABScoreMethodRuleDecision
▶CLM-413675CLMCLM-413674CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-117881ENRCLM-413675CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117881ENRCLM-413674CLM0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117881ENRENR-117880ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth1.003exact
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-413674CLMENR-117880ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117882ENRCLM-413674CLM0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117882ENRENR-117880ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address0.702street_match
Identifiers agreeing: 5Conflicts: noneGuard: none
▶ENR-117881ENRENR-117882ENR0.96RuleD3 member id + nameAuto-linked
FieldSimilarityWeightNote
Name0.983
Date of birth0.253month_day
Member ID1.004
SSN (last four)1.002.5
Phone1.001.5
Email1.001.5
Address1.002exact
Identifiers agreeing: 5Conflicts: noneGuard: none
▶CLM-413675CLMENR-117880ENR0.94Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address0.702street_match
Identifiers agreeing: 2Conflicts: noneGuard: none
▶ENR-117882ENRCLM-413675CLM0.76Scoredweighted similaritySent to steward
FieldSimilarityWeightNote
Name1.003
Date of birth0.253month_day
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Eligibility conflict resolvedProposed
    Carol Gutierrez: 2 plan codes across sources → canonical OPTIONS-PPO
    ACT-000188, Eligibility engine
  • Orphan claim re-pointedExecuted
    CLM-413675 → UHC-45287-35 (Carol Gutierrez)
    ACT-007844, Claims processor
  • Duplicate member record retiredExecuted
    Carol Gutierrez: 3 enrollment records collapsed into UHC-45287-35
    ACT-022290, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automaticallyb6b454c157
    matching_agent, ENR-117880, identity id MBR-003807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117881
  • 2026-10-19 19:54:38Record linked automatically1b73766e52
    scoring_agent, CLM-413674, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc35829b856
    scoring_agent, CLM-413675, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413674, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyfa97c11808
    matching_agent, ENR-117882, identity id MBR-003807, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117881
  • 2026-10-19 19:54:38Record linked automatically97954c849a
    scoring_agent, ENR-117881, identity id MBR-003807, confidence 0.99, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:52:08Record linked automatically27036aca46
    matching_agent, ENR-117880, identity id MBR-003807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117881
  • 2026-10-19 19:52:08Record linked automaticallyf0b9b09f98
    scoring_agent, CLM-413674, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:52:08Record linked automatically2c5d841449
    scoring_agent, CLM-413675, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413674, policy version 1
  • 2026-10-19 19:52:08Record linked automatically02ac6b20c7
    matching_agent, ENR-117882, identity id MBR-003807, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117881
  • 2026-10-19 19:52:08Record linked automaticallyf90a6d5b42
    scoring_agent, ENR-117881, identity id MBR-003807, confidence 0.99, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:45:42Record linked automatically5950b3c1cb
    matching_agent, ENR-117880, identity id MBR-003807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117881
  • 2026-10-19 19:45:42Record linked automatically31a8874588
    scoring_agent, CLM-413674, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallye26a01423a
    scoring_agent, CLM-413675, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413674, policy version 1
  • 2026-10-19 19:45:42Record linked automatically6fdd98591a
    matching_agent, ENR-117882, identity id MBR-003807, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117881
  • 2026-10-19 19:45:42Record linked automatically7ae9791d6e
    scoring_agent, ENR-117881, identity id MBR-003807, confidence 0.99, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyfec0367318
    matching_agent, ENR-117880, identity id MBR-003807, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-117881
  • 2026-10-19 19:32:31Record linked automatically371558b7da
    scoring_agent, CLM-413674, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:32:31Record linked automatically02c25d8701
    scoring_agent, CLM-413675, identity id MBR-003807, confidence 1, method probabilistic, matched record CLM-413674, policy version 1
  • 2026-10-19 19:32:31Record linked automatically514a4c8194
    matching_agent, ENR-117882, identity id MBR-003807, confidence 0.96, rule D3 member_id + name, method deterministic, matched record ENR-117881
  • 2026-10-19 19:32:31Record linked automatically2ede52184d
    scoring_agent, ENR-117881, identity id MBR-003807, confidence 0.99, method probabilistic, matched record CLM-413675, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyfc4307aeaa
    matching_agent, ENR-117881, identity id MBR-042784, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record CLM-413583
  • 2026-10-19 19:31:28Record linked automatically73fc118359
    matching_agent, CLM-413675, identity id MBR-016565, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118023
  • 2026-10-19 19:31:28Record linked automatically4ad34b9d54
    scoring_agent, ENR-117880, identity id MBR-015937, confidence 1, method probabilistic, matched record CLM-413582, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallybe7aca00a0
    scoring_agent, CLM-413674, identity id MBR-009896, confidence 1, method probabilistic, matched record ENR-118020, policy version 1

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0246322026-04-27Meadow Internal Medicine Associates
in network
99232$240.00—Needs reviewNeeds review
CLM-2026-0185032026-05-20Summit Endocrine Associates
in network
99215$386.00—Needs reviewNeeds review
CLM-2026-0246312026-04-27Unity Medical Group
in network
99232$240.00$0.00ApprovedApproved