Identities/MBR-005772
Gold, golden identity

Evelyn Q Guzman

5 source records from 2 feeds.

MBR-005772Verified5 records

Golden record

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

First nameENR
Evelyn
Middle nameENR
Q
Last nameENR
Guzman
Date of birthENR
1993-10-24
GenderENR
M
Member IDENR
UHC-64017-72
SSNENR
•••-••-1249
PhoneENR
5826596695
EmailENR
evelyn.guzman@icloud.com
AddressENR
8001 Pine Dr
CityENR
San Diego
StateENR
CA
ZIPENR
92158
GroupENR
GRP-4703
PlanENR
CHOICE-PLUS-PPO
Min confidence
0.99
Sources
CLM ×3ENR ×2
Updated
2026-10-22 12:43:43
run-mvjj6udb

Identity graph

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

1.000.991.001.001.00CLMCLM-414440ENRENR-119011ENRENR-119012CLMCLM-414442CLMCLM-414441IDMBR-005772
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
CLM-414440CLM2026-01-19Evelyn Guzmanflagged1993-10-24——8001 Pine Dr, San Diego, CAScored1.00—
ENR-119011ENR2026-04-28Evelyn Guzmanflagged1993-10-24UHC-64017-72—8001 Pine Dr, San Diego, CARule0.99D1 member id + dob exact
ENR-119012ENR2026-06-20Evelyn Guzmanflagged1993-10-24UHC-64017-7258265966958001 Pine Dr, San Diego, CAScored1.00—
CLM-414442CLM2026-07-18Evelyn Guzmanflagged1993-10-24—58265966958001 Pine Dr, San Diego, CAScored1.00—
CLM-414441CLM2026-07-18Evelyn Guzmanflagged1993-10-24—58265966958001 Pine Dr, San Diego, CAScored1.00—

Evidence

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

ABScoreMethodRuleDecision
▶CLM-414440CLMCLM-414441CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-119012ENRCLM-414441CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414442CLMCLM-414441CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414440CLMCLM-414442CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-119012ENRCLM-414442CLM1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Phone1.001.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none
▶CLM-414440CLMENR-119012ENR1.00Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-119011ENRENR-119012ENR0.99RuleD1 member id + dob exactAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Member ID1.004
Email1.001.5
Address0.702street_match
Identifiers agreeing: 3Conflicts: noneGuard: none
▶ENR-119011ENRCLM-414441CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶ENR-119011ENRCLM-414442CLM0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none
▶CLM-414440CLMENR-119011ENR0.93Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name1.003
Date of birth1.003exact
Address0.702street_match
Identifiers agreeing: 1Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-414440 → UHC-64017-72 (Evelyn Guzman)
    ACT-007312, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414442 → UHC-64017-72 (Evelyn Guzman)
    ACT-007893, Claims processor
  • Orphan claim re-pointedExecuted
    CLM-414441 → UHC-64017-72 (Evelyn Guzman)
    ACT-009283, Claims processor
  • Care coordination outreachProposed
    Evelyn Guzman: 3 claims, no attributed provider
    ACT-018230, Next-best-action
  • Duplicate member record retiredExecuted
    Evelyn Guzman: 2 enrollment records collapsed into UHC-64017-72
    ACT-022597, Member services

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-22 12:43:53Record linked automatically48932bbceb
    scoring_agent, CLM-414441, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallya965c21e2f
    scoring_agent, CLM-414442, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-22 12:43:53Record linked automatically3ff5b50f92
    scoring_agent, ENR-119012, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-22 12:43:53Record linked automaticallyedfd9e1407
    matching_agent, ENR-119011, identity id MBR-005772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119012
  • 2026-10-22 12:43:53Record linked automaticallyb9722c811a
    scoring_agent, CLM-414440, identity id MBR-005772, confidence 1, method probabilistic, matched record ENR-119012, policy version 1
  • 2026-10-19 19:54:38Record linked automatically96724167d6
    scoring_agent, CLM-414441, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:54:38Record linked automatically515fdf8865
    scoring_agent, CLM-414442, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallyc0ca0c01f1
    scoring_agent, ENR-119012, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:54:38Record linked automatically7088224aff
    matching_agent, ENR-119011, identity id MBR-005772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119012
  • 2026-10-19 19:54:38Record linked automatically9a336fa06b
    scoring_agent, CLM-414440, identity id MBR-005772, confidence 1, method probabilistic, matched record ENR-119012, policy version 1
  • 2026-10-19 19:52:08Record linked automaticallyf0d370b4f5
    scoring_agent, CLM-414441, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:52:08Record linked automatically7fe9b493eb
    scoring_agent, CLM-414442, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6be7988f03
    scoring_agent, ENR-119012, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:52:08Record linked automatically6c722363fc
    matching_agent, ENR-119011, identity id MBR-005772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119012
  • 2026-10-19 19:52:08Record linked automatically35a7430d34
    scoring_agent, CLM-414440, identity id MBR-005772, confidence 1, method probabilistic, matched record ENR-119012, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyc11a0ce2a6
    scoring_agent, CLM-414441, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallya79affbdb9
    scoring_agent, CLM-414442, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:45:42Record linked automatically2c25a18c7c
    scoring_agent, ENR-119012, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyf0197a727c
    matching_agent, ENR-119011, identity id MBR-005772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119012
  • 2026-10-19 19:45:42Record linked automaticallyf5d94dc9c2
    scoring_agent, CLM-414440, identity id MBR-005772, confidence 1, method probabilistic, matched record ENR-119012, policy version 1
  • 2026-10-19 19:32:31Record linked automatically1c476f555b
    scoring_agent, CLM-414441, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:32:31Record linked automatically454d9afa54
    scoring_agent, CLM-414442, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:32:31Record linked automatically4bb482812a
    scoring_agent, ENR-119012, identity id MBR-005772, confidence 1, method probabilistic, matched record CLM-414440, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallyb1ffff595c
    matching_agent, ENR-119011, identity id MBR-005772, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119012
  • 2026-10-19 19:32:31Record linked automatically23f676c99d
    scoring_agent, CLM-414440, identity id MBR-005772, confidence 1, method probabilistic, matched record ENR-119012, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyd2ffa96abb
    scoring_agent, CLM-414440, identity id MBR-012054, confidence 1, method probabilistic, matched record TPA-56273, policy version 1
  • 2026-10-19 19:31:28Record linked automaticallyf168298c72
    matching_agent, ENR-119011, identity id MBR-007223, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-119010
  • 2026-10-19 19:31:28Record linked automaticallya88fc5b166
    matching_agent, CLM-414441, identity id MBR-003090, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118932
  • 2026-10-19 19:31:28Record linked automatically5a6722da03
    matching_agent, CLM-414442, identity id MBR-002457, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-118935

Claims for this member

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

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0302602026-06-16Mesa Orthopedic Specialists
in network
99213$206.00$67.72ApprovedApproved
CLM-2026-0248352026-07-07Desert Diagnostic Imaging
in network
71046, 70553$2,598.00$348.40ApprovedApproved
CLM-2026-0226012025-12-23Canyon GI Associates
in network
45378$1,855.00$62.35ApprovedApproved